肠功能恢复汤联合西药治疗结核性不完全性肠梗阻临床研究

Clinical Study on Changgongneng Huifu Tang Combined with Western Medicine for Tuberculous Incomplete Obstruction

目的:观察肠功能恢复汤联合西药治疗结核性不完全性肠梗阻的临床疗效。方法:选取89例确诊为结核性不完全性肠梗阻患者,按随机数字表法分为观察组44例及对照组45例。对照组采用现代医学基础疗法加肥皂水通便灌肠,观察组在对照组基础上加用肠功能恢复汤胃管注入(和)或通便灌肠。比较2组临床疗效及2个月内复发率,观察2组症状消失时间、恢复排气时间、恢复排便时间、气液平大部分消失时间。结果:观察组症状消失时间、恢复排气时间、恢复排便时间、气液平大部分消失时间均短于对照组,差异均有统计学意义(P<0.05)。观察组总有效率为93.18%,对照组总有效率为84.44%,2组比较,差异无统计学意义(P>0.05)。2个月内对照组复发率为10.53%,观察组为0,2组复发率比较,差异有统计学意义(P<0.05)。结论:肠功能恢复汤联合西药治疗结核性不完全性肠梗阻能有效缓解临床症状,缩短首次排气、排便时间,降低2个月内梗阻复发率。

Objective:To observe the clinical effect of Changgongneng Huifu tang combined with western medicine for tuberculous incomplete obstruction.Methods:A total of 89 cases of patients with tuberculous incomplete obstruction were selected and divided into the observation group and the control group according to the random number table method,with 44 and 45 cases in each group respectively.The control group was treated with modern medical basic therapy and enema with soap water,and the observation group was additionally treated with gastric tube injection and/or enema with Changgongneng Huifu Tang based on the treatment of the control group.The clinical effects and recurrence rates within two months were compared between the two groups.In the two groups,the disappearance time of symptoms,the recovery time of exhaust and defecation,and the disappearance time of most of the airfluid levels were observed.Results:The disappearance time of symptoms,the recovery time of exhaust and defecation,and the disappearance time of most of the air-fluid levels in the observation group were shorter than those in the control group,differences being significant(P0.05).The recurrence rate was 10.53% in the control group and 0 in the observation group,the difference being significant(P<0.05).Conclusion:Changgongneng Huifu Tang combined with western medicine can effectively alleviate clinical symptoms and abdominal X-ray findings in tuberculous incomplete obstruction,advance the time of first exhaust and defecation,and reduce the incidence of obstruction within two months.