自拟肠粘连通畅汤临床应用研究  

Study on Clinical Application for user-defined Intestines Adhesive Flowing Soup Treatment of Adhesive Ileums

作　　者：黄宏汉 孙淑明[2] 江树嵩 

机构地区：[1]揭阳市红十字会慈云医院,广东揭阳522031 [2]汕头大学医学院第一附属医院,广东汕头515041

出　　处：《中国实用医药》2006年第1期63-65,共3页China Practical Medicine

基　　金：广东省中医药局立项课题(102056)

摘　　要：目的总结自拟肠粘连通畅汤治疗粘连性肠梗阻的临床应用效果。方法本研究共40例,其中对照组10例,给予禁食、持续胃肠减压、补充水电解质液、维持酸碱平衡等一般治疗。治疗组30例在应用上述方法的基础上,应用自拟肠粘连通畅汤给予口服或由胃管注入。结果治疗组:有效26例,第1次排便时间平均为(15.12±13.81)h;中转手术者4例,中转率13.7%。对照组:有效6例,第1次排便时间平均为(33.00±13.26)h;中转手术者4例,中转率40%。两组第1次排便时间比较经单因素方差分析有显著性差异(P=0.007)。结论自拟肠粘连通畅汤治疗粘连性肠梗阻在临床上多数是有效和安全的治疗方法。Objective Summarize the clinical application effects for user-defined intestines adhesive flowing soup treatment of adhesive ileums.Methods This study had 40 cases in all, between those there had 10 cases in the control group and the therapeutic group of 30 cases. In the control group, treatment like fasting, continuous gastrointestinal decompression, supplementing electrolytic solution, maintaining acid base balance was given to the patients. In the therapeutic group, oral administration of user-defined intestines adhesive flowing soup in gastric canal infusion were given to the patients in addition to the routine treatment in the control group.Results In the therapeutic group, 26 cases in effect, the average time of the first defecation occurred 15.12＋13.81hours, 4 cases transfer operation,transfer rate of 13.3%. In the control group, 6 cases in effect, the average time of the first defecation was 33.00±13.26 hours. 4 cases transfer operation, transfer rate of 40%. There existed marked difference between the two groups of the average time of the first defecation （P〈0.05） , there existed marked difference between the two groups.Conclusion Userdefined intestines adhesive flowing soup is an majority of effective and safety method in the treatment of adhesive ileums.

关 键 词：粘连性肠梗阻 中西医结合疗法 肠粘连通畅汤 

分 类 号：R26[医药卫生—中医外科学]