厚朴三物汤保留灌肠治疗胸腰段骨折后顽固性腹胀120例临床观察  

Clinical observation of Houpo-sanwu decoction retention enema on the treatment of intractable abdominal distension after thoracolumbar fracture

作　　者：王军[1] 陶晓冰[1] 郜顺兴[1] 刘晓慧[1] 王芳芳[1] 刘红正[1] 王栓池[1] 

机构地区：[1]河北省沧州中西医结合医院脊柱关节科,河北沧州061001

出　　处：《河北中医》2016年第12期1842-1844,1868,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局2015年度中医药类科研计划课题(编号:2015294)

摘　　要：目的观察厚朴三物汤保留灌肠治疗胸腰段骨折后顽固性腹胀的临床疗效。方法将120例胸腰段骨折后顽固性腹胀患者随机分为2组。对照组60例予新斯的明臀部肌肉注射治疗,治疗组60例予厚朴三物汤保留灌肠治疗。观察2组临床疗效及排气时间、排便时间、疼痛视觉模拟评分(VAS)情况。结果对照组显效率51.67%,总有效率80.00%,治疗组显效率71.67%,总有效率91.67%,2组显效率、总有效率比较差异均有统计学意义(P<0.05),治疗组疗效优于对照组。治疗后对照组排气时间(41.35±9.38)min,治疗组排气时间(21.43±3.27)min,2组比较差异有统计学意义(P<0.05),治疗组排气时间短于对照组。治疗后对照组排便时间(135.23±20.32)min,治疗组排便时间(33.21±5.49)min,2组比较差异有统计学意义(P<0.05),治疗组排便时间短于对照组。2组治疗后VAS评分与本组治疗前比较差异均有统计学意义(P<0.05),且治疗组治疗后VAS评分低于对照组治疗后(P<0.05)。结论厚朴三物汤保留灌肠治疗胸腰段骨折后顽固性腹胀疗效确切。objective To observe the clinical effects of Houpo - sanwu decoction retention enema on the treatment of intractable abdominal distension after thoracolumbar fracture. Methods 120 intractable abdominal dis- tension patients after thoracolumbar fracture were randomly divided into two groups. 60 eases in control group were treated by intragluteal injection of neostigmine, and 60 cases in treatment group were treated by Houpo - sanwu decoction retention enema. The curative effect, evacuation time, defecation time and visual analogue scale （VAS） were observed in two groups. Results The obvious effective rate in control and treatment group was 51.67% and 71.67 % respectively, and the total effective rate was 80.00% and 91.67% respectively, there were statistical differences on obvious effective rate and total effective rate between two groups （P 〈 0.05 ）, the curative effect in treatment group was superior to that in control group. The evacuation time after treatment in treatment and control group was （41.35 ±9.38 ） min and （21.43 ± 3.27） min respectively, with statistical differences （ P 〈 0.05 ）, the evacuation time in treatment group was shorter than control group. The defecation time in control and control group was （ 135.23 ± 20.32） min and （33.21 ± 5.49） min respectively, the defecation time in treatment group was shorter than control group （P 〈 0.05 ）. There were statistical differences on VAS score between before and after treatment in two groups （ P 〈 0. 05 ）, and VAS score after ti＇eatment in treatment group was lower than control group （ P 〈 0.05 ）. Conclusion Houpo - sanwu decoction retention enema has exact effects on intractable abdominal distension after thoracolumbar fracture.

关 键 词：肠胃胀气 脊柱骨折 并发症 汤剂 胸椎 腰椎 损伤 中药疗法 

分 类 号：R289.5[医药卫生—方剂学] R442.2[医药卫生—中药学]