摘要
目的:评价四磨汤口服液对稳定性胸腰椎骨折胃肠功能障碍的疗效。方法:2005年5月至2008年7月,将81例稳定性胸腰椎骨折患者按入组先后随机数字表法分为治疗组41例和对照组40例,其中治疗组男32例,女9例,年龄21~55岁,平均(47.19±5.18)岁,病程1~45 h,平均(7.83±1.29)h;对照组男30例,女10例,年龄20~54岁,平均(46.31±3.72)岁,病程1.5~43 h,平均(8.15±1.63)h。治疗组服用四磨汤口服液,对照组给予新斯的明双足三里穴封,比较两组胃肠道功能恢复情况、肛门首次排气时间。结果:治疗组胃肠道功能恢复时间(7.27±3.14)h明显短于对照组(10.12±3.62)h;治疗组肛门首次排气时间(15.39±13.70)h明显短于对照组(24.02±18.11)h;治疗组的总有效率明显高于对照组。结论:对稳定性胸腰椎骨折后胃肠功能障碍的恢复,两种方法治疗均有效,但四磨汤口服液疗效优于新斯的明,并且不良反应少。
Objective:To evaluate the clinical effects of Simo Decoction Oral Liquid for the treatment of gastrointestinal dysfunction after stable thoracolumbar fractures. Methods:From May 2005 to July 2008,81 patients with stable thoracolumbar fractures were randomly divided into treatment group (41 cases) and control group (40 cases) according to a random digits table. The treatment group included 32 males and 9 females with an average age of (47.19±5.18) years old ranging from 21 to 55 years,and the course was from 1 to 45 hours with an average of (7.83±1.29)hours. The control group included 30 males and 10 females with an average age of (46.31±3.72) years ranging from 20 to 54 years,and the course was from 1.5 to 43 hours with an average of (8.15±1.63)hours. The treatment group were dealed with Simo Decoction Oral Liquid,and the control group with neostigmine for acupoint block in bilateral Foot Three Li (足三里). The recovery of gastrointestinal function and the first passage of gas by anus were compared. Results:The time of recovery of gastrointestinal function in treatment group (7.27±3.14) h was shorter than that in control group(10.12±3.62) h. The time of first passage of gas by anus in treatment group(15.39±13.70),h was significantly shorter than that in contral group (24.02±18.11) h. The total effective rate in treatment group was higher than that in control group. Conclusion:Both the treatment group and the control group have clinical effects in treatment of therestoration of gastrointestinal dysfunction after the stable thoracolumbar fractures,but the treatment group has more remarkable therapeutic effect and less side effects.
出处
《中国骨伤》
CAS
2010年第8期595-597,共3页
China Journal of Orthopaedics and Traumatology
关键词
中成药
行气
胸椎
腰椎
骨折
胃肠活动
Chinese patent drugs
Promoting QI
Thoracic vertebrae
Lumbar vertebrae
Fractures
Gastrointestinal motility