中西医结合治疗肠粘连

The Treatment of Abdominal Adhesions by Integration of TCM and Modern Medicine

目的:探讨应用中西医结合方法治疗肠粘连的治疗效果。方法:将40例术中诊断为肠粘连的病例随机分成对照组和中西医结合治疗组。对照组手术松解粘连的肠管及关腹前用1%透明质酸钠(HA)6mL涂抹在损伤的小肠浆膜和切口附近的腹膜上;治疗组除按照对照组处理方法外,术后24h开始口服或经空肠内置管注入中药肠粘连片。结果:治疗组的术后肠鸣音恢复时间、首次排气时间、首次排便时间均早于对照组。治疗组用药后血浆凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)较对照组延长,纤维蛋白原(FIB)较对照组下降。术后10天B超观察肠粘连发生率,治疗组优于对照组。结论:手术松解粘连的肠管、术中在损伤的浆膜间置入阻隔剂透明质酸钠,术后应用中药肠粘连1及2号片,可有效的治疗肠粘连。

Objective ： To probe the effect of the treatment of abdominal adhesions ,which is integrated into the combination of traditional Chinese Medicine（TCM） and modern medicine. Methods ： Fouty patients who were dignosed to adhesion were randomly divided into two groups, which were contrast group and TCM group expecting of modern medicine. The contrast group loosed the adhesion＇s intertines by operation and imprision belly 6 ml daub at small intestine pentonacum near the serous coat and notch with 1% Sodium Hyaluronate（HA）. Except contral group＇s treatment method,after 24 hours of operation, TCM group take orally or inject TCM into intestines glue in flake to in charge of to put in jejunum. Results ： Gurgling sound resume time and time of exhausting for the first time and defecate time of traditional Chinese medicine group is earlier than that of control group for the first time after the operation. The prothrombin time（PT） and the activated partial thromboplastin time（AFTT） of Traditional Chinese medicine group is longer than that of control group after using medicine. Fibrinogen （FIB） of Chinese medicine group is lesser than that of control group. Through B ultrasonic, the intestinal adhesion rate of the traditional Chinese medicine group is to that of the contral group in tenth day after the operation. Conclusion ： The adhesion＇s intestines were loosen by operation and HA was put among serous coat which had been damaged and the chanlian pill Of TCM were used after the operation. The intestinal adhesion had been effectively treated.