摘要
目的探讨中西医结合治疗胸腰椎骨折术后便秘的疗效。方法选取2011年12月~2013年12月我院住院治疗的80例胸腰椎骨折术后合并便秘的患者作为观察对象,采用随机数字表分为观察组和对照组,每组各40例。对照组予口服便塞停片2粒（10 mg）,1次/d,3 d为一个疗程。观察组同时予大承气汤加味治疗,比较两组患者治疗后的疗效、治疗症状积分、便秘症状消失时间。结果观察组治疗后的总有效率达95.0%,明显高于对照组,差异有统计学意义（P〈0.05）。但两组的临床痊愈率组间比较,差异无统计学意义（47.5%vs 30.0%,P〉0.05）。观察组和对照组患者治疗后的症状积分均较治疗前显著降低,且观察组较对照组降低更显著,差异有统计学意义（P〈0.05）。观察组患者便秘症状消失时间明显短于对照组,差异有统计学意义（P〈0.05）。结论中西医结合治疗胸腰椎骨折术后便秘可提高疗效,改善临床症状,值得推广和应用。
Objective To evaluate the efficacy of Chinese and western medicine combination therapy in treatment of thoracolumbar fracture surgery constipation. Methods From Dec 2011 to Dec 2013, selected 80 patients with thoracolumbar fracture surgery constipation as the observed objects, and were divided into observation group and the control group used a random number table method, 40 cases in each group, the control group recieved two bisacody tablets（10 mg）orally, 1 time/d, three days for a treatment. While the observation group added to Dachengqi decoction, the treatment efficacy, symptom scores at fracture and symptoms of constipation time in patients after treatment were compared.Results The total effective rate of observation group after treatment was 95.0%, was significantly higher than the control group, the difference was statistically significant（P〈0.05）. However, the difference of the clinical cure rate of two groups was not significant（47.5% vs 30.0%, P〉0.05）. After treatment, symptom scores at fracture of observation group and control group patients were significantly lower than before treatment, and the observation group decreased more significantly than the control group, the difference was statistically significant（ P 〈0.05）. Constipation symptoms disappeared time of observation group was significantly shorter than the control group, the difference was statistically signif-icant（P〈0.05）. Conclusion Integrative treatment of thoracolumbar fracture surgery constipation can improve efficacy,improve clinical symptoms, and promote clinical symptoms, should be promoted and applied.
出处
《中国现代医生》
2015年第18期120-122,共3页
China Modern Doctor
基金
浙江省医药卫生科技计划(2013KYA213)
关键词
胸腰椎骨折
便秘
中西医结合
Thoracolumbar fractures
Constipation
Integrative medicine
