中西医结合治疗粘连性肠梗阻的疗效观察(附140例报告)

THERAPEUTIC OBSERVATION ON THE TREATMENT OF ADHENSIVE ILEUS BY COMBINATION OF TRADITIONAL CHINESE MEDICINE AND WESTERN MEDICINE

目的 探讨中西医结合疗法治疗粘连性肠梗阻的临床疗效。方法 将 2 4 8例患者随机分为 2组。对照组 10 8例 ,给予禁饮食、持续胃肠减压、补充水电解质液、维持酸碱平衡等一般治疗。治疗组 140例在应用以上方法的基础上 ,给予中药口服或由胃管注入。结果 治疗组 :有效 119例 ,其治疗时间小于 2 4h者 73例 ,2 4～ 4 8h者 2 9例 ,4 8h以上者 17例 ,第 1次排便时间平均为 (11.98± 5 .35 )h ;中转手术者 2 1例。对照组 :有效 64例 ,其治疗时间小于 2 4h者 4 7例 ,2 4～ 4 8h者 17例 ,第 1次排便时间平均为 (32 .37± 9.5 1)h ;中转手术者 4 4例。两组比较有显著性差异 (P <0 .0 5 )。结论 中西医结合疗法治疗粘连性肠梗阻 。

Objective To explore the clinical therapeutic effects of the combination of traditional Chinese medicine and western medicine on adhensive ileums.Methods 248 cases were randomly divided into the control group of 108 cases and therapeutic group of 140 cases.In the control group,treatment like fasting,continuous gastrointestinal decompression,supplementing electrolytic solution,maintaining acid-base balance was given to the patients.In the therapeutic group,oral administration of traditional Chinese medicine or gastric canal infusion were given to the patients in addition to the routine treatment in the control group.Results In the treatment group,the treatment time was less than 24 hours in 73 cases,about 24～48 hours in 29 cases and more than 48 hours in 17 cases.The average time of the first defecation occurred 11.98±5.35 hour’s later.21 cases received evacuation treatment.In the control group,the treatment time was less than 24 hours in47 cases,24～48hours in 17 cases.The average time of the first defecation was (32.37±9.51) hours.44cases received evacuation treatment.There existed marked difference between the two groups(P<0.05).Conclusion The combination of Chinese traditional and western medicine is an effective method in the treatment of adhensive ileus.