益气导滞汤治疗脊柱骨折脱位术后气滞血瘀型腹部胀痛

Clinical Analysis of Yiqidaozhi Decoction on Spinal Fracture Dislocation Postoperative Abdominal Distention Pain

[目的]探讨益气导滞汤对脊柱骨折脱位术后患者气滞血瘀型腹部胀痛的临床疗效。[方法]选取2012年4月至2014年7月住院治疗的脊柱骨折脱位术后出现气滞血瘀型腹部胀痛患者172例,采用随机数字表法结合住院号,将患者分为观察组(n=97)和对照组(n=75),其中观察组给予益气导滞汤加减治疗,而对照组给予常规西医治疗,观察两组患者治疗48h后腹部胀痛情况、治疗5d期间的疼痛程度以及中医症候积分变化等。[结果]观察组治疗2d后总有效率明显高于对照组,差异有统计学意义(P<0.05);观察组治疗后第1、2、3、4d中医症候积分明显低于对照组,差异有统计学意义(P<0.05);观察组治疗后第5d中医症候积分与对照组比较差异无统计学意义(P>0.05);观察组治疗第1、2d中医症候积分下降幅度明显高于对照组,差异有统计学意义(P<0.05);观察组治疗后第1、2、3d VAS评分均低于对照组同期水平,差异有统计学意义(P<0.05)。[结论]益气导滞汤对脊柱骨折脱位术后腹部胀痛的治疗效果较好。

[Objective]To investigate the clinical efficacy of Yiqidaozhi decoction on spinal fracture dislocation patients postoperative abdominal distension pain.[Methods]From April 2012 to July 2014 the inpatient treatment of spinal fracture dislocation postoperative abdominal distension pain 172 cases patients,according to the random number table method combined with the admission number,patients were divided into observation group（n=97） and control group（n=75）,patients in observation group were given Yiqidaozhi decoction,while the control group was given conventional western medicine treatment,observed two groups patients after 48h treatment abdominal distension pain,during the 5d treatment degree of pain and TCM syndrome integral improved etc.[Results]The observation group the total effective rate was 95.88%, significantly higher than 70.67% in the control group, the difference was statistically significant（P〈0.05） ;The patients in the observation group after treatment 1,2,3,4d TCM syndrome integrals were （12.16 ~2.15） points, （7.28~ 1.32） points, （5.11 ~ 1.18） points and （3.53~ 1.01） points respectively, significantly lower than the control group, the difference was statistically significant （P〈0.05） ;Observation group after treatment 5d TCM symptoms integral compared with control group had no statistical significance（P〉0.05）;obseryation group treatment 1,2d TCM symptoms integral decline was obviously higher than that of the control group,the difference was statistically significant（P〈 0.05） ;The patients in the observation group treatment 1,2,3d VAS scores were （5.36~1.03） points, （4.56~0.95） points and （1.74~0.87） points respectively lower than that of the control group,the level of the same period, for the difference was statistically significant（P〈0.05）.[Conclusion]Yiqidaozhi Decoction on spinal fracture dislocation postoperative abdominal distention pain has better therapeutic effect, and helps relieve pain.