摘要
目的探讨中药黄术灌肠液联合奥曲肽善宁治疗粘连性肠梗阻的治疗效果。方法将粘连性肠梗阻86例患者随机分为对照组(40例)与观察组(46例)。在常规治疗基础上,对照组单纯采取奥曲肽静脉持续泵入,观察组采用黄术灌肠液保留灌肠联合奥曲肽静脉持续泵入治疗。观察并对比两组患者临床疗效。结果对照组治愈32例,好转6例,无效2例,总有效率95.0%;观察组治愈42例,好转3例,无效1例,总有效率97.8%。两组患者总有效率比较,差异无统计学意义(P>0.05)。观察组在症状改善起效时间上明显优于对照组,差异有统计学意义(P<0.05)。结论黄术灌肠液联合奥曲肽治疗粘连性肠梗阻在治疗疗程上较单纯使用奥曲肽明显缩短。
Objective To explore the clinical observation of Chinese self-assembly prescription ( Huangshu Enema ) and octreotide ( Sandostatin) for the treatment of adhesive intestinal obstruction. Methods Totally 86 patients with adhesive intestinal obstruction were divided into control group(40)and observation group(46). On the basis of conventional therapy,patients in the control group purely adopted octreotide to continuous intravenous pumping,and patients in the observation group adopted Huangshu Enema and oct-reotide to continuous intravenous pumping. Results Thirty-two cases in control were cured,6 cases took a turn for the better,and 2 cases were in vain( such 2 patients were turned into surgical operation) ,and total effective rate was 95% forty-two cases in observation group were cured,3 cases took a turn for the better,and 1 case was in vain( such 1 patient was turned into surgical operation) ,and to-tal effective rate was 97. 8%. The difference between the two groups had no statistical significance(P〉0. 05). For the onset time of improvement of symptoms,observation group was obviously better than control group(P〈0. 05). Conclusion In the treatment of ad-hesive intestinal obstruction, compared to purely use octreotide acetate injection, Huangshu Enema and octreotide acetate injection could obviously shorten the course of treatment.
出处
《临床军医杂志》
CAS
2015年第9期948-950,共3页
Clinical Journal of Medical Officers
关键词
粘连性肠梗阻
奥曲肽
黄术灌肠液
Adhesive intestinal obstruction
Octreotide
Huangshu Enema