苦寒泻下方灌肠治疗粘连性肠梗阻临床分析

An analysis of treating adhesive intestinal obstruction by enemas with the Kuhan Xiexia prescription

目的:探究粘连性肠梗阻临床治疗中苦寒泻下方的应用情况。方法:选择我院2013年6月-2016年9月收治的50例粘连性肠梗阻患者,根据临床治疗方法的不同分为对照组和观察组,观察比较两组患者临床症状改善情况、治疗情况及治疗效果。结果:1个疗程治疗后,两组患者临床症状均得到不同程度改善,观察组患者治疗后的中医证候评分均显著低于对照组患者(P<0.05);观察组患者排气时间为(0.85±0.44)d,排便时间为(2.15±0.68)d,中转手术率为8.00%,平均住院时间为(7.53±2.85)d,均显著低于对照组患者(P<0.05);对照组治疗总有效率为64.00%,观察组为96.00%,观察组患者总有效率显著高于对照组(P<0.05)。结论:苦寒泻下方治疗粘连性肠梗阻疗效确切,有效促进患者肠道蠕动,在中医辨证施治的基础上采用中西医结合疗法可畅通梗阻,促进胃肠道功能恢复,提高临床疗效,缩短疗程及住院时间,减轻患者痛苦。

Objective:To explore the clinical effects of the Kuhan Xiexia prescription on adhesive intestinal obstruction.Methods:50patients were divided into the control group and observation group.The improvement of clinical symptoms and efficacy was observed and compared between groups.Results:The clinical symptoms in groups were improved.The TCM syndrome scores in the observation group were significantly lower than those in the control group(P<0.05).The exhaust time was(0.85±0.44)days;the defecation time was(2.15±0.68)days;the operative rate was8.00%;the average length of hospital stay was(7.53±2.85)days in the observation group;those were lower than the control group(P<0.05).The total efficiency in the observation group was96.00%,and significantly higher than64.00%in the control group(P<0.05).Conclusion:The Kuhan Xiexia prescription on adhesive intestinal obstruction is effective,can effectively promote intestinal peristalsis,promote gastrointestinal function recovery,improve clinical efficacy,shorten the course of treatment and hospital stay,and reduce the suffering of patients.