中西医结合治疗老年人急性肠梗阻的临床分析

Clinical Analysis of Treatment with Combined TCM and WM for Acute Intestinal Obstruction of Old People

目的:分析中西医结合治疗老年人急性肠梗阻的临床疗效,明确保守治疗与手术治疗的适应症。方法:统计174例50岁以上的急性肠梗阻病人,中西医结合保守治疗120例,手术治疗54例,保守治疗组采用中药复方大承气汤配合西医治疗,并分析疗效。结果:120例中西医结合保守治疗,102例有效,18例粘连性肠梗阻中转手术,有效率为85%。结论:老年人急性肠梗阻病因复杂,合并疾病较多,病死率高。治疗应首先考虑患者的安全,其次才是病因的根除。中药复方大承气汤加减是治疗肠梗阻的有效方剂,正确选择治疗方法、掌握手术指征、把握手术时机是治疗成败的关键。

Objiective： To analyze clinical therapeutic effect of combining TCM and WM in acute intestinal obstruction of old people for determining indication of conservative treatment and operation. Method： The 174 patients of acute intestinal obstruction of old people （ older than 50 years）, 120 cases through the treatment of combining TCM and WM,54 cases on operation, among them. Da Chengqi ＂Fang （Drastic Purgative Decoction） is adopted in the treatment of combining TCM and WM. Result： 102 cases are effective, then the rate of effective is 85%; 18 cases of adhension intestinal obstruction are ineffective consequent operation. Conclusion： The causes of acute intestinal obstruction of old people are complicated, complication are easy to happen and the death rate is high. we must pay more attention to the safety of the patients first . Then eliminate the causes of the disease. Da Chengqi Tang is effective recipe to treat intestinal obstruction. It is the key to choose the guitable method of treatment and determine the indication and choice of the right moment of operation.