摘要
目的大承气汤加味治疗胸腰椎骨折后便秘的疗效。方法 86例胸腰椎骨折患者分为观察组和对照组,各43例,对照组给予常规西医治疗;观察组在对照组基础上再给予大承气汤加味治疗。比较两组患者的各项指标、临床疗效及不良反应。结果观察组患者肛门首次排气、首次排便时间、便秘消失时间均显著低于对照组(P<0.05);临床疗效93.02%高于对照组81.40%(P<0.05);术后4、6 d症状积分显著低于对照组(P<0.05);大便淋漓不尽、腹部胀痛、便秘复发均显著低于对照组(P<0.05)。结论在常规西医治疗的基础上联合大承气汤治疗,对腰胸椎骨折后便秘的患者疗效显著。
Objective To analyze the efficacy of Dachengqi decoction treatment on constipation after thoracolumbar fracture. Methods The 86 cases with thoracolumbar fracture were divided into control group （ 43 cases） who were treated with conven- tional western medicine and observation group （ 43 cases） who underwent Dachengqi decoction on the basis of conventional western medicine. The indicators, clinical efficacy and adverse reaction were compared. Results Patients with anal first exhaust, anal first bowel movement, constipation disappeared time were significantly lower than control group （ P〈0.05） ; Clinical efficiency of observation group were 93.02% higher than that of control group of 81.40% （ P〈0.05 ） ; Symptom score of observation group was significantly lower than the control group （ P〈0.05） after operation for 4 and 6 days ; Feces dripping, abdominal pain, constipation recurrence were significantly lower than the control group （ P〈0.05 ）. Conclusion Dachengqitang treatment on the basis of conventional western medicine has high efficacy on helping patients with constipation after thoracic spinal fractures.
出处
《中国地方病防治》
CAS
北大核心
2016年第7期771-772,共2页
Chinese Journal of Control of Endemic Diseases
基金
贵州省中医药管理局中医药
民族医药科学技术研究课题(编号:QZYY2015-147)
关键词
大承气汤
果导片
胸腰椎
便秘
临床价值
Dachengqitang
Fruit guides
Thoracolumbar
Constipation
Clinical value
