理气汤治疗腹膜后血肿致假性肠梗阻  

Analysis of Liqi decoction(理气汤) for treatment of false intestinal obstruction caused by retroperitoneal hematoma

作　　者：郝卫军[1] 夏秀春[1] 

机构地区：[1]大同市第五人民医院骨科,山西大同037006

出　　处：《中国骨伤》2009年第5期347-348,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨理气汤在治疗腹膜后血肿致假性肠梗阻的疗效。方法:75例腹膜后血肿致假性肠梗阻患者随机分为两组,中药组45例,男28例,女17例;平均年龄(41.45±13.58)岁;其中骨盆骨折32例,腰椎骨折13例,口服理气汤2～3d。对照组30例,男19例,女11例;年龄(43.28±9.49)岁;其中骨盆骨折24例,腰椎骨折6例,30例禁食、灌肠,其中14例胃肠减压。结果:参照《中药新药临床研究指导原则》肠梗阻的疗效标准判定:中药组,优25例,良13例,可7例;对照组,优5例,良7例,可18例。两组优良率经χ2检验,差异有统计学意义(P<0.05)。结论:理气汤是治疗腹膜后血肿所致假性肠梗阻的简便有效的方法。Objective：To study the efficiency of Liqi decoction on false intestinal obstruction caused by retroperitoneal hematoma. Methods：Seventy-five patients were randomly divided into two groups involving Liqi groups and control group. In Liqi group, therer were 45 patients including 28 males and 17 females with an average age of （41.45±13.58） years, 32 cases of pelvic fracture, 13 cases of lumber fracture and Liqi decoction were given oral for 2 to 3 days. In control group, there were 30 cases including 19 males and 11 females with an average age of（43.28±9.49）years, 24 cases of pelvic fracture,lumber fracture in 6 cases, and 30 cases was fasting and enema, 14 cases were gastrointestinal decompression. Results：According to New Chinese Medicine Clinical Research on the Guiding Principles ,the efficacy of intestinal obstruction was evaluated,in Liqi group the results were excellent in 25 cases, good in 13, fair in 7, and in control group, excellent in 5, good in 7, fair in 18. The fineness rate were compared between two groups by X2 test, the difference was significant （P〈0.05）. Conclusion：Liqi decoction is a simple and effective way to treated the retroperitoneal hecatomb caused by pseudo-obstruction.

关 键 词：理气汤 腹膜 血肿 肠梗阻 

分 类 号：R574.2[医药卫生—消化系统] R656.4[医药卫生—内科学]