南昌大学学报（医学版）
南昌大學學報（醫學版）
남창대학학보（의학판）
ACTA ACADEMIAE MEDICINAE JIANGXI
2014年
7期
29-31
,共3页
腹内高压%肝移植术%大承气汤%电针
腹內高壓%肝移植術%大承氣湯%電針
복내고압%간이식술%대승기탕%전침
intra-abdominal hypertension%liver transplantation%Dachengqitang%electroacupuncture
目的：探讨大承气汤联合电针在治疗肝移植术后腹内高压中的应用效果。方法将53例肝移植术后腹内高压（腹内压≥1．330 kPa）患者按随机数字表法分为2组：对照组26例采用胃肠减压，静脉营养支持，纠正水、电解质紊乱和酸碱平衡，静脉泵入生长抑素抑制肠液分泌，合理应用抗生素控制感染等常规治疗；治疗组27例在常规治疗基础上采用大承气汤联合电针治疗。治疗1周，比较2组临床效果及腹内压变化情况。结果治疗1周后治疗组有效27例，有效率为100．0％，对照组有效23例，有效率为88．5％，治疗组有效率显著高于对照组（P＜0．05）。治疗组治疗后1～7 d腹内压明显低于对照组（P＜0．01）。结论在常规治疗基础上运用大承气汤联合电针治疗肝移植术后腹内高压是一种促进肝移植术后腹胀患者肠蠕动，降低腹内压，减轻腹胀的安全有效方法。
目的：探討大承氣湯聯閤電針在治療肝移植術後腹內高壓中的應用效果。方法將53例肝移植術後腹內高壓（腹內壓≥1．330 kPa）患者按隨機數字錶法分為2組：對照組26例採用胃腸減壓，靜脈營養支持，糾正水、電解質紊亂和痠堿平衡，靜脈泵入生長抑素抑製腸液分泌，閤理應用抗生素控製感染等常規治療；治療組27例在常規治療基礎上採用大承氣湯聯閤電針治療。治療1週，比較2組臨床效果及腹內壓變化情況。結果治療1週後治療組有效27例，有效率為100．0％，對照組有效23例，有效率為88．5％，治療組有效率顯著高于對照組（P＜0．05）。治療組治療後1～7 d腹內壓明顯低于對照組（P＜0．01）。結論在常規治療基礎上運用大承氣湯聯閤電針治療肝移植術後腹內高壓是一種促進肝移植術後腹脹患者腸蠕動，降低腹內壓，減輕腹脹的安全有效方法。
목적：탐토대승기탕연합전침재치료간이식술후복내고압중적응용효과。방법장53례간이식술후복내고압（복내압≥1．330 kPa）환자안수궤수자표법분위2조：대조조26례채용위장감압，정맥영양지지，규정수、전해질문란화산감평형，정맥빙입생장억소억제장액분비，합리응용항생소공제감염등상규치료；치료조27례재상규치료기출상채용대승기탕연합전침치료。치료1주，비교2조림상효과급복내압변화정황。결과치료1주후치료조유효27례，유효솔위100．0％，대조조유효23례，유효솔위88．5％，치료조유효솔현저고우대조조（P＜0．05）。치료조치료후1～7 d복내압명현저우대조조（P＜0．01）。결론재상규치료기출상운용대승기탕연합전침치료간이식술후복내고압시일충촉진간이식술후복창환자장연동，강저복내압，감경복창적안전유효방법。
Objective To observe the clinical efficacy of Dachengqitang combined with electroa-cupuncture in the treatment of intra-abdominal hypertension after liver transplantation.Methods Fifty-three patients with intra-abdominal hypertension after liver transplantation(intra-abdominal pressure≥1.330 kPa)were randomly divided into two groups.Patients in control group(n=26) were given conventional therapy,including gastrointestinal decompression,parenteral nutrition support,correcting water,electrolyte and acid-base balance disorders,intravenous infusion of som-atostatin for the inhibition of intestinal fluid secretion,and reasonable use of antibiotics for infec-tion control.On the basis of conventional therapy,patients in treatment group(n=27)were given Dachengqitang combined with electroacupuncture.The clinical efficacy and intra-abdominal pres-sure were compared between the two groups after treatment for 1 week.Results The therapy was effective in 27 patients in treatment group (100.0%),and in 23 patients in control group (88.5%).The effective rate in treatment group was significantly higher than that in control group(P<0.05).In addition,intra-abdominal pressure in treatment group was significantly lower than that in control group within 1-7 days after treatment(P<0.01).Conclusion The conven-tional therapy combined with Dachengqitang and electroacupuncture is effective and safe for pro-moting peristalsis,reducing intra-abdominal pressure and alleviating abdominal distension in thetreatment of intra-abdominal hypertension after liver transplantation.
