中药灌肠联合芒硝敷脐治疗术后肠梗阻临床分析  

The clinical analysis of traditional Chinese medicine enema combined with mirabilite Umbilical Compress in the treatment of postoperative intestinal obstruction

作　　者：袁文斌[1] 沈振华 孙旭 严强[1] Yuan Wenbin

机构地区：[1]浙江省湖州市中心医院,313000

出　　处：《浙江临床医学》2020年第12期1738-1739,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨复方大承气汤加减保留灌肠联合芒硝敷脐治疗术后肠梗阻的临床疗效。方法选取收治的100例术后肠梗阻患者,对照组(A组)和观察组(B组)各50例。A组常规治疗:予禁食、抗感染、胃管减压、生长抑素、全肠外营养、维持酸碱电解质平衡等;B组在A组的基础上加用复方大承气汤加减保留灌肠及芒硝敷脐治疗,治疗48h后评估两组患者腹部胀痛、呕吐、肠鸣音、肛门排气排便、腹部影像学表现并进行对比,同时评估两组患者住院时间、住院费用及总的治疗效果并进行对比。结果B组在治疗48h后肠梗阻的症状、体征及影像学好转率明显优于A组,B组住院时间缩短,住院费用少,且治疗效果优于A组。结论复方大承气汤加减保留灌肠联合芒硝敷脐治疗术后肠梗阻疗效确切,能促进肠道功能恢复,减少肠梗阻并发症。Objective To explore the clinical eficacy of compound Dachengqi decoction retention enema combined with mirabilite umbilical application in treatment of postoperative intestinal obstruction.Methods A total of 100 patients with postoperative intestinal obstruction admitted from July 2013 to July 2018 were selected,50 cases in each of the control group(group A)and the observation group(group B).Routine treatment of group A:fasting,anti infection,gastric tube decompression,somatostatin,total parenteral nutrition,maintenance of acid-base and electrolyte balance,etc.;group B was added with compound Dachengqi decoction retention enema combined with mirabilite umbilical application on the basis of group A.After 48 hours of treatment,the two groups of patients were evaluated for abdominal pain,vomiting,bowel sounds,anal exhaust and defecation and abdominal imaging findings,and then compared.At the same time,the hospitalization time,hospitalization cost and total treatment effect of the two groups were evaluated.Results The improvement rate of intestinal obstruction symptoms,signs and imaging in group B was significantly better than that of group A after 48 hours of treatment.The hospitalization time of group B was shortened,the hospitalization cost was less,and the treatment effect was improved,which was better than group A.Conclusion Compound Dachengqi decoction retention enema combined with mirabilite umbilical application to treat postoperative intestinal obstruction is ffctive,which can promote the recovery of intestinal function and reduce complications related to intestinal obstruction.

关 键 词：术后早期肠梗阻 复方大承气汤加减 芒硝敷脐 

分 类 号：R47[医药卫生—护理学]