摘要
目的:观察桃核承气汤合丹红注射液辅助治疗胸腰椎骨折的临床疗效。方法:将胸腰椎骨折且行骨折固定术患者69例随机分为2组,对照组34例给予酚酞片口服治疗,观察组35例给予丹红注射液肌内注射及桃核承气汤口服,疗程均为3天;观察比较2组治疗前后临床症状腹胀、便秘、腹痛等的改善情况,统计2组临床疗效及不良反应发生率。结果:腹胀、腹痛、排气排便等症状总改善率观察组为80.0%,对照组为47.1%,2组比较,差异有统计学意义(P <0.05)。临床疗效总有效率观察组为74.3%,对照组为41.2%,2组比较,差异有统计学意义(P <0.05)。不良反应发生率观察组为11.4%,对照组为38.2%,2组比较,差异有统计学意义(P <0.05)。结论:桃核承气汤联合丹红注射液辅助治疗胸腰椎骨折固定术后便秘疗效优于酚酞片,能够更好地改善患者胃肠道症状,且不良反应较少。
Objective:To observe the clinical effect of Taohe Chengqi tang combined with Danhong injection for constipation after thoracolumbar fracture fixation.Methods:Sixty-nine patients who underwent thoracolumbar fracture fixation were randomly divided into two groups.In the control group,34 patients were given phenolphthalein tablets orally;in the observation group,35 patients were given intramuscular injection with Danhong injectionand and the Taohe Chengqi tang orally.The course of treatment was 3 days.The clinical symptoms of abdominal distension,constipation and abdominal pain were observed and compared before and after treatment in the two groups,and the clinical effect and incidence of adverse reactions in the two groups were calculated.Results:The total improvement rate of abdominal distension,abdominal pain,exhaust and defecation was 80.0%in the observation group and 47.1%in the control group,the difference being significant(P<0.05).The total effective rate was 74.3%in the observation group and 41.2%in the control group,the difference being significant(P<0.05).The incidence of adverse reactions was 11.4%in the observation group and 38.2%in the control group,the difference being significant(P<0.05).Conclusion:The therapy of Taohe Chengqi tang combined with Danhong injection is superior to phenolphthalein tablets in the treatment of constipation after thoracolumbar fracture fixation,which can better improve the gastrointestinal symptoms of patients with fewer adverse reactions.
作者
黄有翰
庄载世
周明客
黄良善
庄传鹏
HUANG Youhan;ZHUANG Zaishi;ZHOU Mingke;HUANG Liangshan;ZHUANG Chuanpeng
出处
《新中医》
CAS
2019年第6期64-66,共3页
New Chinese Medicine
关键词
胸腰椎骨折
围手术期
便秘
桃核承气汤
丹红注射液
Thoracolumbar fracture
Erioperative period
Constipation
Taohe Chengqi tang
Danhong injection
