大承气汤鼻饲促进严重脑功能衰竭患者排便作用的临床观察  

Clinical observation of pacheng formulad for promotde defection of serious brain brain function failuersipatmts in nose feeding

作　　者：王宏凯[1] 高飞[1] 

机构地区：[1]广东广州中医药大学祈福医院,511495

出　　处：《内蒙古中医药》2011年第1期27-28,共2页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:探讨大承气汤对脑功能衰竭伴肠功能衰竭的治疗价值。方法:24例脑功能衰竭伴肠功能衰竭患者,常规治疗5日以上未排便,给予大承气汤治疗,采用鼻饲法,药物分2次胃管内注,间12小时;如第1次给药后排便,停止第2次给药。如24小时仍未排便,再按原方案给药1剂,同时结合给予甘油100mL灌肠。如患者出现大便失禁,排除抗生素相关性腹泻及不当胃肠喂养导致的腹泻,给予蒙脱石散鼻饲。结果:24例患者均在给药后48小时内排便,其中给药后12小时内排便者6例,24小时内排便者11例。48小时内排便者7例。大便次数1～5次,大便失禁者3例。患者排便性状多为稀糊状便,少数呈稀水样,排便量300～1900mL不等。未发现对心率、血压及CVP、电解质有明显不良影响。Objective：To approch the treatment value of Dachengqi decoction on brain function failure with intestinal failure Methods：24 cases of cerebral dysfunction in patients with intestinal failure, routine treatment for more than 5 days, no bowel movement,give Dachengqitang treatment, use of injection points in nasal feeding tube and administered twice a day If the first bowel movement ＇after ad- ministration to stop the second dose If 24 hours have not defecation, and then administered a dose of the original program, combined with glycerin 100ml enema given.~ If patients had fecal incontinence, excluding inappropriate antibiotic associated diarrhea and diarrhea caused by enteral feeding, nasogastric feeding for montmorillonite powder. Results：24 patients were administered within 48 hours after defecation, in which defecation within 12 hours ＇after administration in 6 patients, 24 hours, 11 cases defecation and 7 cases 48 hours .,fecal inconti- nence-Stool frequency of 1-5 times in 3 eases. Bowel evacuation in patients with thin paste it over to a small number were water samples, stool wlnme ranged from 300-2000mlo Not found adverse effects on heart rate, blood pressure , CVP and Electrolyte Conclusions .

关 键 词：大承气汤 脑功能衰竭 排便时间 胃肠功能 

分 类 号：R256.35[医药卫生—中医内科学]