中药坐浴联合穴位注射治疗结直肠癌术后急性肠梗阻49例

Traditional Chinese Medicine Sitz Bath Combined with Acupoint Injection for Treating 49 Cases with Acute Intestinal Obstruction After Colorectal Cancer Surgery

目的:观察中药坐浴联合穴位注射治疗结直肠癌术后急性肠梗阻的临床疗效。方法:将2011年5月—2013年3月本院收治的的98例结直肠癌术后急性肠梗阻患者,随机分为对照组和观察组各49例。对照组患者采用中药坐浴治疗,观察组在对照组治疗的基础上联合穴位注射治疗。观察两组患者的相关指标(排气时间、排便时间、症状消失时间、肠鸣音恢复时间)和住院时间的比较;两组患者临床疗效;常见并发症(切口裂开、肺部感染、心力衰竭、吻合口漏、死亡)的发生率。结果:对照组与观察组患者治疗后的排气时间、排便时间、症状消失时间、肠鸣音恢复时间以及住院时间比较均有显著性差异(P<0.05);对照组有效率为71.4%,观察组有效率为91.8%,两组有效率比较有显著性差异(P<0.05);对照组治疗后并发症(切口裂开、肺部感染、心力衰竭、吻合口漏、死亡)的发生率为20.4%,观察组发生率为6.1%,两组有效率比较有显著性差异(P<0.05)。结论:中药坐浴联合穴位注射治疗不仅可以显著提高急性肠梗阻患者肠梗阻的有效率,还可以降低并发症的发生率,疗效显著。

Objective： To observe the clinical effects of traditional Chinese medicine（ TCM） sitz bath combined with acupoint injection on acute intestinal obstruction（ AIO） after colorectal cancer surgery. Methods： 98 cases with AIO after colorectal cancer surgery admitted by this hospital from May of 2011 to March of 2013 were randomized into control group and observation group,with49 cases in each group. Control group were given TCM sitz bath treatment; observation group were added with acupoint injection therapy. The relative indicators（ exhaust time,defecation time,disappear time of the symptoms,recovery time of bowel sound） and the admission time were observed and compared between the two groups. The effective rate,common complications（ disruption of wound,lung infection,heart failure,stomal leak and death） of the two groups were also compared. Results： There were significant difference in the exhaust time,defecation time,disappear time of the symptoms,recovery time of bowel sound and the admission time between the two groups（ P〈0. 05）. The effective rate was 71. 4% in control group and 91. 8% in observation group; the difference had statistical significance（ P〈0. 05）. The occurrence rate of complications mentioned above was 20. 4% in control group and 6. 1% in observation group; the difference had statistical significance（ P〈0. 05）. Conclusion： TCM sitz bath combined with acupoint injection can not only improve the effective rate of the treatment of AIO,but also reduce the occurrence rate of complications after treatment with remarkable effects.