CAJ | 학술논문

目的：观察中西医结合疗法治疗炎性肠梗阻的临床疗效。方法：将80例炎性肠梗阻患者随机分为2组，每组各40例。对照组采用禁食、胃肠减压,纠正水、电解质紊乱及酸碱平衡失调,肠外营养支持,抗生素等常规治疗方法进行治疗。治疗组在此基础上给予中药肠梗阻1号方，1剂/d，水煎分服，不能口服者从胃管注入或经肛管保留灌肠，以每日排便2～3次为宜，大便次数超过3次则减少服药量；每日足三里新斯的明或维生素B1封闭，见效后再用2天，但不超过5天；此外芒硝外敷，3次/d。结果：对照组痊愈18例(45.0%)，有效15例(37.5%)，无效7例(17.5%)；治疗组痊愈27例(67.5%)，有效10例(25.0%)，无效3例(7.5%)，2组总有效率比较，差异有统计学意义(P＜0.05)；2组肠梗阻缓解时间、通便时间相比，差异有统计学意义(P＜0.05)。结论：中西医结合治疗组治疗炎性肠梗阻安全可靠，可提高治疗效果。
목적：관찰중서의결합요법치료염성장경조적림상료효。방법：장80례염성장경조환자수궤분위2조，매조각40례。대조조채용금식、위장감압,규정수、전해질문란급산감평형실조,장외영양지지,항생소등상규치료방법진행치료。치료조재차기출상급여중약장경조1호방，1제/d，수전분복，불능구복자종위관주입혹경항관보류관장，이매일배편2～3차위의，대편차수초과3차칙감소복약량；매일족삼리신사적명혹유생소B1봉폐，견효후재용2천，단불초과5천；차외망초외부，3차/d。결과：대조조전유18례(45.0%)，유효15례(37.5%)，무효7례(17.5%)；치료조전유27례(67.5%)，유효10례(25.0%)，무효3례(7.5%)，2조총유효솔비교，차이유통계학의의(P＜0.05)；2조장경조완해시간、통편시간상비，차이유통계학의의(P＜0.05)。결론：중서의결합치료조치료염성장경조안전가고，가제고치료효과。
Objective: To verify therapeutic effects of integrative medicine in treating inflammatory ileus. Method:All 80 patients were randomly allocated into two groups, 40 cases each group. The control group received routine therapy including fasting, gastrointestinal decompression, correcting the disturbance of water, electrolyte and acid-base, parenteral nutrition, antibiotics. The treatment group oral prescription No.1 against inflammatory ileus, one dose per day, water decocted, by infusing with stomach tube or retention enema with anal tube, defecating twice or three times per day, the dosages were reduced when defecation times were more than three times;neostigmine or vitamin B1 was injected and blocked in ZuSanLi (ST36) everyday, when it acted, the drugs continued to use for two days, but less than five days;besides, mirabilite was externally applied for three times per day. Result:There were 18 cases cured in the control group (45.0%), 15 cases effective (37.5%), seven cases ineffective (17.5%);27 cured in the treatment group (67.5%), ten cases effective (25.0%), three cases ineffective (7.5%), the difference had statistical meaning in total effective rate (P<0.05);the difference had statistical meaning in alleviating time of ileus and defe-cation time (P<0.05). Conclusion:The therapy is safe and reliable, it could improve clinical effects by integrative medicine.