中药高位保留灌肠用于腹膜炎术后治疗的疗效观察

Clinical Observation on Effect of High Retention Herbal Enema in Postopertative General Peritonitis

目的 :比较中药高位保留灌肠配合西医治疗急性弥漫性腹膜炎与单纯西医治疗疗效的差异。 方法 :随机选择2 8例急性腹膜炎手术病例作为治疗组 ,术后 6h开始运用中药大承气汤加减高位保留灌肠治疗 ,选择同期急性腹膜炎手术病例 2 6例为对照组 ,术后不用中药治疗 ,两组西医治疗方法相同。观察两组肠鸣音恢复时间 ,肛门排气、排便时间、术后并发症、MODS、MOF等情况。 结果 :与对照组相比 ,治疗组肠鸣音恢复时间 (2 2 0 9± 7 82hvs 39.2 7± 9.5 6h)、肛门排气时间 (30 6 1±12 2 1hvs 5 4 73± 13 5 8h)及排便时间 (42 78± 15 6 8hvs 72 .3± 2 0 .2 8h)均有明显缩短 ,此外 ,治疗组术后肺部感染、切口感染、症状性肠粘连、MODS、MOF及死亡率均较对照组明显减少。 结论 :中药高位保留灌肠配合西医治疗急性弥漫性腹膜炎疗效较好。

To compare the effects of high retension enema with western and herbal medicine in treating postoperative patients following general peritonitis.Methods:28 cases of postoperative general peritonitis were selected as the treatment group,and 26 cases as the control.Herbal high retension enema was used 6h after the operation in the treatment group.The initial peristalsis sound time,the flatus passage time and the first bowel mevement were observed.Results:Compared with the control group,the initial peristalsis bowel sound time(22.09±7.28h vs 39.27±9.56h),the flatus passage time(30.61±12.21h vs 54.73±13.58h)and the first bowel movement time(42.78±15.68h vs 72.3±20.28h) of the treatment group were significantly earlier,and complications were significantly less.Conclusion:Compared with western medicine the effect of herbal high retension enema was favorable.