西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2014年
8期
105-106
,共2页
上消化道穿孔%内镜%金属钛夹%三联%健脾汤
上消化道穿孔%內鏡%金屬鈦夾%三聯%健脾湯
상소화도천공%내경%금속태협%삼련%건비탕
upper gastrointestinal perforation%endoscope%hemoclip%triple therapy%spleen-invigorating decoction
目的:观察在内镜下金属钛夹治疗的基础上以健脾汤联合三联西药综合治疗上消化道穿孔的临床疗效。方法:将80例患者随机分为观察组、对照组各40例,2组均给予常规内镜下手术与三联西药综合治疗,观察组同时加用健脾汤治疗。结果:总有效率治疗组为95.0%,对照组为82.5%,2组比较差异显著(P<0.05)。腹痛、烧心、反酸等症状积分治疗后2组均明显降低(P<0.05),观察组降低更明显(P<0.05)。术后肠蠕动恢复时间、术后住院时间观察组短于对照组(P<0.05)。并发症发生率观察组为5.00%,对照组为17.50%。2组比较差异显著(P<0.05)。结论:在内镜下金属钛夹治疗的基础上以健脾汤联合三联西药综合治疗上消化道穿孔临床疗效显著,并发症发生率低。
目的:觀察在內鏡下金屬鈦夾治療的基礎上以健脾湯聯閤三聯西藥綜閤治療上消化道穿孔的臨床療效。方法:將80例患者隨機分為觀察組、對照組各40例,2組均給予常規內鏡下手術與三聯西藥綜閤治療,觀察組同時加用健脾湯治療。結果:總有效率治療組為95.0%,對照組為82.5%,2組比較差異顯著(P<0.05)。腹痛、燒心、反痠等癥狀積分治療後2組均明顯降低(P<0.05),觀察組降低更明顯(P<0.05)。術後腸蠕動恢複時間、術後住院時間觀察組短于對照組(P<0.05)。併髮癥髮生率觀察組為5.00%,對照組為17.50%。2組比較差異顯著(P<0.05)。結論:在內鏡下金屬鈦夾治療的基礎上以健脾湯聯閤三聯西藥綜閤治療上消化道穿孔臨床療效顯著,併髮癥髮生率低。
목적:관찰재내경하금속태협치료적기출상이건비탕연합삼련서약종합치료상소화도천공적림상료효。방법:장80례환자수궤분위관찰조、대조조각40례,2조균급여상규내경하수술여삼련서약종합치료,관찰조동시가용건비탕치료。결과:총유효솔치료조위95.0%,대조조위82.5%,2조비교차이현저(P<0.05)。복통、소심、반산등증상적분치료후2조균명현강저(P<0.05),관찰조강저경명현(P<0.05)。술후장연동회복시간、술후주원시간관찰조단우대조조(P<0.05)。병발증발생솔관찰조위5.00%,대조조위17.50%。2조비교차이현저(P<0.05)。결론:재내경하금속태협치료적기출상이건비탕연합삼련서약종합치료상소화도천공림상료효현저,병발증발생솔저。
Objective:To explore clinical effects of spleen-invigorating decoction and triple therapy in treating upper gastrointestinal perforation on the foundation of endoscopic hemoclip. Methods: Eighty patients were randomized into the observation group and the control group, both groups were given with endoscopic surgery and triple therapy, the observation group with spleen-invigorating decoction. Results: Total effective rate of the observation group was 95.0%, superior to 82.5%of the control group with significant difference (P<0.05). The scores of the symptoms such as abdominal pain, heartburn, sour regurgitations and others were decreased in both groups significantly (P<0.05), the decrease of the observation group was more notable (P<0.05). The observation group was shorter than the control group in recovery time of intestinal peristalsis after the surgery and hospitalization time after the surgery (P<0.05). Complication incidence of the observation group was 5.00%, less than 17.50%of the control group with notable difference (P<0.05). Conclusion:Based on the treatment of endoscopic hemoclip, spleen-invigorating decoction combined with triple therapy are effective in treating upper gastrointestinal perforation with lower incidence of the complications.