血必净注射液联合大黄治疗严重多发性创伤患者胃肠功能障碍的疗效观察  

Effects of treatment severe multiple trauma patients with gastrointestinal dysfunction with Xuebijing combined with Rhubarb

作　　者：汪勇[1] 刘云龙[1] 聂保忠 马宁[1] 刘虎[1] 

机构地区：[1]淮北矿工总医院ICU,安徽淮北235000

出　　处：《蚌埠医学院学报》2013年第3期303-305,共3页Journal of Bengbu Medical College

摘　　要：目的:观察联合应用血必净和大黄对严重多发性创伤患者胃肠功能障碍的治疗效果。方法:将严重多发性创伤胃肠道功能障碍患者52例随机分为2组,治疗组27例应用血必净和大黄治疗,对照组25例不应用血必净和大黄,原发病及其他治疗2组一致。观察2组患者胃肠功能改善情况及多器官功能障碍综合征(MODS)的发生率。结果:治疗组的治疗后胃肠功能评分明显低于对照组(P<0.01),治疗肠麻痹有效率高于对照组(P<0.01),MODS发生率明显低于对照组(P<0.01)。结论:血必净和大黄联合应用治疗严重多发性创伤胃肠功能障碍具有较好的疗效,可以明显降低MODS的发生率。Objective：To evaluate the effects of treatment severe multiple trauma patients with gastrointestinal dysfunction with Xuebijing combined with Rhubarb.Methods：Fifty-two severe multiple trauma cases with gastrointestinal dysfunction were randomly divided into treatment group（n=27）,which were treated with Xuebijing injection and Rhubarb and control group（n=25）,which were not used the above measures.The treatment of original and other disease of two groups were the same.The effects of alleviative gastrointestinal dysfunction and morbidity of multiple organ dysfunction syndrome（MODS） of two groups were observed.Results：The gastrointestinal function scores and morbidity of MODS of the teatment group were significantly lower than that of the control group（P0.01）.The effects of alleviative gastrointestinal dysfunction were significantly higher than that of the control group（P0.01）.Conclusions：The treatment of Xuebijing combined with Rhubarb have good effects on severe multiple trauma patients with gastrointestinal dysfunction,and can reduce the morbidity of MODS.

关 键 词：严重多发性创伤 胃肠功能障碍 血必净注射液 大黄 多器官功能衰竭 

分 类 号：R64[医药卫生—外科学]