中医药治疗上消化道出血控制后患者继发胃肠功能障碍的临床效果

Clinical effect of traditional Chinese medicine for patients with secondary gastrointestinal dysfunction after control of upper gastrointestinal bleeding

目的探讨中医药治疗上消化道出血控制后患者继发胃肠功能障碍的临床效果。方法选取2016年3月～2017年2月我院收治的100例上消化道出血控制后继发胃肠功能障碍患者作为研究对象,根据治疗方式分为对照组和研究组,每组各50例。对照组采取常规的西医药物治疗,研究组在对照组的基础上行中医药治疗,比较两组患者治疗前后的排便次数、肠道哮鸣音、腹内压力、胃肠功能评分及多器官功能障碍综合征(MODS)发生率。结果两组患者治疗前的排便次数、肠鸣音次数、腹内压、胃肠道功能评分比较,差异无统计学意义(P>0.05);研究组治疗3、7 d后的排便次数、肠鸣音次数均多于对照组,差异有统计学意义(P<0.05);研究组治疗7 d后的腹内压、胃肠道功能评分均高于对照组,差异有统计学意义(P<0.05);研究组的MODS发生率低于对照组,差异有统计学意义(P<0.05)。结论对于上消化道出血控制后患者继发胃肠功能障碍采取中医药治疗的临床效果显著,可恢复胃肠道功能,降低并发症发生率,值得在临床中推广实施。

Objective To study and determine the clinical effects of traditional Chinese medicine for patients with secondary gastrointestinal dysfunction after control of upper gastrointestinal bleeding.Methods One hundred cases of patients with secondary gastrointestinal dysfunction after control of upper gastrointestinal bleeding treated in our hospital from March 2016 to February 2017 were selected as the subjects,and divided into control group and study group,with 50 cases in each group.The control group was given conventional western medicine treatment,and the study group was given traditional Chinese medicine treatment on the basis of control group.The frequency of defecation,number of bowel wheezing,intra-abdominal pressure,gastrointestinal function score and incidence of multiple organ dysfunction syndrome(MODS)were compared between the two groups before and after treatment.Results There were no significant differences in the frequency of defecation,number of bowel wheezing,intra-abdominal pressure and gastrointestinal function scores between the two groups before treatment(P >0.05).The frequency of defecation and number of bowel wheezing in the study group were more than those in the control group afte 3 and 7 days treatment,and the differences were statistically significant(P<0.05).The intra-abdominal pressure and gastrointestinal function scores in the study group were higher than those in the control group afte 7 days treatment,and the differences were statistically significant(P<0.05).The incidence of MODS in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical effect of traditional Chinese medicine for patients with secondary gastrointestinal dysfunction after control of upper gastrointestinal bleeding is significant.It can restore gastrointestinal function and reduce the incidence of complications.It is worthy of promotion in clinical practice.