手术辅以粘连松解汤治疗粘连性肠梗阻33例  

Operation Combined with Nianlian Songjie Tang in Treatment of 33 Cases of Adhesive Intestinal Obstruction

作　　者：姚小峰 胡智明[2] 李进显 

机构地区：[1]江山市贺村中心卫生院外科,浙江江山324109 [2]浙江省人民医院肝胆外科,浙江杭州310014 [3]江山市贺村中心卫生院中医科,浙江江山324109

出　　处：《辽宁中医杂志》2015年第1期106-108,共3页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的：探讨与分析手术联合中药粘连松解汤治疗粘连性肠梗阻临床疗效与安全性。方法：65例粘连性肠梗阻患者按照患者入院时间先后顺序分组为观察组和对照组,分别为33例、32例。对照组采用单纯腹腔镜手术治疗;观察组于手术基础上加用中药粘连松解汤口服治疗。观察两组患者术后胃肠道恢复和复发情况。结果：经治疗后,观察组患者术后排便时间和排气时间及下床活动时间明显早于对照组（P〈0.05）;经1-4个月随访,观察组复发率为6.06%（2/33）明显低于对照组18.75%（6/32）（P〈0.05）。结论：采用腹腔镜手术联合中药粘连松解汤口服治疗,其可加速患者胃肠道功能恢复,减少术后复发。Objective： To discuss and analyze the clinical efficacy and safety of operation combined with traditional Chinese medicine Nianlian Songjie Tang in the treatment of adhesive intestinal obstruction. Methods： 65 cases of patients with adhesive intestinal obstruction according to admission time sequence were divided into observation group 33 cases and control group 32 cases respectively. The control group was treated by laparoscopic treatment and the observation group added Chinese medicine Nianlian Songjie Tang. And the recurrence of gastrointestinal recovery was observed in 2 groups. Results： After the treatment,the observation group＇s defecation time and exhaust time and bed time were significantly earlier than those of the control group（ P〈0. 05）. After1 - 4 months follow-up,the observation group＇s recurrence rate was 6. 06%（ 2 /33） and significantly lower than 18. 75%（ 6 /32） of the control group（ P〈0. 05）. Conclusion： The laparoscopic surgery combined with traditional Chinese medicine Nianlian Songjie Tang can accelerate the recovery of gastrointestinal function of patients and reduce the postoperative recurrence.

关 键 词：腹腔镜手术 粘连松解汤 粘连性肠梗阻 

分 类 号：R574.2[医药卫生—消化系统]