桃核承气汤加减治疗骨盆骨折后早期腹胀便秘57例临床观察

Clinical observation on treating 57 cases of early ventosity constipation following pelvic fracture with the Taohe Chengqi decoction

目的：观察桃核承气汤加减治疗骨盆骨折后早期便秘腹胀的临床疗效。方法：对57例骨盆骨折后早期便秘腹胀患者行桃核承气汤内服治疗，观察患者腹胀、排气、排便情况。结果：36例服药6～8h内排气排便，15例服药24h内排便排气，4例服药2剂后排便排气，2例服用2剂后未排便，结合清洁灌肠后排便，优良率达89.5%。结论：桃核承气汤加减治疗骨盆骨折后早期便秘、腹胀起效快，无毒副作用，安全可靠。

Objective：To observe clinical efficacy of the Taohe Chengqi decoction on early ventosity constipation following pelvic fracture. Methods：57 cases were given the Taohe Chengqi decoction, to observed ventosity, exhausting, defecation. Results： 36 patients exhausted and defecate within 6 to 8 hours of medicine; 15 patients defecated and exhausted within 24 hours of medicine; 4 patients exhausted after taking two decoctions; 2 cases did not defecate after taking two decoctions, and defecated after cleansing enema. The excellence efficiency was 89.5%. Conclusion： Treating early bloating constipation following pelvic fracture with the Taohe Chengqi decoction could gain good effects, with few adverse reactions and more safety.