中西医结合治疗炎性肠梗阻临床疗效观察-《西部中医药》

文章信息/Info

Title:: Observation on Therapeutic Effects of Integrative Medicine in Treating Inflammatory Ileus

作者:: 钟海文1，张超2，杨维建3△，夏丽1，董玉强1，王希龙1，毛曾喜1，柳育才1; 1 解放军25医院普外科，甘肃酒泉 735000； 2 甘肃中医学院；3 甘肃省中医院普外科

Author(s):: ZHONG Haiwen1, ZHANG Chao2, YANG Weijian3△; XIA Li1, DONG Yuqiang1, WANG Xilong1, MAO Zengxi1, LIU Yucai1; 1 Surgical Department of Lanzhou Military Region 25th Hospital, Jiuquan 735000, China; 2 Gansu University of Traditional Chinese Medicine; 3 Surgical Department of Gansu Provincial Hospital of Traditional Chinese Medicin

Keywords:: inflammatory ileus; integrative medicine; prescription No.1 against inflammatory ileus; clinical effects

摘要:: 目的：观察中西医结合疗法治疗炎性肠梗阻的临床疗效。方法：将80例炎性肠梗阻患者随机分为2组，每组各40例。对照组采用禁食、胃肠减压,纠正水、电解质紊乱及酸碱平衡失调,肠外营养支持,抗生素等常规治疗方法进行治疗。治疗组在此基础上给予中药肠梗阻1号方，1剂/d，水煎分服，不能口服者从胃管注入或经肛管保留灌肠，以每日排便2～3次为宜，大便次数超过3次则减少服药量；每日足三里新斯的明或维生素B1封闭，见效后再用2天，但不超过5天；此外芒硝外敷，3次/d。结果：对照组痊愈18例(45.0%)，有效15例(37.5%)，无效7例(17.5%)；治疗组痊愈27例(67.5%)，有效10例(25.0%)，无效3例(7.5%)，2组总有效率比较，差异有统计学意义(P＜0.05)；2组肠梗阻缓解时间、通便时间相比，差异有统计学意义(P＜0.05)。结论：中西医结合治疗组治疗炎性肠梗阻安全可靠，可提高治疗效果。

Abstract:: Objective: To verify therapeutic effects of integrative medicine in treating inflammatory ileus. Method: All 80 patients were randomly allocated into two groups, 40 cases each group. The control group received routine therapy including fasting, gastrointestinal decompression, correcting the disturbance of water, electrolyte and acid-base, parenteral nutrition, antibiotics. The treatment group oral prescription No.1 against inflammatory ileus, one dose per day, water decocted, by infusing with stomach tube or retention enema with anal tube, defecating twice or three times per day, the dosages were reduced when defecation times were more than three times; neostigmine or vitamin B1 was injected and blocked in ZuSanLi(ST36) everyday, when it acted, the drugs continued to use for two days, but less than five days; besides, mirabilite was externally applied for three times per day. Result: There were 18 cases cured in the control group (45.0%), 15 cases effective (37.5%), seven cases ineffective (17.5%); 27 cured in the treatment group (67.5%), ten cases effective (25.0%), three cases ineffective (7.5%), the difference had statistical meaning in total effective rate (P＜0.05); the difference had statistical meaning in alleviating time of ileus and defecation time(P＜0.05). Conclusion: The therapy is safe and reliable, it could improve clinical effects by integrative medicine.