小承气汤在胸腰椎骨折术后便秘治疗中的疗效分析

Effect analysis of the Xiaochengqi decoction on constipation after thoracolumbar fracture

目的:探索小承气汤用于胸腰椎骨折术后便秘患者治疗的可行性及疗效,为胸腰椎骨折患者术后便秘的中西医预防和治疗提供临床数据支持。方法:该项研究选择张掖市中医医院骨科接受手术治疗的胸腰椎骨折术后便秘患者80例,其中40例患者给予小承气汤进行治疗,对照组40例建议早期床上活动、早期下床活动,并分析小承气汤用于胸腰椎骨折术后便秘患者治疗的疗效。结果:小承气汤治疗组治疗后Wexner便秘评分降低较对照组更明显(P<0.05),并且小承气汤治疗胸腰椎骨折术后患者便秘患者总体有效率显著高于对照组(P<0.05)。结论:胸腰椎术后便秘患者可以从小承气汤治疗中获益。

Objective:To explore the feasibility and efficacy of the Xiaochengqi decoction(小承气汤)in the treatment of postoperative constipation in patients with thoracolumbar fractures,and to provide clinical data support for the prevention and treatment of postoperative constipation in patients with thoracolumbar fractures.Methods:This study selected 80 patients with constipation after surgery for thoracolumbar fractures in the Department of Orthopedics of Zhangye Hospital of Traditional Chinese Medicine,40 patients were treated with the Xiaochengqi decoction,and 40 patients in the control group were recommended to move in bed early and get out of bed early,and the efficacy of the Xiaochengqi decoction in the treatment of constipation patients after thoracolumbar fractures was analyzed.Results:The Wexner constipation score in the Xiaochengqi decoction treatment group was significantly lower than that in the control group(P<0.05),and the overall effective rate of the Xiaochengqi decoction in the treatment of constipation in patients with thoracolumbar fractures after surgery was significantly higher than that in the control group(P<0.05).Conclusion:Patients with constipation after thoracolumbar surgery can benefit from the Xiaochengqi decoction.