CAJ | 학술논문

目的：观察肠粘连缓解汤加减辨治急性粘连性肠梗阻患者的临床疗效。方法将80例粘连性肠梗阻患者按随机数字表法随机分为实验组和对照组，各40例。对照组患者给予石蜡油治疗，实验组患者服用肠粘连缓解汤。观察两组患者治疗后一般临床症状、炎症因子的变化以及临床综合效果。结果治疗后，实验组患者的肛门排气时间、症状消失时间以及气液平消失时间均早于对照组（P<0.05），胃液排出量显著小于对照组（P<0.05）；实验组患者的白细胞（WBC）计数、C反应蛋白（CRP）、白细胞介素-6（IL-6）、白细胞介素-8（IL-8）炎症因子的水平均较对照组患者低（P<0.05）；实验组患者的总有效率为95.00%，明显高于对照组的72.50%（P<0.05）。结论肠粘连缓解汤加减辨治急性粘连性肠梗肠阻患者，能够显著降低肛门排气时间、症状消失时间以及气液平消失时间，减少胃液排出量，降低炎性因子水平，提高临床治疗效果。
목적：관찰장점련완해탕가감변치급성점련성장경조환자적림상료효。방법장80례점련성장경조환자안수궤수자표법수궤분위실험조화대조조，각40례。대조조환자급여석사유치료，실험조환자복용장점련완해탕。관찰량조환자치료후일반림상증상、염증인자적변화이급림상종합효과。결과치료후，실험조환자적항문배기시간、증상소실시간이급기액평소실시간균조우대조조（P<0.05），위액배출량현저소우대조조（P<0.05）；실험조환자적백세포（WBC）계수、C반응단백（CRP）、백세포개소-6（IL-6）、백세포개소-8（IL-8）염증인자적수평균교대조조환자저（P<0.05）；실험조환자적총유효솔위95.00%，명현고우대조조적72.50%（P<0.05）。결론장점련완해탕가감변치급성점련성장경장조환자，능구현저강저항문배기시간、증상소실시간이급기액평소실시간，감소위액배출량，강저염성인자수평，제고림상치료효과。
Objective:To investigate the clinical efficacy Changnianlianhuanjie Decoction on Acute Adhesive Intestinal Obstruction. Methods:80 cases were sent randomly divided into experimental group and control group,40 cases in each group. Control group were treated with paraffin treatment,while the experimental group were given Changnianlianhuanjie Decoction. Changes in general clinical symptoms were observed after treatment , changes in inflammatory factors and clinical outcomes compared between two groups of patients. Results:After treatment,patients in the experimental group flatus,time,and liquid level symptoms disappear times less than those of control group;gastric excretion was significantly lower than that of the control group,the index compared with the control group were statistically significant(P<0.05);WBC count in the experimental group patients, CRP,IL-6,IL-8 levels of inflammatory cytokines were lower than those of control group(P<0.05);experimental group of patients with a total effective rate of 95.00% compared with the control group of patients(72.50%)(P<0.05). Conclusion:Treatment adhesions ease decoction of adhesive intestinal obstruction in patients with intes?tinal barrier,can significantly reduce flatus,time,and liquid level symptoms disappear time,reduce gastric excre?tion and reduce the level of inflammatory factors,improved clinical outcomes It is a method of treatment in clini?cal practice is worth.