大承气汤对危重症患者胃肠功能衰竭防治作用的研究

Preventive and Therapeutic Effect of Stomach Intestine Nonfunction Grave Patient Treated by Large Chengqi Decoction

目的:观察大承气汤在危重病患者中防治胃肠功能衰竭的作用。方法:将严重创伤、感染性休克、重症胰腺炎等危重症患者随机分为大承气汤预防组和对照组,预防组入院即给予大承气汤,观察胃肠功能障碍出现率和pH值;对照组中发生胃肠功能障碍者再给予大承气汤,观察治疗有效率和治疗前后胃液pH值。结果:大承气汤预防组发生胃肠功能障碍较对照组明显减少,pH值升高;对照组中的胃肠功能障碍者,经大承气汤治疗后功能恢复,pH值升高。结论:大承气汤在防治危重患者的胃肠道衰竭中有重要作用。

Objectives： To study the prevention and treatment effect of Dachengqi decoction on gastrointestinal function failure in critical illness. Methods： All critical patients including critical wound.infection shock and critical pancreatitis were randomly divided into Dachengqi decoction prevention group（DGP） and non-Dachengqi decoction prevention group（NDPG）, and give the DGP Dachengqi decoction, and observe the occurrence ratio of gastrointestinal function failure and the PH, Then Dachengqi decoction to the patients of gastrointestinal function failure in the NDGP, and observe the available ratio and the PH. Results： The occurrence ratio of gastrointestinal function failure is distinctly lower in the DGP than the NDGP, and the PH higher than the NDGP, Conclusions： Dachengqi decoction can prevent and treat gastrointestinal function failure.