消胀汤治疗呼吸机相关性腹胀的临床观察

发布时间：2018-06-29 06:51

本文选题：消胀汤 + 呼吸机相关性腹胀　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:观察消胀汤治疗呼吸机相关性腹胀的临床疗效。方法:将符合诊断标准的40例患者随机分为试验组和对照组,每组各20例。对照组给予常规治疗:多潘立酮片(吗丁啉)、l Omg、鼻饲、Q8H。试验组给予常规治疗的同时,加用中药消胀汤(黄芪30g、党参30g、茯苓30g、生白术30g、陈皮15g、川朴20g枳实20g、大黄9g、焦山楂30g、麸神曲30g、炒麦芽30g)100ml,早晚两次鼻饲。观察两组治疗前后腹内压、中医症状积分的变化及肠蠕动(排气时间、肠鸣音恢复时间)恢复情况。结果:试验组与对照组治疗前后腹内压和中医症状积分均有明显改善,肠蠕动功能都得到相应恢复,而试验组在各方面都优于对照组。结论:中药消胀汤联合西药治疗效果明显优于单纯西药治疗,能明显改善腹胀患者的症状和体征,为临床治疗提供了新的思路。
[Abstract]:Objective: to observe the clinical effect of Xiaobang decoction on ventilator-associated abdominal distension. Methods: 40 patients who met the diagnostic criteria were randomly divided into experimental group and control group with 20 cases in each group. The control group was given routine treatment: domperidone tablets (morpholine) omg, nasal feeding of Q8H. The experimental group was treated with traditional Chinese medicine Xiaobang decoction (Huangqi 30g, Codonopsis Codonopsis 30g, Poria cocos 30g, Atractylodes macrocephala 30g, Chen Pei 15g, Chuanpu 20g Fructus Aurantii 20g, Rhubarb 9g, Hawthorn 30g, Bran Dianqu 30g, stir-fried malt 30g) 100ml, twice in the morning and evening. The changes of abdominal pressure, TCM symptom score and intestinal peristalsis (exhaust time, recovery time of bowel sound) were observed before and after treatment. Results: before and after treatment, the abdominal pressure and TCM symptom score in the experimental group and the control group were obviously improved, and the intestinal peristalsis function was recovered accordingly, while the experimental group was superior to the control group in all aspects. Conclusion: the therapeutic effect of traditional Chinese medicine combined with western medicine is better than that of western medicine alone. It can obviously improve the symptoms and signs of patients with abdominal distension and provide a new idea for clinical treatment.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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