中西医结合治疗肠梗阻的效果观察及分析  

Effect observation and analysis on treating ileus in the integrative medicine

作　　者：刘天基[1] 罗春权[1] 

机构地区：[1]高州市人民医院,广东高州525200

出　　处：《中医临床研究》2013年第11期73-74,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察中西医联合治疗肠梗阻的临床疗效。方法:将92例患者分为对照组和观察组,每组46例。对照组使用西医常规禁食、胃肠减压、抗感染治疗;观察组在对照组治疗基础上使用加味承气汤,100ml/次,口服或胃管注入,后夹胃管2～3h,1次/d。观测肠梗阻症状、治疗效果、肛门排气时间、腹胀腹痛缓解时间、不良反应。在治疗5d之后对其疗效进行判定。结果:对照组总有效率76.10%,观察组总有效率93.40%,观察组总有效率优于对照组。肛门排气时间和腹胀腹痛缓解时间明显短于对照组,具有统计学意义(P<0.05)。结论:中西医联合治疗肠梗阻具有较好的临床疗效,值得推广。Objective： To observe the clinical effect of the integrative medicine in treating ileus. Methods： 92 cases were divided into two groups, 46 cases for each. The control group was given conventional modern fasting, gastrointestinal decompression, anti-infective therapy, the observation group was treated with the Chengqi decoction based on the treatment of the control group, 100ml one time, orally or injected into the tube, later clamp tube 2～3h, 1 time a day. Intestinal symptoms, the treatment effect, anal exhaust time, bloating abdominal pain time and adverse reactions were observed, after the treatment of five days, their effects were judged. Results： Total efficiency of the observation group was 93.40%, and was better than 76.10% of the control group. Anal exhaust time and abdominal bloating relief time of the observation group were significantly shorter than that of the control group, with statistical significance （P0.05）. Conclusion： The clinical efficacy of the integrative medicine was good in treating ileus, worthy of promoting.

关 键 词：肠梗阻 加味承气汤 中西医结合 治疗 

分 类 号：R574.2[医药卫生—消化系统]