黑龙江医学
黑龍江醫學
흑룡강의학
HEILONGJIANG MEDICAL JOURNAL
2015年
5期
524-525
,共2页
何运梯%李勇逵%张梅%邬淑清
何運梯%李勇逵%張梅%鄔淑清
하운제%리용규%장매%오숙청
大承气汤%危重症%胃肠功能衰竭%防治
大承氣湯%危重癥%胃腸功能衰竭%防治
대승기탕%위중증%위장공능쇠갈%방치
Dachengqi Decoction%Critically Ill Patients%Gastrointestinal Function Failure%Preventive Treatment
目的：研究大承气汤对危重症患者胃肠功能衰竭的防治作用。方法回顾性分析2011－12～2014－12间本院ICU收治的112例危重症患者的临床资料，按是否发生肠胃功能障碍将其分为预防组与对照组，每组各56例。预防组入院后立即予以大承气汤治疗，对照组均予以生理盐水治疗，对出现肠胃功能障碍者予以大承气汤，分析两组治疗效果。结果预防组胃肠功能障碍发生率低于对照组，胃液pH值高于对照组，且对照组中胃肠功能障碍者治疗后胃肠功能恢复，胃液pH值高于治疗前，比较差异均具统计学意义（ P＜0．05）。结论大承气汤在危重症患者的胃肠功能衰竭防治方面具有积极意义，可有效减少胃肠功能衰竭的发生，平衡患者胃液酸碱度。
目的：研究大承氣湯對危重癥患者胃腸功能衰竭的防治作用。方法迴顧性分析2011－12～2014－12間本院ICU收治的112例危重癥患者的臨床資料，按是否髮生腸胃功能障礙將其分為預防組與對照組，每組各56例。預防組入院後立即予以大承氣湯治療，對照組均予以生理鹽水治療，對齣現腸胃功能障礙者予以大承氣湯，分析兩組治療效果。結果預防組胃腸功能障礙髮生率低于對照組，胃液pH值高于對照組，且對照組中胃腸功能障礙者治療後胃腸功能恢複，胃液pH值高于治療前，比較差異均具統計學意義（ P＜0．05）。結論大承氣湯在危重癥患者的胃腸功能衰竭防治方麵具有積極意義，可有效減少胃腸功能衰竭的髮生，平衡患者胃液痠堿度。
목적：연구대승기탕대위중증환자위장공능쇠갈적방치작용。방법회고성분석2011－12～2014－12간본원ICU수치적112례위중증환자적림상자료，안시부발생장위공능장애장기분위예방조여대조조，매조각56례。예방조입원후립즉여이대승기탕치료，대조조균여이생리염수치료，대출현장위공능장애자여이대승기탕，분석량조치료효과。결과예방조위장공능장애발생솔저우대조조，위액pH치고우대조조，차대조조중위장공능장애자치료후위장공능회복，위액pH치고우치료전，비교차이균구통계학의의（ P＜0．05）。결론대승기탕재위중증환자적위장공능쇠갈방치방면구유적겁의의，가유효감소위장공능쇠갈적발생，평형환자위액산감도。
Objective To study the preventive and therapeutic effect of Dachengqi Decoction for the treatment of critical gastrointestinal failure.Methods The clinical data of 112 cases of patients in critical conditions treated in the ICU of our hospital from December 2011 to December 2014 were retrospectively analyzed, which then according to the occurrence or absence of gastrointestinal dysfunction in the pa-tients were divided into a prevention group and a control group, each with 56 cases.Patients in the prevention group were given Dachengqi Decoction immediately after being admitted to ICU, whereas patients with the occurrence of gastrointestinal dysfunction in the control group were treated with Dachengqi Decoction.The treatment effects of the two groups were analyzed.Results The incidence of gastrointestinal dysfunction in the prevention group was lower than that in the control group, and the pH value of gastric juice of patients in the prevention group was higher than that in the control group.Besides, after the treatment, the gastrointestinal function of those with gastrointestinal dys-function in the control group was recovered, and the pH value of gastric juice was higher than before treatment.The above differences were all statistically significant (P<0.05).Conclusion Dachengqi Decoction is of positive significance in the prevention and treatment of crit-ically ill patients with gastrointestinal function failure, which can effectively reduce the incidence of gastrointestinal function failure and bal-ance the pH value of gastric juice in the patients.
