术后早期炎性肠梗阻中西医综合治疗的效果观察

Curative effect observation of traditional Chinese and western medicine comprehensive treatment in early postoperative inflammatory bowel obstruction

目的:探讨腹部手术后早期炎性肠梗阻的临床特点、中西医综合治疗方法和预防措施。方法:将48例术后早期炎性肠梗阻患者随机分为两组,对西医组22例给予禁食水、胃肠减压、全肠外营养支持、糖皮质激素、生长抑素;中西医综合组26例在西医组的基础上给予中药复方大承气汤(加减)经胃管灌注或保留灌肠、足三里穴封闭、腹部微波理疗治疗。结果:中西医综合组症状缓解时间、肛门排气、排便时间、住院时间均优于西医组。结论:中西医综合治疗炎性肠梗阻缩短了患者术后恢复时间。

Objective:To explore the clinical characteristics,traditional Chinese and western medicine comprehensive treatment methods and preventive measures of early inflammatory bowel obstruction after abdominal operation.Methods:48 patients with early postoperative inflammatory bowel obstruction were randomly divided into two groups.22 cases in the western medicine group were given fasting,gastrointestinal decompression,total parenteral nutrition support,glucocorticoid,somatostatin.26 cases in the traditional Chinese and western medicine comprehensive group were given traditional Chinese medicine compound Da Cheng Qi decoction(adjusted) through stomach tube perfusion or retention enema,Zusanli point closed, abdominal microwave physical therapy.Results:The symptom relief time,anus exhaust and defecation time,hospitalization time of the traditional Chinese and western medicine comprehensive group were better than those of the western medicine group.Conclusion:Traditional Chinese and western medicine comprehensive treatment in inflammatory bowel obstruction shorten the postoperative recovery time of patients.