研究加减大承气汤联合保守治疗脊柱骨折后部分肠梗阻的疗效

Clinical study on efficacy of the Dachengqi decoction plus conservative treatment on partial intestinal obstruction after spinal fracture

目的:探讨加减大承气汤联合保守治疗脊柱骨折后部分肠梗阻的疗效。方法:纳入我院2008年5月-2018年8月收治的120例脊柱骨折后部分肠梗阻患者。采用随机数字表分组,对照组采取保守治疗,治疗组则采取保守加上加减大承气汤治疗。比较对照组、治疗组疗效;胃肠减压总量、腹胀消失的时间、腹痛消失时间、通便恢复正常时间;治疗前后患者生活质量指标的评分情况、炎症监测水平、不良反应。结果:治疗组疗效、胃肠减压总量、腹胀消失时间、腹痛消失时间、通便恢复正常时间、生活质量指标的评分情况、炎症监测水平相比,较对照组更好,P<0.05。不良反应治疗组和对照组无明显差异,P>0.05。结论:保守治疗和加减大承气汤治疗脊柱骨折后部分肠梗阻的效果理想。

Objective: To investigate the effect of the Dachengqi decoction (大承气汤) plus conservative treatment on partial intestinal obstruction after spinal fracture. Methods: 120 patients were randomly divided into two groups. The control group received conservative treatment, while the treatment group was given the Dachengqi decoction more. Results: The efficacy, total gastrointestinal decompression, time of abdominal distension disappeared, time of abdominal pain disappearance, normal time of recovery, quality of life index score, level of inflammation monitoring in the treatment group were better than control group, P<0.05. There was no significant difference between the adverse reactions in the two groups, P>0.05. Conclusion: The Dachengqi decoction plus conservative treatment is effective on partial intestinal obstruction after spinal fracture.