中药灌肠对腹部术后早期炎性肠梗阻胃肠动力的影响

Effect of Traditional Chinese Medicine Enema on Gastrointestinal Motility of Early Postoperative Inflammatory Intestinal Obstruction

目的:探讨中药灌肠治疗腹部术后早期炎性肠梗阻(EPII)的临床效果及对胃肠动力的影响。方法:选取2018年2月-2020年3月我院收治的EPII患者65例,根据治疗方案的不同分为研究组35例,对照组30例。对照组只给予西医方案治疗,研究组在对照组基础上给予中药灌肠治疗。比较两组治疗后的临床效果、实验室指标和肠梗阻症状恢复情况的差异。结果:治疗后,研究组的总有效率为94.2%,明显高于对照组的76.7%,差异有统计学意义(P<0.05)。治疗前,两组患者血常规白细胞(WBC)计数及C反应蛋白(CRP)水平差异无统计学意义(P>0.05);治疗后,两组血WBC计数及CRP水平较治疗前降低(P<0.05),且研究组明显低于对照组(P<0.05)。治疗后,研究组患者的腹痛、腹胀消失时间、肠鸣音恢复时间、肛门首次排气、排便时间均短于对照组,差异有统计学意义(P<0.05)。结论:中药灌肠联合西医方案具有恢复EPII胃肠动力及胃肠功能并降低血WBC计数及CRP水平等效果,疗效优于单纯的西医治疗方案。

Objective To investigate the clinical effect of traditional Chinese medicine enema on early postoperative inflammatory intestinal obstruction(EPII)and its influence on gastrointestinal motility.Methods 65 patients with early postoperative inflammatory intestinal obstruction were selected as the research object.According to the different treatment schemes,the patients were divided into study group(35 cases)and control group(30 cases).The control group was only given western medicine treatment,and the study group was given traditional Chinese medicine enema on the basis of the control group.After treatment,the clinical effect,laboratory indexes and the recovery of intestinal obstruction symptoms between the two groups were observed.Results After treatment,the total effective rate of the study group was 94.2%,which was significantly higher than 76.7%of the control group.The difference between the two groups was statistically significant(P<0.05).Before treatment,there was no significant difference in WBC count and CRP level between the two groups(P>0.05).After treatment,the WBC count and CRP level of the two groups were lower than those before treatment(P<0.05),and the study group was significantly lower than the control group(P<0.05).After treatment,the abdominal pain,abdominal distension disappeared time,bowel sounds recovery time,anal first exhaust,defecation time of the study group were shorter than those of the control group,which the differences were statistically significant(P<0.05).Conclusion Traditional Chinese medicine enema combined with western medicine can restore the gastrointestinal motility and gastrointestinal function of EPII,reduce the WBC count and CRP level,which the curative effect is better than that of Western medicine alone.