黔南民族医专学报
黔南民族醫專學報
검남민족의전학보
Journal of Qiannan Medical College for Nationalities
2015年
3期
184-186,227
,共4页
肠粘连缓解汤%粘连性肠梗阻%炎性因子%临床疗效
腸粘連緩解湯%粘連性腸梗阻%炎性因子%臨床療效
장점련완해탕%점련성장경조%염성인자%림상료효
adhesions ease soup%adhesive intestinal obstruction intestinal barrier%inflammatory fac-tors%clinical efficacy
目的：探讨肠粘连缓解汤加减辨治粘连性肠梗阻患者的临床疗效。方法：选择2011年3月～2013年5月在我院诊治的120例粘连性肠梗阻患者，随机分为实验组和对照组，每组患者60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治疗，观察两组患者治疗后一般临床症状、炎症因子的变化以及比较两组患者的临床治疗效果。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小于对照组，胃液排出量显著小于对照组，各项指标较对照组均具有统计学意义（P ＜0.05）；实验组患者的 WBC 计数、CRP、IL －6、IL －8炎症因子的水平均较对照组患者低，具有显著性差异（P ＜0.05）；实验组患者的总有效率为95.0％，较对照组患者高（71.7％），具有明显差异性（P ＜0.05）。结论：肠粘连缓解汤加减辨治粘连性肠梗阻患者，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。
目的：探討腸粘連緩解湯加減辨治粘連性腸梗阻患者的臨床療效。方法：選擇2011年3月～2013年5月在我院診治的120例粘連性腸梗阻患者，隨機分為實驗組和對照組，每組患者60例。對照組患者給予石蠟油治療，實驗組患者服用腸粘連緩解湯治療，觀察兩組患者治療後一般臨床癥狀、炎癥因子的變化以及比較兩組患者的臨床治療效果。結果：治療後，實驗組患者的肛門排氣時間、癥狀消失時間以及氣液平消失時間均小于對照組，胃液排齣量顯著小于對照組，各項指標較對照組均具有統計學意義（P ＜0.05）；實驗組患者的 WBC 計數、CRP、IL －6、IL －8炎癥因子的水平均較對照組患者低，具有顯著性差異（P ＜0.05）；實驗組患者的總有效率為95.0％，較對照組患者高（71.7％），具有明顯差異性（P ＜0.05）。結論：腸粘連緩解湯加減辨治粘連性腸梗阻患者，能夠顯著降低肛門排氣時間、癥狀消失時間以及氣液平消失時間，減少胃液排齣量，降低炎性因子水平，提高臨床治療效果。
목적：탐토장점련완해탕가감변치점련성장경조환자적림상료효。방법：선택2011년3월～2013년5월재아원진치적120례점련성장경조환자，수궤분위실험조화대조조，매조환자60례。대조조환자급여석사유치료，실험조환자복용장점련완해탕치료，관찰량조환자치료후일반림상증상、염증인자적변화이급비교량조환자적림상치료효과。결과：치료후，실험조환자적항문배기시간、증상소실시간이급기액평소실시간균소우대조조，위액배출량현저소우대조조，각항지표교대조조균구유통계학의의（P ＜0.05）；실험조환자적 WBC 계수、CRP、IL －6、IL －8염증인자적수평균교대조조환자저，구유현저성차이（P ＜0.05）；실험조환자적총유효솔위95.0％，교대조조환자고（71.7％），구유명현차이성（P ＜0.05）。결론：장점련완해탕가감변치점련성장경조환자，능구현저강저항문배기시간、증상소실시간이급기액평소실시간，감소위액배출량，강저염성인자수평，제고림상치료효과。
Objective:To investigate the clinical efficacy of adhesions ease decoction treatment for ad-hesive intestinal obstruction in patients with intestinal barrier.Methods:A total of 120 cases of intestinal ob-struction patients admitted in our hospital between March 2011 and May 2013 were recruited for the study. The subjects were then randomly divided into experimental group and control group,with 60 cases in each group of patients.Patients in control group received paraffin treatment,and the patients in experimental group were administrated with adhesions ease soup treatment.Changes in general clinical symptoms were observed after treatment,changes in inflammatory factors and clinical outcomes were compared between two groups.Re-sults:After treatment,patients in the experimental group exhibited significant less flatus,time,and liquid level symptoms than the control group.Moreover,the gastric excretion in the experimental group was signifi-cantly lower than the control group (P <0.05).WBC count,CRP,IL -6,IL -8 levels of inflammatory cy-tokines in the experimental group patients were significantly lower than in the control group (P <0.05).In addition,the patients of experimental group showed a total effective rate of 95.0% compared with the control group of patients (71.7%),a significant difference was observed (P <0.05).Conclusion:The treatment of adhesions ease decoction can significantly reduce flatus,time,and liquid level symptoms disappear time, reduce gastric excretion and reduce the level of inflammatory factors,improved clinical outcomes in patients with intestinal barrier with adhesive intestinal obstruction .
