针灸联合四磨汤治疗术后难治性肠梗阻的疗效分析

Efficacy of acupuncture plus the Simo decoction on postoperative refractory intestinal obstruction

目的:探讨针灸联合四磨汤对腹部术后难治性肠梗阻的治疗效果。方法:2014年1月-2016年1月,对36例术后难治性肠梗阻患者采用针灸治疗(对照组),对48例术后难治性肠梗阻患者采用针灸联合四磨汤治疗(研究组),针灸双侧取穴(大肠俞、天枢、上巨虚、小肠俞、关元、下巨虚),提插泻法为主,每日一次,连续3天。观察指标为:腹部症状(腹痛、腹胀和肠蠕动)、腹部X线、肛门排气排便情况。结果:对照组有效率88.9%(治愈27例,缓解5例),无效4例(11.1%),肛门排气排便时间分别为(4.5±2.1)天和(5.1±1.9)天;研究组有效率87.5%(治愈40例,缓解2例),无效6例(12.5%),肛门排气排便时间分别为(2.2±1.9)天和(2.5±1.3)天。研究组在腹部症状改善时间和肛门排气排便明显优于对照组,差异具有统计学意义(P<0.01)。结论:针灸联合四磨汤对术后难治性肠梗阻治疗有较好疗效,值得临床推广应用。

Objective:To investigate the effect of acupuncture and the Simo decoction(四磨汤)on postoperative refractory intestinal obstruction.Methods:36 cases were treated by acupuncture as the control group.48 cases were treated by acupuncture and the Simo decoction as the study group.Results:The efficiency was 88.9%in the control group,in which 27 cases were cured,5 cases were relieved,and 4 cases were invalid(11.1%).The anal exhaust and defecation time were(4.5±2.1)days and(5.1±1.9)days.The efficiency was 87.5%in the study group,in which 40 cases were cured,2 cases were relieved,and 4 cases were invalid(12.5%).The anal exhaust and defecation time were(2.2±1.9)days and(2.5±1.3)days.The improvement time of the abdominal symptom and the anus exhaust and defecation in the study group were obviously superior to the control group(P<0.01).Conclusion:Acupuncture and the Simo decoction show a good curative effect,and is worthy of clinical application.