摘要
目的:观察三维一体疗法治疗粘连性肠梗阻的临床疗效。方法:将68例粘连性肠梗阻患者随机分为对照组(34例)和观察组(34例)。对照组给予常规治疗,观察组除常规治疗外,给予三维一体疗法治疗,即中药辨证胃管注入、中医辨证敷脐、中医辨证灌肠。治疗结束后观察两组腹痛缓解时间、自主排气时间、自主排便时间临床疗效、泛影葡胺到达升和降结肠时间、及中转手术率。结果:对照组临床治愈13例,好转8例,无效13例,总有效率为61.8%;观察组临床治愈20例,好转9例,无效5例,总有效率85.3%,P<0.05,差异具有统计学意义。观察组泛影葡胺到达升和降结肠时间分别为(7.98±3.90)h、(10.61±3.08)h,对照组泛影葡胺到达升和降结肠时间分别为(14.51±4.20)h、(18.28±3.45)h,P<0.05,差异具有统计学意义。观察组腹痛缓解时间、自主排气时间、自主排便时间分别为(14.39±3.38)h、(31.27±3.68)h、(34.08±3.46)h,对照组腹痛缓解时间、自主排气时间、自主排便时间分别为(20.17±3.15)h、(41.33±3.59)h、(46.99±2.73)h。观察组中转手术5例,中转手术率为14.7%;对照组中转手术13例,中转手术率为38.2%。结论:三联模式能促进患者胃肠蠕动功能的恢复,改善患者的临床症状,提高保守治疗的成功率。
Objective:To observe the clinical efficacy of three-dimensional one-piece therapy for adhesive ileus.Methods:a total of 68 patients with adhesive ileus were randomly divided into an observation group(n=34)and a control group(n=34).The control group was given conventional treatment,and the observation group was given three-dimensional one-piece therapy treatment in addition to conventional treatment,that is,traditional Chinese medicine(TCM)based on gastric tube injection based on syndrome differentiation,Chinese medicine based on umbilication based on syndrome differentiation,and Chinese medicine based on enema based on syndrome differentiation.At the end of treatment,the remission time of abdominal pain,time of spontaneous flatus,clinical efficacy of spontaneous defecation time,time of reaching the ascending and descending colon with diatrizoate meglumine,and the conversion to surgery rate were observed in both groups.Results:in the control group,clinical cure was achieved in 13 patients,better in 8 patients,and ineffective in 13 patients,for an overall response rate of 61.8%;In the observation group,clinical cure was achieved in 20 patients,better in 9 patients and ineffective in 5 patients,with an overall response rate of 85.3%,P<0.05,which was statistically significant.The time of reaching the ascending and descending colon was(7.98±3.90)h,(10.61±3.08)h in the observation group and(14.51±4.20)h,(18.28±3.45)h in the control group,respectively,P<0.05,with statistically significant differences.The relief time of abdominal pain,time of spontaneous flatus and time of spontaneous defecation in the observation group were(14.39±3.38)h,(31.27±3.68)h,(34.08±3.46)h,and the relief time of abdominal pain,time of spontaneous flatus and time of spontaneous defecation in the control group were(20.17±3.15)h,(41.33±3.59)h,(46.99±2.73)h,respectively.In the observation group,there were 5 cases of transsurgery,and the transsurgery rate was 14.7%;There were 13 cases of transsurgery in the control group,and the transsurger
作者
张歆
徐高升
刘晓明
魏永召
张琦
经文善
胡高斌
ZHANG Xin;XU Gaosheng;LIU Xiaoming;WEI Yongzhao;ZHANG Qi;JING Wenshan;HU Gaobin(Suixi County Hospital of Traditional Chinese Medicine Anhui Suixi 235100,China;The First Affiliated Hospital of Anhui University of Chinese Medicine Anhui Hefei 230031,China;Surgical Institute of Anhui Academy of Traditional Chinese Medicine Anhui Hefei 230031,China)
出处
《中医药临床杂志》
2022年第4期746-749,共4页
Clinical Journal of Traditional Chinese Medicine
基金
国家临床重点专科项目肠梗阻专病研究(财社[2013]239号)
三联模式治疗肠梗阻临床研究(2019zdzk05)。
关键词
三联模式(中药胃管注入、中药敷脐和中药灌肠)
粘连性肠梗阻
triple pattern(Chinese medicine gastric tube injection,Chinese medicine umbilical application and Chinese medicine enema)
Adhesion ileus
