健脾通腑法治疗重症患者肠功能障碍疗效分析

Effect Analysis of Jianpi Tongfu Therapy in Treating Severe Patients with Intestinal Dysfunction

目的:观察在常规西药治疗基础上加用健脾通腑法治疗重症患者肠功能障碍的临床疗效。方法:将68例重症伴肠功能障碍患者按随机数字表法分为对照组和治疗组各34例。对照组采用常规西药治疗,治疗组在对照组用药基础上加用健脾通腑法。治疗后观察2组症状、体征的改善情况,及治疗前后中医证候积分和急性生理与慢性健康评分(APACHEⅡ评分)的变化。结果:治疗组总有效率88.2%,对照组总有效率64.7%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组中医证候积分及APACHEⅡ评分比较,差异均无统计学意义(P>0.05)。治疗后,2组中医证候积分与APACHEⅡ评分均较治疗前下降,差异均有统计学意义(P<0.05);治疗组的中医证候积分与APACHEⅡ评分均低于对照组,差异均有统计学意义(P<0.05)。结论:在常规西药治疗基础上加用健脾通腑法,可有效提高重症患者肠功能障碍的治疗效果。

Objective：To observe the effect of Jianpi Tongfu therapy in treating severe patients with intestinal dysfunctionbased on the routine treatment of western medicine. Methods：Selected 68 severe patients with intestinal dysfunction and divided them into the control group and the treatment group being 34 cases in each randomly. The control group was given routine treatment of western medicine while the treatment group was given Jianpi Tongfu therapy based on the treatment of the control group. Observed improvement of symptom and body sign,and the change of Chinese medicine syndrome score of the two groups before and after treatment. Results：The total effective rate was 88.2% and 64.7% in the treatment group and the control group respectively,the difference being significant（P〈0.05）. Before treatment,Chinese medicine syndrome scores and scores of acute physiology and chronic health evaluation Ⅱ（APACHEⅡ） of the two groups were lower than those before treatment（P〈0.05）;Chinese medicine syndrome scores and APACHEⅡscores of the treatment group were lower than those of the control group（P〈0.05）. Conclusion： Application of Jianpi Tongfu therapy based on the routine treatment of western medicine can improve curative effect in treating severe patients with intestinal dysfunction.