大承气汤灌肠治疗重症患者胃肠功能障碍疗效观察  

Effectiveness of enema therapy with Dachenqi decoction on critical patients with gastrointestinal dysfunction

作　　者：陈贞羽[1] 陆军[1] 张织雯 

机构地区：[1]浙江中医药大学附属第二医院重症医学科,浙江杭州310005

出　　处：《中国中西医结合消化杂志》2014年第1期22-24,共3页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

摘　　要：[目的]观察大承气汤灌肠治疗重症患者胃肠功能障碍的临床疗效。[方法]将符合纳入标准的56例患者随机分为2组,各28例。对照组以西药常规对症治疗,治疗组在对照组治疗基础上加用大承气汤灌肠,治疗周期为5d。[结果]与对照组比较,治疗组患者肠鸣音、腹内压及急性胃肠损伤分级改善,差异均有统计学意义(均P<0.05);2组患者治疗后腹围变化及28d存活率差异无统计学意义。[结论]大承气汤灌肠可以改善患者急性胃肠功能障碍,但对腹围变化和28d存活率无影响。[Objective]To observe the influence of enema therapy with Dachengqi decoction on critical patients with gastrointestinal dysfunction. [Methods]Fifty-six patients met the inclusion criteria were ran- domly divided into the control group and the treatment group （each n=28）. The control group was given symptomatic treatment of western medicine, and the treatment group,retention enema of Daehengqi decoc- tion besides the same treatment as the control group. A treatment course was 5 days. [Results]The borbo- rygmus,intra-abdominal pressure and AGI level between two groups after the treatment showed that the difference was statistically significant（ all P〈~0.05）. The comparison of abdominal cireumference and 28 days mortality showed that the difference was not statistically significant （P^O. 05）. [Conclusion]The ene- ma therapy with Dachengqi decoction can abate AGI, however, had no effect on the changes in abdominal circumference and 28 days mortality.

关 键 词：急性胃肠损伤 大承气汤 灌肠 

分 类 号：R289.5[医药卫生—方剂学]