通腹三联疗法联合常规西医术后处理治疗腹部术后肠麻痹随机对照平行研究  

Through Abdominal Triple Therapy combined with Routine Western Medicine Treatment after Treatment of Abdominal Postoperative Intestinal Paralysis Randomized Controlled Parallel Study

作　　者：朱恩宇[1] 姚常柏[2] 高凯[3] 

机构地区：[1]辽宁中医药大学研究生学院 [2]辽宁中医药大学附属第一医院外一科,沈阳110032 [3]辽宁中医药大学附属二院外一科,沈阳110032

出　　处：《实用中医内科杂志》2015年第6期39-41,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察通腹三联疗法联合常规西医术后处理治疗腹部术后肠麻痹疗效。[方法]使用随机平行对照方法,将86例门诊诊断"急性阑尾炎"或"慢性阑尾炎急性发作",入院后即行急诊手术治疗住院患者按入院手术时间顺序编号简单随机分两组。对照组43例常规西医治疗,术后禁食水、抗炎、补液。治疗组43例通腹三联疗法:1腹立通膏(火麻仁、枳实、大黄、赤芍、杏仁、厚朴、麦冬、桃仁、红花),2袋/次,2次/d,口服;留置胃肠减压者,胃管注入后闭管2h;2芒硝500g无菌纱布包裹后脐周外敷,30min/次,1次/d;3电针足三里,20min/次,2次/d,术后6h首次应用;常规西医治疗同对照组。均连续治疗4d为1观察疗程。观测术后肛门排气时间、左下腹肠鸣音、不良反应。治疗1疗程判定疗效。[结果]自主排气时间治疗组早于对照组(P<0.05),肠鸣音恢复时间治疗组较对照组明显缩短(P<0.05)。[结论]通腹三联疗法联合常规西医术后处理治疗腹部术后肠麻痹,疗效满意,无严重不良反应,值得推广。[Objective]To observe Tongfu therapy combined with routine western medicine treatment after treatment of abdominal postoperative intestinal paralysis efficacy. [Method] A total of 86 cases of abdominal operation patients in the Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from2013 January to a -2013 year in November admitted to hospital, according to admission time sequence number operation were randomly divided into the treatment group and the control group. The control of conventional western medicine treatment group 43 cases, postoperative fasting water,anti-inflammatory, rehydration. The treatment group of 43 cases by abdominal triple therapy： Fu Li Tong Gao（hemp seed, immature bitter orange, rhubarb, radix paeoniae rubra, almond, Magnolia, Ophiopogon japonicus, peach kernel, safflower）, 2 bag/time, 2 times/d, oral; nasogastric decompression tube implantation, closed tube 2h; the 500g sterile gauze Glauber＇s salt after the application of umbilical week, 30rain/times, 1 times/d; the effects of electroacupuncture at Zusanli, 20min/time, 2times/d, 6h after operation for the first time using conventional western medicine treatment with the control group. All for four days treatment for one observation course. Observation of postoperative anal exhaust time, lower left abdominal bowel sounds, adverse reaction. Treat 1 treatment course to determine efficacy. [Results] The independent exhaust time of the treatment group than the control group （P〈0.05）, bowel sound recovery time of the treatment group was significantly shorter than the control group （P〈0.05）. [Conclusion] Through abdominal triple therapy combined with conventional western medicine treatment of postoperative enteroparalysis after abdominal oleration, the curative effect is satisfied, no serious adverse reactions, worthy of promotion.

关 键 词：腹部术后肠麻痹 急性阑尾炎 慢性阑尾炎急性发作 通腹三联疗法 腹立通膏 贺瑞麟 芒硝 脐周外敷 电针 足三里 术后肛门排气时间 左下腹肠鸣音 随机平行对照研究 

分 类 号：R246.2[医药卫生—针灸推拿学]