厚朴排气合剂治疗灌肠使用治疗急性心肌梗死后便秘的临床疗效观察  

Clinical observation of treating constipation after acute myocardial infarction by Enema with Magnolia officinalis exhaust mixture

作　　者：韩翔宇[1] 于永梅[1] 宋超[1] HAN Xiang-yu;YU Yong-mei;SONG Chao(The first people's Hospital of Jining,Shandong,Jining 272002)

机构地区：[1]济宁市第一人民医院,山东济宁272002

出　　处：《临床医药文献电子杂志》2017年第57期11268-11270,共3页Electronic Journal of Clinical Medical Literature

摘　　要：目的观察厚朴排气合剂灌肠使用在治疗心肌梗死后便秘的临床疗效。方法选取我院2016年1月~2017年1月急诊科住院病人急性心肌梗死后出现便秘患者140例,随机分为治疗组和对照组。两组患者均接受饮食指导,对照组规律使用开塞露灌肠,治疗组规律使用厚朴排气合剂灌肠。观察两组患者1小时内有效率,治疗7天后,比较两组患者的治疗效果和不良反应。结果治疗组患者的1小时有效率为91.81%,高于对照组的患者的首日有效率75.83%,差异有统计学意义(P<0.05)。治疗组总有效率(92.85.0%)高于对照组(71.42%),差异有统计学意义(P<0.05)。治疗组治疗后排便困难、排便频次评分优于对照组,差异有统计学意义(P<0.05)。药物不良反应中,治疗组腹胀、腹痛发生率低于对照组。结论厚朴排气合剂灌肠使用能迅速有效改善患者急性心肌梗塞后便秘症状,不良反应少,在临床疗效上具有优势地位。Objective To observe the clinical efficacy of magnolia excretion enema in the treatment of constipation after myocardial infarction.Methods We selected 140 cases of patients with constipation after acute myocardial infarction in the emergency department of our hospital from January 2016 to January 2017.The patients were randomly divided into treatment group and control group.Two groups of patients were given dietary guidance,the control group using the Glycerine Enema,the treatment group rule using Houpupaiqi mixture.Two groups of patients were observed within 1 hour of effective rate,7 days after treatment,compared the two groups of patients with treatment and adverse reactions.Results The effective rate was 91.81%in the treatment group and 75.83%(P<0.05)on the first day of the control group.The total effective rate(92.85.0%)in the treatment group was higher than that in the control group(71.42%),the difference was statistically significant(P<0.05).The defecation score was better in the treatment group than in the control group,the difference was statistically significant(P<0.05).In the adverse drug reactions,the incidence of abdominal distension and abdominal pain in the treatment group was lower than that in the control group.Conclusion Houpupaiqi mixture can rapidly and effectively improve the symptoms of constipation in patients with acute myocardial infarction,less adverse reactions,and have a dominant position in clinical efficacy.

关 键 词：厚朴排气合剂 开塞露 灌肠 急性心肌梗死 便秘 

分 类 号：R542.21[医药卫生—心血管疾病]