西南国防医药
西南國防醫藥
서남국방의약
MEDICAL JOURNAL OF NATIONAL DEFENDING FORCES IN SOUTHWEST CHINA
2014年
7期
727-729
,共3页
肠梗阻%减压管%大承气汤%恶性%疗效
腸梗阻%減壓管%大承氣湯%噁性%療效
장경조%감압관%대승기탕%악성%료효
bowel obstruction%ileus tube%Dachengqi decoction%malignant%curative effect
目的：观察肠梗阻导管联合大承气汤对恶性肠梗阻的疗效。方法2011年1月~2013年8月收治的恶性肠梗阻患者75例随机分成3组。各组在禁食水、反复清洁灌肠、抗感染、纠正水电解质和酸碱平衡紊乱、全胃肠外营养常规治疗基础上，对照Ⅰ组25例采用鼻导管治疗，对照Ⅱ组25例采用肠梗阻导管治疗，观察组25例采用大承气汤联合肠梗阻导管治疗。观察治疗3 d 和7 d 后，腹胀、腹痛例数，腹围缩小程度、累计胃肠减压量以及腹胀、腹痛缓解时间、恢复排气时间、气液平面消失时间、临床疗效。结果观察组治疗3 d 及治疗7 d 后，较两个对照组腹痛、腹胀例数均有明显减少（P ﹤0.05），腹围缩小程度及胃肠累积减压量明显增加（P ﹤0.05）；观察组的腹胀、腹痛缓解时间、排气恢复时间及气液平消失时间均短于两个对照组（P ﹤0.05）；在治愈率及总有效率上，观察组明显高于两个对照组（P ﹤0.05）。治疗7 d 后，对照Ⅱ组的临床症状缓解率及总有效率均好于对照Ⅰ组（P ﹤0.05）。结论恶性肠梗阻患者用肠梗阻导管联合大承气汤后，可使肠道功能及早得到恢复，促进肠蠕动及毒素排出，缩短患者的住院时间，提高其生活质量，值得临床应用。
目的：觀察腸梗阻導管聯閤大承氣湯對噁性腸梗阻的療效。方法2011年1月~2013年8月收治的噁性腸梗阻患者75例隨機分成3組。各組在禁食水、反複清潔灌腸、抗感染、糾正水電解質和痠堿平衡紊亂、全胃腸外營養常規治療基礎上，對照Ⅰ組25例採用鼻導管治療，對照Ⅱ組25例採用腸梗阻導管治療，觀察組25例採用大承氣湯聯閤腸梗阻導管治療。觀察治療3 d 和7 d 後，腹脹、腹痛例數，腹圍縮小程度、纍計胃腸減壓量以及腹脹、腹痛緩解時間、恢複排氣時間、氣液平麵消失時間、臨床療效。結果觀察組治療3 d 及治療7 d 後，較兩箇對照組腹痛、腹脹例數均有明顯減少（P ﹤0.05），腹圍縮小程度及胃腸纍積減壓量明顯增加（P ﹤0.05）；觀察組的腹脹、腹痛緩解時間、排氣恢複時間及氣液平消失時間均短于兩箇對照組（P ﹤0.05）；在治愈率及總有效率上，觀察組明顯高于兩箇對照組（P ﹤0.05）。治療7 d 後，對照Ⅱ組的臨床癥狀緩解率及總有效率均好于對照Ⅰ組（P ﹤0.05）。結論噁性腸梗阻患者用腸梗阻導管聯閤大承氣湯後，可使腸道功能及早得到恢複，促進腸蠕動及毒素排齣，縮短患者的住院時間，提高其生活質量，值得臨床應用。
목적：관찰장경조도관연합대승기탕대악성장경조적료효。방법2011년1월~2013년8월수치적악성장경조환자75례수궤분성3조。각조재금식수、반복청길관장、항감염、규정수전해질화산감평형문란、전위장외영양상규치료기출상，대조Ⅰ조25례채용비도관치료，대조Ⅱ조25례채용장경조도관치료，관찰조25례채용대승기탕연합장경조도관치료。관찰치료3 d 화7 d 후，복창、복통례수，복위축소정도、루계위장감압량이급복창、복통완해시간、회복배기시간、기액평면소실시간、림상료효。결과관찰조치료3 d 급치료7 d 후，교량개대조조복통、복창례수균유명현감소（P ﹤0.05），복위축소정도급위장루적감압량명현증가（P ﹤0.05）；관찰조적복창、복통완해시간、배기회복시간급기액평소실시간균단우량개대조조（P ﹤0.05）；재치유솔급총유효솔상，관찰조명현고우량개대조조（P ﹤0.05）。치료7 d 후，대조Ⅱ조적림상증상완해솔급총유효솔균호우대조Ⅰ조（P ﹤0.05）。결론악성장경조환자용장경조도관연합대승기탕후，가사장도공능급조득도회복，촉진장연동급독소배출，축단환자적주원시간，제고기생활질량，치득림상응용。
Objective To observe the curative effect of ileus tube combined with Dachengqi decoction on malignant bowel obstruction. Methods 75 cases with malignant bowel obstruction hospitalized in the period from Jan. ,2011 to Aug. ,2013 were randomly divided into 3 groups:observation group,control group Ⅰ and control group Ⅱ,25 cases in each;routine treatment was performed to all the cases in the 3 groups,while nasogastric tube therapy was added to cases in control group Ⅰ,ileus tube therapy to cases in control group Ⅱ and ileus tube therapy combined with Dachengqi decoction to cases in observation group;at the time point of the 3rd day and the 7th day after treatment,observation was made to the following items in all the cases:the case number of abdominal distension and abdominal pain,the decrease of abdominal circumference,the cumulative amount of gastrointestinal decompression,the releasing time of abdominal distension and pain,the time of recovery of exhausting,the disappearing time of liquid and gas and the clinical curative effect. Results At the 3rd day and the 7th day after treatment,the case number of abdominal pain and distension in observation group was smaller than those in the 2 control groups(P ﹤ 0. 05),while its decrease of abdominal circumference and the cumulative amount of gastrointestinal decompression were greater than those in the 2 control groups(P ﹤ 0. 05);the releasing time of abdominal distension and pain,the time of recovery of exhausting,the disappearing time of liquid and gas in observation group were shorter than those in the 2 control groups(P ﹤ 0. 05);the cure rate and the total effective rate in observation group were obviously higher than those in the 2 control groups(P ﹤ 0. 05);at the 7th day after treatment,the rate of clinical symptom releasing and the total effective rate in control group Ⅱ were higher than that in control group Ⅰ. Conclusions Ileus tube combined with Dachengqi decoction for malignant bowel obstruction can obtain an earlier recovery of bowel function,promote peristalsis and elimination of toxins, shorten the duration of hospitalization and raise the life quality of the patients,which is worthy of clinical application.
