电针结合中药鼻饲和灌肠治疗粘连性肠梗阻临床研究  

Clinical research on treatment of adhesive intestinal obstruction with electroacupuncture and herbal nasal feeding and enema

作　　者：张旗 龚东明 刘海涛 侯宗立 顾本宏 钟丽 杨臻 盛卫星 

机构地区：[1]上海市浦东新区中医医院,上海201299

出　　处：《上海中医药杂志》2015年第8期41-43,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市卫生局中医药科研基金项目(2012L067A);上海市中医药发展办公室杏林新星计划资助项目(ZYSNXD011-RC-XLXX-20130030)

摘　　要：目的观察电针结合中药鼻饲和灌肠治疗粘连性肠梗阻的临床疗效。方法将60例粘连性肠梗阻患者随机分为治疗组和对照组,每组30例。对照组给予西医基础治疗,治疗组在西医基础治疗基础上,加用电针结合中药鼻饲和灌肠疗法,疗程14天;观察两组临床疗效、胃肠功能恢复情况和中转手术情况。结果治疗组总有效率为86.67%,对照组为73.33%;治疗组临床疗效优于对照组(P<0.05)。治疗组腹痛缓解等胃肠功能恢复时间少于对照组,差异有统计学意义(P<0.05)。治疗组中转手术率低于对照组(P<0.05)。结论电针结合中药鼻饲和灌肠治疗粘连性肠梗阻能提高临床疗效,加快胃肠功能恢复。Objective To observe the clinical efficacy of Adhesive Intestinal Obstruction（AIO） with electroacupuncture and Chinese Medicine Nasal Feeding and Enema . Methods All the 60 patients suffered with AIO were randomized into two groups. 30 patients in the treatment group were treated with basic surgical treatment in combination with electroacupuncture and chinese medicine nasal feeding and enema,the other 60 patients in the control group were treated with only basic surgical treatment. The data including clinical efficacy, the restoration of gastrointestinal function, operability were compared between two groups. Results The total effective rates were 86.7 % in study group, and 73.3 % in control group, with significant difference in two groups （ P 〈 0.05 ）. The restoration of gastrointestinal function and the remission time of clinical symptoms and signs of study group was better than control group, there were significantly different （P 〈0.05 ）. In study group 4 cases have been transferred to surgery, and 11 cases in control group, with significant difference in two groups （P 〈 0.05 ）. Conclusion The electroacupuncture and chinese medicine nasal feeding and enema in the treatment of AIO promote faster recovery of gastrointestinal function, and improve the clinical efficacy.

关 键 词：粘连性肠梗阻 电针疗法 中药鼻饲 中药灌肠 胃肠功能 

分 类 号：R259[医药卫生—中西医结合]