香砂六君子汤对重症脑卒中患者肠内营养胃肠道并发症的预防及治疗观察  

Observation on preventing and treating intestinal tract complication in patients with severe stroke with the Xiangsha Liujunzi decoction

作　　者：谷未强 孙亚玲[1] 张淑莲[1] 刘欣[1] 张振宝[1] 

机构地区：[1]北京市昌平区中医医院,北京102200

出　　处：《中医临床研究》2018年第31期39-41,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨香砂六君子汤对重症脑卒中患者鼻饲肠内营养时并发的胃液潴留及腹泻的预防及治疗效果。方法:将所选患者根据病历单号码进行单双号分组,对照组患者单纯采用西医治疗,治疗组鼻饲肠内营养(EN)同时加用浓煎香砂六君子汤。观察治疗期间胃液潴留、腹泻情况,同时对比两组患者在治疗前后急性生理与慢性健康评分II(APACHEII评分)、格拉斯哥昏迷评分(GCS评分)、血红蛋白(HGB)、血清总蛋白(TP)、血清白蛋白(ALP)、血清前白蛋白(PLAB),降钙素原(PCT)变化。结果:治疗组与对照组比较胃液潴留、腹泻发生率明显降低,且发生胃液潴留及腹泻天数、期间日均量明显降低。结论:治疗组治疗后TP、ALP、PLAB明显高于对照组,PCT治疗组低于对照组。Objective： To investigate the efcacy of the Xiangsha Liujunzi decoction （香砂六君子汤） on retention of gastric fuid and diarrhea in patients with severe stroke treated with enteral nutrition. Methods： The patients were grouped according to the medical record number. The control group wan given western medicine. The treatment group was given the EN and the Xiangsha Liujunzi decoction. Retention of gastric fuid and diarrhea were observed during treatment. The acute physiological and APACHEII score, GCS score, HGB, TP, ALP, PLAB and PCT in two groups were compared. Results： The incidence of retention of gastric juice and diarrhea in the treatment group were signifcantly lower than the control group. And diarrhea days, the daily average amount in the treatment group were decreased obviously. Conclusion： The TP, ALP and PLAB in the treatment group were signifcantly higher than the control group, and PCT in the treatment group was lower than the control group.

关 键 词：香砂六君子汤 重症脑卒中 肠内营养 并发症 

分 类 号：R255.2[医药卫生—中医内科学]