中西医结合治疗早期炎性肠梗阻的临床分析  

Clinical analysis of integrated traditional Chinese and western medicine in treatment of early inflammatory intestinal obstruction

作　　者：张忠霞[1] 于天英[1] 高汉义[1] 张学玲[1] 

机构地区：[1]潍坊医学院附属医院康复科,山东潍坊261031

出　　处：《中华医院感染学杂志》2013年第14期3409-3410,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨中西医结合治疗早期炎性肠梗阻的临床疗效,为临床治疗提供参考。方法选取医院2011年1-12月收治的64例早期炎性肠梗阻患者为研究对象,将其随机分为中西医结合组(观察组)和对照组(西医治疗组)各32例,对照组采用西医治疗,给予禁食、胃肠道减压、营养支持及广谱抗菌药物治疗,观察组采用中西医结合治疗,在以上治疗的基础上,加用中药治疗。结果治疗后观察组有26例患者痊愈、5例有效、1例无效,对照组痊愈17例、有效9例、无效6例,两组比较差异有统计学意义(P<0.05);观察组的肛门排气天数、住院时间为(2.1±1.0)、(7.9±1.9)d,显著短于对照组的(2.6±1.8)、(14.0±4.3)d,两组差异有统计学意义(P<0.05)。结论中西医结合治疗可明显缓解早期炎性肠梗阻患者的临床症状,值得临床上推广使用。OBJECTIVE To investigate the clinical effect of traditional Chinese and western medicine on the treatment of early inflammatory intestinal obstruction so as to guide the clinical treatment.METHODS Totally 64 cases of patients with early inflammatory intestinal obstruction who were treated in the hospital from Jan 2011to Dec 2011were enrolled in the study and were randomly divided into the integrated traditional Chinese and western medicine group（the observation group）and the control group（the western medicine treatment group）with 32 cases in each group;the control group was treated with western medicine,and the fasting,gastrointestinal decompression,nutritional support,and broad-spectrum antibiotic treatment were given;the observation group was treated with the integrated traditional Chinese and western medicine,and the Chinese medicine was added on the basis of the above treatment.RESULTS After the treatment,there were 26 cases cured,5cases effective,and 1 case ineffective in the observation group,while there were 17 cases cure,9 cases effective,and 6cases ineffective,the therapeutic effect of the observation group was significantly better than that of the control group,the difference was statistically significant（P0.05）.The time of the anus exhaust and the hospitalization duration of the observation group were respectively（2.1±1.0）and（7.9±1.9）d,significantly shorter than（2.6 ±1.8）and（14.0±4.3）d of the control group,the difference between the two groups was statistically significant（P0.05）.CONCLUSIONThe clinical symptoms of patients with early inflammatory bowel obstruction could be relieved with combination treatment of Chinese and Western medicine,so it is worthy of the clinical use.

关 键 词：中西医结合 炎性肠梗阻 疗效 

分 类 号：R181.32[医药卫生—流行病学]