运用李可老中医学术思想从“中气”论治术后肠梗阻的疗效观察

Curative effect of treating postoperative ileus with Li Ke s academic idea of traditional Chinese medicine:by mediating the Qi in the middle energizer(stomach and spleen)

目的探讨运用李可老中医学术思想,从“中气”论治术后肠梗阻的疗效。方法采用前瞻性临床观察队列研究方法,选择82例术后肠梗阻患者,按照随机化原则平均分为两组:观察组为西医治疗基础上,联合从“中气”论治应用方剂,对照组为单纯西医治疗。结果观察组的有效率为95.12%,首次排气时间为(12.46±2.75)h,首次排便时间为(31.52±5.38)h,腹痛腹胀完全消失时间为(15.71±3.57)h,平均住院时间为(18.69±3.82)d;对照组的有效率为73.17%,首次排气时间为(36.57±2.75)h,首次排便时间为(62.39±5.73)h,腹痛腹胀完全消失时间为(42.58±8.27)h,平均住院时间为(25.95±5.84)d;有效率对比,观察组高于对照组(P<0.05),观察组症状改善时间较对照组明显缩短(P<0.05)。结论对于术后肠梗阻的治疗,西医联合从“中气”论治疗效优于单纯西医治疗。

Objective To explore the therapeutic effect on postoperative ileus with Li Ke s academic thought of traditional Chinese medicine:by mediating the Qi in the middle energizer(Stomach and Spleen).Methods Using prospective clinical observation cohort study,82 patients with postoperative ileus were randomly divided into two groups on average:the observation group was treated with Western medicine and Chinese medicine decoction in which prescribed by the principle of mediating the Qi in the middle energizer(stomach and spleen).while the control group was treated with Western medicine only.Results The effective rate of the observation group was 95.12%,the average time of first farting of the patients was(12.46±2.75)h,the average time of first defecation was(31.52±5.38)h,the average time of complete disappearance of abdominal pain and abdominal distension was(15.71±3.57)h,and the average hospital stays was(18.69±3.82)d.In the control group,the effective rate was 73.17%,the average time of first farting of the patients was(36.57±2.75)h,the average time of first defecation was(62.39±5.73)h,the average time of complete disappearance of abdominal pain and abdominal distension was(42.58±8.27)h,and the average hospital stays was(25.95±5.84)d.Compared with the control group,the effective rate was higher in the observation group(P<0.05),and the symptom improvement time in the observation group was shorter than that in the control group(P<0.05).Conclusion For the treatment of postoperative ileus,western medicine combined with Chinese medicine decoction in which prescribed by the principle of mediating the Qi in the middle energizer(stomach and spleen)is better than Western medicine only.