CAJ | 학술논문

目的：观察中成药通秘丸预防急性心肌梗死（Acute myocardial infarction AMI）病人便秘的有效性和安全性。方法：选择笔者所在医院急性心肌梗死住院患者78例，随机分为观察组和对照组各39例，对照组给予急性心肌梗死的常规治疗，必要时开塞露塞肛治疗，观察组在其常规治疗基础上加服小剂量中成药通秘丸，观察两组病人便秘发生率及排便过程中并发症发生情况。结果：观察组病人便秘发生率明显低于对照组（P<0.05）；观察组病人排便过程中并发症发生率明显低于对照组（P<0.05）。结论：口服通秘丸预防急性心梗便秘的效果明显，可显著减低AMI患者便秘的发生率，减少由此引发的严重心力衰竭、心脏破裂、心脏猝死等并发症。
목적：관찰중성약통비환예방급성심기경사（Acute myocardial infarction AMI）병인편비적유효성화안전성。방법：선택필자소재의원급성심기경사주원환자78례，수궤분위관찰조화대조조각39례，대조조급여급성심기경사적상규치료，필요시개새로새항치료，관찰조재기상규치료기출상가복소제량중성약통비환，관찰량조병인편비발생솔급배편과정중병발증발생정황。결과：관찰조병인편비발생솔명현저우대조조（P<0.05）；관찰조병인배편과정중병발증발생솔명현저우대조조（P<0.05）。결론：구복통비환예방급성심경편비적효과명현，가현저감저AMI환자편비적발생솔，감소유차인발적엄중심력쇠갈、심장파렬、심장졸사등병발증。
Objective: To observe efficacy and safety of Tongmi Wan on constipation of acute myocardial infarction. Methods: 78 patients were randomly divided into the observation group and the control group, each for 39 cases. The control group was given conventional treatment plus glycerine enema sometimes, and the observation group was given conventional treatment plus small dose of Tongmi Wan. The incidence of constipation and complications in the process of defecation were observed in two groups. Results: The incidence of constipation in the observation was obviously lower than that in the control group (P<0.05); complications in the process of defecation in the observation was obviously lower than that in the control group (P<0.05). Conclusion: Tongmi Wan could obvious prevent constipation of acute myocardial infarction, significantly reduce incidence in AMI patients with constipation and complications, such as heart failure, cardiac rupture, sudden cardiac death.