| 摘要: |
| 目的：探讨自拟承气汤配合穴位贴敷治疗术后早期炎性肠梗阻的效果。方法：收集术后早期炎性肠梗阻 68 例，随 机分为观察组和对照组各 34 例。两组均接受常规治疗，对照组同时给予自拟承气汤，观察组在对照组的基础上再予以穴位 贴敷治疗，均治疗 7 天。比较两组的胃液引流量、排气、排便时间、住院时间、临床症状改善情况、血清炎症因子：血清白细胞介素 -6（IL-6）、肿瘤坏死因子 -α（TNF-α）以及超敏 C 反应蛋白（hs-CRP）；丙二醛、二胺氧化酶水平等指标。结果： 与对照组相比，观察组治疗有效率较高，为 91.2%（P ＜ 0.05）；腹胀、腹痛、便秘以及呕吐等症状评分降低，如腹胀症状 观察组治疗后症状评分（2.10±0.27），与对照组治疗后症状评分（3.82±0.41）相比有显著降低（P ＜ 0.05）；胃液引流 量降低，观察组（388.02±40.59）mL，低于对照组（520.39±57.39）mL（P ＜ 0.05）；排气、排便时间以及住院时间缩短， 如排气时间观察组（2.89±0.37）d 短于对照组（5.47±0.66）d（P ＜ 0.05）；血清 IL-6、TNF-α、hs-CRP 较对照组水平较低， 丙二醛、二胺氧化酶水平较低，如血清 IL-6 治疗后观察组为（33.10±3.54）ng/L，低于对照组（87.93±9.42）ng/L （P ＜ 0.05）。结论：自拟承气汤配合穴位贴敷治疗术后早期炎性肠梗阻，疗效显著，可改善炎症反应。 |
| 关键词: 自拟承气汤 穴位贴敷 术后早期炎性肠梗阻 |
| DOI：10.3969/j.issn.1007-6948.2019.06.008 |
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| 基金项目:秦皇岛市科技局课题项目（201703A090） |
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| Clinical Observation of Self-made Chengqi Decoction Combined with Acupoint Application in Treatment of Early Postoperative Inflammatory Ileus |
| LIU Dong-lin,,WANG Hong-wei,LI Chao |
| Qinhuangdao Hospital of Traditional Chinese Medicine, Qinhuangdao （066000），China |
| Abstract: |
| Objective To investigate the clinical effect of self-made Chengqi Decoction Combined with acupoint application in the treatment of early postoperative inflflammatory ileus. Methods Totally 68 cases of early postoperative inflammatory ileus in our hospital were collected and randomly divided into experimental group and control group, 34 cases in each group. Two groups of patients were given conventional Western medicine treatment, the patients in control group were given self-made Chengqi Decoction treatment; the patients in experimental group were treated with acupoint sticking therapy on the basis of the control group, and two groups of patients were treated for 7 days. The clinical effificacy, gastric juice drainage, exhaust time, defecation time, hospitalization time, clinical symptom improvement, serum inflammatory factors, malondialdehyde, two amine oxidase levels and adverse reactions were compared. Results Compared with the control group, the effective rate of treatment in the observation group was higher than that in the control group (91.2%). The symptoms scores such as abdominal distention, abdominal pain, constipation, and vomiting were decreased. For example, the symptom score of abdominal distension group after treatment was (2.10±0.27), which was signifificantly lower than that of control group (3.82 ±0.41, P<0.05). Gastric juice drainage decreased in the test group [(388.02 ±40.59) mL], which was lower than that in the control group [(520.39 ±57.39) mL, P<0.05]. The exhaust time, defecation time and hospital stay were shortened, exhaust time: (2.89±0.37) d in the test group and (5.47±0.66) d in the control group (P<0.05). The levels of IL-6, TNF-α and hs-CRP in serum were lower than those in control group, and the levels of MDA and diamine oxidase in serum were lower than those in control group (P<0.05). The level of serum IL-6 in the treatment group after treatment was (33.10±3.54) ng/L, which was lower than that in the control group (87.93±9.42) ng/L. Conclusion The clinical effect of self-made Chengqi Decoction combined with acupoint application in the treatment of early postoperative inflflammatory intestinal obstruction is signifificant, and it can improve the inflflammatory response, which is a reliable treatment for early postoperative inflflammatory ileus. |
| Key words: Self-made Chengqi Decoction acupoint application early postoperative inflflammatory ileus |
