鼻肠减压管联合中药治疗粘连性肠梗阻28例报告

28 Cases of Treating Adhesive Ileus Transnasal Feeding Tube Combined with Traditional Chinese Medicine

目的:探讨鼻肠导管联合中药复方大承气汤注入治疗单纯性小肠粘连性梗阻的优势及鼻-肠减压管插入方法管理要点。方法:对28例接受鼻肠减压管联合复方大承气汤经鼻肠导管注入的粘连性肠梗阻患者进行临床疗效分析。结果:28例患者的呕吐、腹痛、腹胀等肠梗阻症状有不同程度的缓解,非手术治愈。临床成功率89.2%。3例症状没有缓解,经造影检查确认或存在第二梗阻或存在闭袢性的小肠梗阻。X线透视下鼻-肠管顺利插过28例小肠梗阻患者的十二指肠屈氏韧带,成功率100%。结论:应用鼻肠导管插入方法简单,结合中药复方大承气汤注入治疗粘连性肠梗阻疗效显著,是一种值得推广的治疗方法。

Objective： To investigate the superiority of inject Potent Purgative Decoction with Additions transnasal feeding tube in cure of simple adhesive ileus and the nursing key point about transnasal through feeding tube Method：The clinical data about injected Potent Purgative Decoction with Additions through transnasal feeding tube in 28 simple adhesive ileus were analyzed. Results： The emess,abdominal pain,abdominal distension in 28 pa- tients gained non-operative healing. The rate of care is 89.2%. 3 patients had not be cured, because were be suerd to exist closed loop intestinal obstruction or another obstruction. Transnasal feeding tube placement under X-ray were easy to pass the ligaments of Treitz in 28 patients.The rate of success is lO0%.Conclusion ：The method of transnasal feeding tube placement is simple,and to cure adhesive ileus through inject Potent Purgative Decoction with Addi- tions is effective .The theraoeutic effects are reliable clinically.