摘要
目的探究中药保留灌肠对肠梗阻患者的治疗效果。方法选取2019年3月—2020年3月郑州大学第一附属医院收治的肠梗阻患者80例,随机数字表法分为对照组和观察组,各40例,对照组采用常规保守治疗,观察组在常规保守治疗基础上采用中药保留灌肠治疗。比较两组临床疗效、症状改善时间(肠鸣音消失、饮食恢复、腹绞痛消失)、治疗前后炎性指标[白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)]。结果观察组总有效率为97.50%高于对照组的80.00%(P<0.05);观察组肠鸣音消失、饮食恢复、腹绞痛消失时间短于对照组(P<0.05);治疗后观察组血清IL-6、TNF-α水平低于对照组(P<0.05)。结论中药保留灌肠能加速肠梗阻患者症状改善,减轻炎症反应,提高临床疗效。
Objective To explore the therapeutic effect of traditional Chinese medicine retention enema on patients with intestinal obstruction.Methods 80 patients with intestinal obstruction admitted to the hospital from March,2019 to March,2020 were selected and grouped by random number table method,with 40 cases in each group.The control group received conventional conservative treatment,and the observation group received traditional Chinese medicine retention enema on the basis of conventional conservative treatment.Clinical efficacy,symptom improvement time(disappearance of bowel sounds,diet recovery and disappearance of abdominal cramps),inflammatory indexes[interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)]of the two groups before and after treatment were compared.Results The total effective rate of the observation group was 97.50%,which was higher than80.00%of the control group(P<0.05).The disappearance of bowel sounds,recovery of diet and disappearance of abdominal colic in the observation group were shorter than those in the control group(P<0.05).After treatment,the serum IL-6 and TNF-αlevels in the observation group were lower than those in the control group(P<0.05).Conclusion Retention of enema with Chinese herbs can accelerate the improvement of symptoms in patients with intestinal obstruction,reduce inflammation,and improve clinical efficacy.
作者
蒋楠
JIANG Nan(Department of Integrated Traditional Chinese and Western Medicine,The First Affiliated Hospital of Zhengzhou University,Zhengzhou,450000,China)
出处
《黑龙江医学》
2020年第11期1499-1501,共3页
Heilongjiang Medical Journal
关键词
中药保留灌肠
肠梗阻
症状改善
炎症反应
Retention enema with traditional Chinese medicine
Intestinal obstruction
Symptom improvement
Inflammatory response
