中西医结合治疗腹部非胃术后胃瘫20例临床体会

Clinical experience on the effect of integrated traditional Chinese and Western medicine in treating 20 cases of gastroparesis of non gastric abdominal postsurgical

目的:探讨腹部非胃手术后胃瘫的中西医结合治疗。方法:对20例腹部非胃手术后胃瘫患者在常规西医治疗基础上,从鼻肠营养管或胃管注入中药和胃理气汤约30ml,每日3次。结果:20例均痊愈,治疗时间7～25d,平均14.3d,治疗后正常胃电节律明显高于治疗前(P<0.01),1～2年内随访18例,均饮食正常,症状无复发。结论:腹部非胃手术胃瘫治疗应以中西医结合治疗,并注重心理治疗的作用。

Objective：To study integrated traditional Chinese and Western medicine treatment of gastroparesis of non gastric abdominal postsurgical.Methods：Chose 20 gastroparesis cases of non gastric abdominal postsurgical,on the basis of routine treatment of Western medicine,injected traditional Chinese medicine Heweiliqi decoction,about 30 ml,3 times a day into the nasal enteral nutrition tube or gastrostomy tube.Results：20 patients were cured,treatment time was 7-25 d,the average 14.3 d,after treatment the normal gastric electric rhythm was significantly higher than before treatment（P0.01）,1-2 years follow-up in 18 patients,all normal diet,symptoms without recurrence.Conclusion：Gastroparesis of non gastric abdominal postoperative should be treated with integrated Chinese and Western medicine,and pay attention to the role of psychotherapy.