通腑泄浊法治疗胸腰椎骨折致胃肠功能障碍83例临床观察

Clinical observation of Tongfuxiezhuo method on the treatment of gastrointestinal dysfunction caused by thoracolumbar fractures

目的观察通腑泄浊法治疗胸腰椎骨折致胃肠功能障碍的临床疗效。方法将163例胸腰椎骨折围术期患者随机分为治疗组83例和对照组80例,治疗组应用通腑泄浊法采用大成汤保留灌肠结合大成汤粉剂敷脐部治疗,对照组予以甲基硫酸新斯的明注射液肌肉注射治疗,观察患者入院后及术后患者肠鸣音恢复时间、首次排气时间、排便时间。结果治疗组患者的肠鸣音恢复时间(7.7±2.8)h,明显优于对照组(10.2±3.5)h;首次排气时间(12.5±4.4)h,明显优于对照组(21.2±11.3)h;首次排便时间(45.2±28.2)h,明显优于对照组(75.9±27.3)h;治疗组总有效率(89.16%)明显高于对照组(77.5%,P<0.05)。结论通腑泄浊法治疗胸腰椎骨折致胃肠功能障碍疗效确切、安全可靠,可减轻患者痛苦,有利于患者早期康复。

Objective To observe the effect of Tongfuxiezhuo method on the treatment of gastrointestinal dysfunction caused by thoracolumbar fractures .Methods 163 patients with thoracolumbar fractures of perioperative period were randomly divided into treatment group （ n =83） and control group （ n =80）.Treatment group received Tongfuxiezhuo method adopting retention enema of Dacheng decoction combined with umbilical application powder of Dacheng decoction .Control group received Neostigmine methyl sulfate intramuscular injection .Recovery time of bowel sounds,first exhaust time,defecation time of Patients after admission and postoperative patients were observe .Results Recovery time of bowel sounds ,first exhaust time,defecation time of Patients and the total effective rate （7.7 ± 2.8,12.5 ±4.4,45.2 ±28.2,89.16%） in treatment group were superior to those in control group （10.2 ±3.5, 21.2 ±11.3,75.9 ±27.3,77.5%, P 〈0.05）.Conclusion Tongfuxiezhuo method on gastrointestinal dysfunction caused by thoracolumbar fractures has distinct effect ,safe and reliable ,can reduce pain of patients ,be helpful for pa-tients with early rehabilitation .