自制吴丁散敷神阙穴在调节腹内高压中的应用

The Application of Self-made Wu Ding Powder at Shenque Acupoint on the Regulation of Patients with Intra-abdominal Hypertension

目的观察自制吴丁散敷神阙穴对调节腹内高压患者的临床疗效。方法 74例患者随机分为观察组和对照组两组各37例。对照组予常规治疗,观察组在对照组常规治疗基础上予吴丁散外敷神阙穴。观察两组临床疗效、腹内压力(IAP)、肠鸣音、血小板(PLT)、血清蛋白(Alb)、血浆凝血酶原时间(PT)、PT国际标准化比率(PTINR)。并进行安全性观察。结果观察组总有效率为83.78%高于对照组的72.97%(P<0.05)。治疗后两组肠鸣音次数、IAP、PLT、Alb、PT、PTINR均较治疗前改善(均P<0.05),且观察组改善优于对照组(均P<0.05)。治疗过程两组均未见明显不良反应。结论吴丁散敷神阙穴能调节IAP,改善IAH患者凝血功能,缓解患者腹部症状,有较好的临床疗效,无明显不良反应。

Objective: To observe the clinical effect of self-made Wu Ding powder at Shenque acupoint on the regulation of patients with intra-abdominal hypertension. Methods: 74 cases of intra-abdominal hypertension(IAH) patients were randomly divided into the observation group with 37 cases and group with case. The control group was given conventional treatment,while the observation group received routine treatment at the same time,placed Wu Ding powder on Shenque acupoint. Clinical curative effect,two groups of intra-abdominal pressure(IAP),bowel sounds,platelet(PLT),serum albumin(Alb),plasma prothrombin time(PT),PT international normalized ratio(PTINR),and safety were observed. Results: The total effective rate of observation group was 83.78%,which was better than that of the control group(72.97%)(P < 0.05). The observation group of intra-abdominal pressure and bowel sounds were superior to the control group(P < 0.05). PLT,Alb,PT,PTINR were significantly improved(P < 0.05),and treatment group did better than those of the control group(P < 0.05). Conclusion: Wu Ding powder applying on Shenque acupoint can regulate IAP,improve blood coagulation function in patients with IAH,relieve the abdominal symptoms of patients,has good clinical curative effect,no obvious adverse reaction.