大承气汤保留灌肠治疗急性胃肠功能障碍70例

Dachengqi Decoction Retention Enema in Treating Acute Gastrointestinal Dysfunction for 70 Cases

目的探讨大承气汤保留灌肠治疗急性胃肠功能障碍的临床疗效。方法选取2013年4月—2015年4月收治的急性胃肠功能障碍患者140例作为研究对象,按照随机数字表法分为观察组和对照组,每组各70例,观察组患者接受大承气汤保留灌肠治疗,对照组患者接受西药对症治疗,观察两组患者临床疗效。结果观察组患者肠鸣音恢复时间、肛门排气时间均显著短于对照组患者,观察组患者体内TNF-α、IL-6、CRP水平显著低于对照组患者,观察组患者治疗总有效率显著高于对照组,差异均具有统计学意义(P<0.05)。结论大承气汤保留灌肠治疗急性胃肠功能障碍效果显著,可促进胃肠功能恢复,降低患者体内炎症因子水平,值得在临床进行推广。

Objective To explore the clinical effect of Dachengqi decoction retention enema in the treatment of acute gastrointestinal dysfunction. Methods Selecting 140 cases of acute gastrointestinal dysfunction patients as the research objects in our hospital from April 2013 to April 2015, according to the random number table method, the the research objects were divided into observation group and control group, and each group had 70 cases. Patients in the observation group accepted Dachengqi decoction retention enema. Pa-tients in the control group accepted Western medicine for relieving symptoms. The clinical curative effect of two groups was observed.Results The bowel sound recovery time and anal exhaust time of the observation group were significantly shorter than those of the control group. TNF alpha, IL-6 and CRP levels of the observation group were significantly lower than those of the control group, the total effective rate of observation group was significantly higher than that of the control group, and the differences were all statistically significant（P〈0.05）. Conclusion Dachengqi decoction retention enema in the treatment of acute gastrointestinal dysfunction has significant effect, which promoted gastrointestinal function recovery, and reduced the level of inflammatory factors in patients. It is worth popularizing in clinical medicine.