摘要
目的探讨大黄在治疗麻痹性肠梗阻中的临床效果。方法方便选取该院2015年1月—2017年12月收治的麻痹性肠梗阻患者68例,按照随机余数分组法分成两组,每组34例。对照组给予禁食、营养支持、纠正水电解质紊乱、胃肠减压等常规治疗,观察组在常规治疗的基础上予以大黄(50 g)泡水口服,观察两组在治疗第3、7、10天的腹痛腹胀消失情况、首次排便时间、道次排气时间。结果两组治疗后显示,观察组34例中治愈15例,有效16例,总有效率为91.18%,对照组34例中治愈5例,有效19例,总有效率为70.59%,观察组总有效率优于对照组(χ~2=4.66,P<0.05);观察组和对照组首次排气时间、首次排便时间分别为(26.6±8.6)、(67.6±25.9)h和(45.6±13.2)、(75.4±23.3)h;观察组在首次排气时间、首次排便时间均较对照组短(P<0.05)。观察组和对照组在腹痛腹胀消失情况中,两组第3、7、10天腹痛腹胀消失的例数分别为:10例、21例、3例和5例、10例、19例。观察组优于对照组(P<0.05)。结论中药大黄可以作为辅助治疗药物用于麻痹性肠梗阻患者,能够缩短治疗周期,且对肠功能恢复有显著疗效,临床效果显著。
Objective To observe the clinical effect of rhubarb in treatment of paralytic ileus. Methods 68 cases of patients with paralytic ileus admitted and treated in our hospital from January 2015 to December 2017 were convenient selected and randomly divided into two groups with 34 cases in each, the control group used the routine treatment, while the observation took the rhubarb orally on the basis of the routine therapy, and the abdominal pain and abdominal distention disappearance situation, first defecating time and exhaust time at 3 d, 7 d and 10 d after treatment were observed. Results The treatment results showed that of 34 cases in the observation group, 15 cases were cured, 16 cases were effective, and the total effective rate was 91.18%, while of 34 cases in the control group, 5 cases were cured, and 19 cases were effective, and the total effective rate was 70.59%, and the total effective rate in the observation group was better than that in the control group（χ~2=4.66, P〈0.05）, and the first exhaust time, first defecation time in eth observation group and in the control group were respectively（26.6±8.6）,（67.6±25.9）h and（45.6±13.2）,（75.4±23.3） h, and the indicators in the observation group were shorter than those in the control group（P〈0.05）, and the abdominal pain and abdominal distention disappearance cases in the observation group and in the control group at 3 d, 7 d and 10 d were respectively 10 cases, 21 cases, 3 cases and 5 cases,10 cases, 19 cases, and the cases in the observation group were better than those in the control group（P〈0.05）. Conclusion The rhubarb can be used as the adjunctive treatment drug in patients with paralytic ileus can shorten the treatment cycle,and the curative effect is obvious in recovering intestinal function, and the clinical effect is obvious.
作者
陈大伟
惠妍
李召燕
CHEN Da-wei;HUI Yan;LI Zhao-yan(Third Department of Internal Medicine, Zoucheng Hospital of TCM;Zoucheng,ShandongProvince,273500 China)
出处
《中外医疗》
2018年第13期1-3,共3页
China & Foreign Medical Treatment
基金
济宁市中医药科技发展项目(ZYY-2016-18)
关键词
大黄
麻痹性肠梗阻
肠功能评价
临床效果
Rhubarb
Paralyticileus
Evaluationofintestinalfunction
Clinicaleffect
