脐疗方治疗术后麻痹性肠梗阻的临床疗效观察

发布时间：2018-07-07 09:22

本文选题：腹部胃肠道手术 + 脐疗方　；参考：《广州中医药大学》2015年硕士论文

【摘要】：研究目的：本研究应用简单随机对照原则进行研究,首先收集汇总两组患者的年龄,性别等基本信息,观察和检测记录两组术后麻痹性肠梗阻病人各项指标的恢复情况,用合格正版统计学软件进行科学合理验证,把两组的临床疗效进行比较,观测哪组疗效更优,从而在临床经验上,为证实脐疗方对术后麻痹性肠梗阻的有一定的预防和治疗作用,为扩大临床用药提供参考及依据。研究方法：从广州市中医医院的外科的住院手术病人中,严格按照研究标准选取病例120例,按入院前后顺序,以简单随机分组方法把病人分为两组,即试验组60例,对照组60例。术后麻痹性肠梗阻病人两组分别予西医非手术基础保守治疗,试验组在此基础上加用脐疗方,分别观察其排气,排便,肠鸣音,腹胀,腹痛等情况。研究成果：1.本临床研究数据,经正版统计学软件科学比较后,两组患者的年龄、性别无统计学意义,即患者的年龄及性别对运用脐疗方治疗术后麻痹性肠梗阻的临床疗效无影响。2.应用脐疗方的试验组比对照组,腹痛,腹胀,排便,排气,肠鸣音情况恢复较好,两组比较具有统计学意义。研究结论：1.治疗术后麻痹性肠梗阻在西医基础治疗的同时加用脐疗方,临床效果更明显。两组治疗方法对术后麻痹性肠梗阻都有一定疗效,在恢复排气、排便,改善肠鸣音,减轻腹胀、腹痛等方面均有改善；试验组在西医保守治疗基础上结合脐疗方的五项临床观察指标的临床疗效上优于对照组西医保守治疗,两组在术式,年龄,性别等观察指标无统计学意义,故西医保守治疗基础上结合脐疗方是临床治疗术后麻痹性肠梗阻的更为有效的疗法之一,实用人群度较广,值得临床进一步推广。
[Abstract]:Objective: the purpose of this study was to collect and collect the basic information of age and sex of the patients in the two groups, and to observe and record the recovery of the indexes of the patients with paralytic intestinal obstruction after operation. Scientific and reasonable verification with qualified authentic statistical software, comparison of clinical efficacy between the two groups, observation of which group is better, and clinical experience, In order to confirm the effect of navel therapy on paralytic intestinal obstruction after operation, and to provide reference and basis for expanding clinical use. Methods: one hundred and twenty cases were selected from the surgical inpatients in Guangzhou traditional Chinese Medicine Hospital. According to the sequence before and after admission, the patients were divided into two groups by a simple randomized method: the experimental group (n = 60), and the control group (n = 60). There were 60 cases in the control group. The patients with paralytic intestinal obstruction were treated with non-operative conservative therapy respectively. The experimental group was treated with navel prescription on this basis, and the exhaust, defecation, bowel sound, abdominal distension and abdominal pain were observed respectively. Research results: 1. The data of this clinical study, after the scientific comparison of the original statistical software, the age and gender of the two groups have no statistical significance, that is, the age and gender of the patients have no effect on the clinical effect of the treatment of paralytic intestinal obstruction after operation by using the navel prescription. 2. Compared with the control group, abdominal pain, abdominal distension, defecation, exhaust and bowel sounds recovered better in the experimental group. Conclusion: 1. The clinical effect of palsy intestinal obstruction after operation is more obvious than that of western medicine. The two groups have certain curative effect on paralytic intestinal obstruction after operation. They can improve the recovery of exhaust, defecation, improve the sound of bowel sounds, relieve abdominal distention and abdominal pain. On the basis of conservative treatment of western medicine, the trial group had better clinical efficacy than the control group in terms of five clinical observation indexes combined with umbilical therapy, and there was no significant difference between the two groups in terms of operation method, age, sex and other observation indexes. Therefore, the combination of western conservative treatment and umbilical therapy is one of the more effective treatments for postoperative paralytic intestinal obstruction.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R619

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