中西医联合干预在脑出血患者术后便秘的效果观察

Efficacy Observation of Combinated Intervention of TCM and Western Medicine on Postoperative Constipation of Encephalorrhagia Patients

为探讨中西医联合干预在脑出血患者术后便秘中的疗效,将80例脑出血术后便秘患者随机分为西医治疗组和中西医联合干预组,每组40例。西医治疗组采用常规西医治疗,中西医联合干预组在西医治疗组的基础上加中药治疗,比较2组患者的疗效,恢复通畅排便时间、大便性状恢复正常时间、排便次数恢复正常时间,治疗前后患者腹内压监测水平、降钙素原水平、C反应蛋白监测水平以及不良反应发生情况。结果显示,中西医联合干预组患者在疗效、恢复通畅排便、大便性状恢复正常时间、排便次数恢复正常时间、腹内压监测水平、降钙素原水平以及C反应蛋白监测水平方面均优于西医治疗组(P<0.05),2组患者不良反应发生率比较无统计学意义(P>0.05)。结果表明,中西医联合干预用于治疗脑出血患者术后便秘效果理想,可有效降低腹内压,控制炎症因子,并改善便秘症状,减轻患者痛苦。

This study was to investigate the effect of combined intervention of TCM and western medicine on postoperative constipation of encephalorrhagia patients,randomly divided 80 patients with above diseases into western medicine group(40 cases,adopted routine western medicine therapy)and combined intervention group(40 cases,TCM combined with western medicine);then compared following indexes such as effect;the time of smooth defecation recovered,of stool characters turned to normal,of defecation frequency recovered normally;the levels of intraabdominal pressure monitored,of precalcitonin,of C-reactive protein,before and after treatment,as well as untoward reaction incidence status between the two groups.As results,except for untoward reaction incidence did not have significant difference between the two groups(P>0.05),in rest above-mentioned indexes combined intervention group was all superior to western medicine group(all,P<0.05).Results show that the combined intervention on postoperative constipation of the patients with cerebral hemorrhae has ideal efficacy,can effectively reduce patient’s intraabdominal pressure,control inflammatory factors,so that improve constipation symptoms,and patient’s sufferings.