普外科腹部手术后早期炎性肠梗阻患者应用中西医结合疗法的临床效果

Clinical effect of integrated traditional Chinese and western medicine on patients with early inflammatory intestinal obstruction after abdominal surgery in general surgery department

目的探究普外科腹部手术后早期炎性肠梗阻患者应用中西医结合疗法的实际效果。方法收入普外科行腹部手术后早期炎性肠梗阻患者78例为探究样本,运用随机数字表法分为探究组与参照组,各39例。参照组选择西医治疗,探究组选择中西医结合疗法。比较两组相关临床指标(肛门排气时间、肠鸣音恢复正常时间、症状消失时间、治疗时间)、疗效、术后血清指标[白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)]。结果探究组肛门排气时间、肠鸣音恢复正常时间、症状消失时间、治疗时间分别为(3.02±0.97)、(2.09±0.86)、(6.13±0.55)、(11.00±2.13)d,均短于参照组的(6.57±1.24)、(5.66±1.35)、(8.23±1.56)、(15.01±2.67)d(P<0.05)。探究组治疗总有效率为97.44%(38/39),优于参照组的79.49%(31/39)(P<0.05)。术后第1天,两组IL-6、TNF-α、CRP水平比较未见差异(P>0.05);术后第12天,探究组的IL-6、TNF-α、CRP水平低于参照组(P<0.05)。结论普外科腹部手术后早期炎性肠梗阻患者,运用中西医结合疗法,获得的实际效果更优,能够改善其临床指标、疗效以及术后第12天血清指标。

Objective To explore the practical effect of integrated traditional Chinese and western medicine on patients with early inflammatory intestinal obstruction after abdominal surgery in general surgery department.Methods 78 patients with early inflammatory intestinal obstruction after abdominal surgery in general surgery department were selected as the research sample.They were divided into an exploration group and a reference group by"random number table",with 39 cases in each group.The reference group chose western medicine treatment,and the exploration group chose integrated traditional Chinese and western medicine treatment.The related clinical indicators(anal exhaust time,recovery time of bowel sound,symptom disappearance time,treatment time),curative effects,and postoperative serum indicators[interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),C-reactive protein(CRP)]were compared between the two groups.Results The anal exhaust time,recovery time of bowel sound,symptom disappearance time and treatment time in the exploration group were(3.02±0.97),(2.09±0.86),(6.13±0.55)and(11.00±2.13)d,which were shorter than(6.57±1.24),(5.66±1.35),(8.23±1.56)and(15.01±2.67)d in the reference group(P<0.05).The total effective rate of the exploration group was 97.44%(38/39),which was better than 79.49%(31/39)of the reference group(P<0.05).On the first day after surgery,there were no differences in levels of IL-6,TNF-αand CRP between the two groups(P>0.05).On the 12th day after surgery,the levels of IL-6,TNF-αand CRP in the exploration group were lower than those in the reference group(P<0.05).Conclusion For patients with early inflammatory intestinal obstruction after abdominal surgery in general surgery department,integrated traditional Chinese and western medicine has better actual effect,which can improve their clinical indicators,curative effects and serum indicators on the 12th day after surgery.