摘要
[目的]观察复方大承气汤联合西药治疗肠梗阻疗效。[方法]使用随机平行对照方法,将92例住院患者按随机数字表法分为两组。对照组46例常规治疗,禁食、减压、抗感染、水、电解质平衡维持、解痉、抑酸,1次/d。治疗组46例复方大承气汤(赤芍、厚朴、大黄后下、枳实、芒硝冲服各15g,桃仁9g),1次/d,100mL/次,水煎,肛门滴入。西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、肛门排气时间、腹胀腹痛缓解时间、不良反应。连续治疗1疗程,判定疗效。[结果]治疗组治愈18例,有效25例,无效3例,总有效率93.40%。对照组治愈14例,有效21例,无效11例,总有效率76.10%。治疗组疗效优于对照组(P<0.05)。肛门排气时间、腹胀腹痛缓解时间均改善治疗组优于对照组(P<0.05)。[结论]复方大承气汤联合常规西药治疗肠梗阻疗效满意。
[ Objective]To observe the Fufang dachengqi tang combined with western medicine treatment for intestinal obstruction.[ Methods]Using random parallel control method,92 cases of hospitalized patients into two groups according to random number table method.46 cases of control group routine therapy,fasting,decompression,anti-infection,water and electrolyte balance,spasmolysis,acid suppression,1/d.Treatment group 46 cases of Fufang dachengqi tang(Chishao,Houpu,Dahuang,Zhishi,Mangxiao each 15g,Taoren 9g).Water decocting,100 ml/second,1/d,drip into the anus.Western medicine treatment with the control group.14d continuous treatment for 1 course of treatment.Observation of clinical symptoms,anal exhaust time,abdominal distension,abdominal pain relief time and adverse reactions.Continuous treatment 1 course of treatment,judge curative effect.[ Results]The treatment group cure 18 cases,25 cases effectively,3 had no effect,total effective rate was 93.40%.Control group cure 14 cases,21 cases,ineffective in 11 cases,total effective rate was 76.10%.Treatment group curative effect is better than that of control group(P<0.05).The anus exhaust time,abdominal distension abdominal pain relief time were improved in treatment group is better than that of control group(P<0.05).[ Conclusion]Fufang dachengqi tang combined with conventional western medicine treatment for intestinal obstruction curative effect satisfaction.
出处
《实用中医内科杂志》
2013年第2S期113-114,共2页
Journal of Practical Traditional Chinese Internal Medicine
关键词
肠梗阻
大承气汤
电解质平衡维持
解痉
抑酸
随机平行对照研究
Intestinal obstruction
Fufang dachengqi tang
Electrolyte balance to maintain
Spasmolysis
Acid suppression
Random parallel control study
