大承气汤联合奥曲肽在术后粘连性肠梗阻治疗中的效果  

The Effect of Dachengqi Decoction Combined With Octreotide in the Treatment of Postoperative Adhesive Intestinal Obstruction

作　　者：林艺平 杨亮 胡贤钦 LIN Yiping;YANG Liang;HU Xianqin(Department of Surgery,Zhangpu TenFus Hospital,Zhangzhou Fujian 363202,China)

机构地区：[1]漳浦天福医院外科,福建漳州363202

出　　处：《中国卫生标准管理》2023年第10期147-151,共5页China Health Standard Management

摘　　要：目的分析大承气汤联合奥曲肽在术后粘连性肠梗阻治疗中的效果。方法选取2021年11月—2022年12月于漳浦天福医院行腹部手术,但手术后发生不同程度的粘连性肠梗阻的患者56例,依据随机数字表法分为两组,每组各28例。观察组运用大承气汤联合常规西医疗法,对照组运用常规胃肠减压、纠正酸碱平衡及药物治疗的常规西医疗法。分别记录两组患者治疗后1、3、5 d的胃肠减压量;记录两组患者的首次排气时间、恢复肠鸣音时间、排水样便时间、胃液呈清时间;并对比分析两组患者的治疗总有效率情况。结果两组患者治疗后1、3、5 d的胃肠减压量间比较,差异无统计学意义(P>0.05)。观察组首次排气时间、恢复肠鸣音时间、排水样便时间、胃液呈清时间短于较对照组,差异有统计学意义(P<0.05)。于治疗后7 d记录两组患者治疗有效情况,其中观察组有效21例、显效6例,无效1例;对照组有效17例、显效4例,无效7例;观察组治疗有效率(96.43%)明显高于对照组(71.43%),差异有统计学意义(P<0.05)。结论大承气汤联合常规西医疗法相较于常规单纯西医疗法在术后粘连性肠梗阻的治疗效果更为显著,患者恢复更快、痛苦更少,因此值得临床作为粘连性肠梗阻治疗的新思路。Objective To analyze the effect of Dachengqi decoction combined with octreotide in the treatment of postoperative adhesive intestinal obstruction.Methods A total of 56 patients who underwent abdominal surgery at ZhangPU TenFus Hospital from November 2021 to December 2022 were selected,developed varying degrees of adhesive intestinal obstruction after the surgery.The enrolled patients were randomly divided into two groups used a random number table method,28 patients in each group.The observation group used Dachengqi decoction combined with conventional Western medicine therapy,the control group used conventional Western medicine therapy such as gastrointestinal decompression,correction of acid-base balance,and drug treatment.Record the gastrointestinal decompression volume of two groups of patients on the 1st,3rd,and 5th day after treatment;Record the first exhaust time,recovery time of bowel sounds,drainage time,and gastric juice clear time of two groups of patients;And compared and analyzed the total effective rate of treatment between the two groups of patients.Results There was no statistically significant difference in the amount of gastrointestinal decompression between the two groups of patients on the 1st,3rd,and 5th day after treatment(P>0.05).The observation group had shorter first exhaust time,recovery time of bowel sounds,drainage time,and gastric juice clear time compared to the control group,with statistically significant differences(P<0.05).Record the effectiveness of treatment in both groups of patients 7 days after treatment.Among them,there were 21 effective cases,6 significantly effective cases,and 1 ineffective case in the observation group;The control group had 17 effective cases,4 significantly effective cases,and 7 ineffective cases.The observation group had a significantly higher treatment effectiveness rate(96.43%)than the control group(71.43%),with a statistically significant difference(P<0.05).Conclusion The combination of Dachengqi decoction and conventional Western medicine therapy ha

关 键 词：大承气汤 奥曲肽 粘连性肠梗阻 胃肠减压 酸碱平衡 肠鸣音 

分 类 号：R656[医药卫生—外科学]