自拟理气通腑汤治疗腹部术后粘连性肠梗阻（气滞血瘀型）的临床研究

发布时间：2018-07-21 17:02

【摘要】：目的：本次研究的主旨在于观察自拟理气通腑汤对比西医常规疗法对气滞血瘀型粘连性肠梗阻的临床疗效,科学系统的探讨自拟理气通腑汤的作用机理。方法：选取本院有腹部手术史的气滞血瘀型粘连性肠梗阻患者60例,随机分两组,每组30例。给予常规西医治疗的一组为对照组；另外一组在对照组治疗方法的基础上经胃管注入自拟理气通腑汤,称之为治疗组。通过观察记录下的数据探讨中药联合西医常规治疗本病的效果,这些数据包括两组患者肛门首次排气时间、两组患者在腹痛腹胀缓解情况、腹部平片气液平面改变情况、肠鸣音恢复情况。结果：两组患者经治疗后,治疗组的腹部症状消失时间、肠鸣音恢复和肛门首次排气时间、腹部平片气液平面消失时间对比对照组均提前。对照组治愈9例、有效11例、无效10例,总有效率为66.7%；治疗组治愈13例、好转12例、无效5例,总有效率为83.3%。两组比较有显著性差异(P0.05),具有可比性,治疗组优于对照组。结论：自拟理气通腑汤对比西医常规疗法对气滞血瘀型粘连性肠梗阻的治疗疗效显著,中药联合西医治疗本病值得进一步研究和探讨。
[Abstract]:Objective: the purpose of this study was to observe the clinical curative effect of traditional western medicine therapy on adhesive intestinal obstruction of Qi stagnation and Blood stasis type, and to explore the mechanism of self-made Qi Tong Fu decoction. Methods: sixty patients with adhesive intestinal obstruction of Qi stagnation and Blood stasis type were randomly divided into two groups, 30 cases in each group. One group was treated with routine western medicine as the control group, the other group was treated with self-made Liqi Tongfu decoction through stomach tube on the basis of the control group's treatment method, which was called the treatment group. Through observing and recording the data to discuss the effect of traditional Chinese medicine combined with western medicine routine treatment of this disease, these data include the first time of anal exhaust in two groups of patients, the relief of abdominal pain and abdominal distention, the change of gas-liquid level of flat film of abdomen in two groups. Recovery of bowel sounds. Results: after treatment, the time of disappearance of abdominal symptoms, the recovery of bowel sound, the first time of anal exhaust and the time of disappearance of gas and liquid plane of flat film of abdomen in the treatment group were earlier than those in the control group. In the control group, 9 cases were cured, 11 cases were effective, 10 cases were ineffective, the total effective rate was 66.7%, in the treatment group, 13 cases were cured, 12 cases were improved, 5 cases were ineffective, the total effective rate was 83.3%. There was significant difference between the two groups (P0.05), the treatment group was better than the control group. Conclusion: compared with conventional western medicine, the effect of self-made Liqi Tongfu decoction on adhesive intestinal obstruction of Qi stagnation and Blood stasis type is remarkable. It is worth further study and discussion on the treatment of this disease with traditional Chinese medicine combined with western medicine.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R656

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