大承气汤灌胃治疗脑出血后并发肠梗阻临床分析

[目的]观察大承气汤联合西药治疗脑出血后并发肠梗阻的疗效及机制。[方法]将62例脑出血后并发肠梗阻患者随机分为对照组(32例)和治疗组(30例),对照组常规西医治疗,治疗组在此基础上加用大承气汤灌胃治疗3天。比较两组治疗后疗效。[结果]两组在治疗前各项指标差异无显著性;经过3天的治疗后,治疗组治疗有效率高于对照组(P<0.05)。[结论]大承气汤联合西药治疗脑出血后并发肠梗阻疗效比常规西医治疗好,其机理可能与大承气汤能显著增加肠道的蠕动和推动功能等有关。

Clinical Analysis on Treatment of Intestinal Obstruction after Intracerebral Hemorrhage by Dachengqi Decoction Combined with Western Medicine

[Objective] To study the effects and mechanism of Dachengqi Decoction combined with western medicine on treatment of intestinal obstruction after intracerebral hemorrhage.[Methods]Sixty-two patients with intestinal obstruction after intracerebral hemorrhage were randomly assigned into the control group(n=32) treated by the conventional western therapy alone and the treated group(n=30) treated by Dachengqi Decoction combined with the conventional western therapy.To compare the therapeutic effect of the two groups.[Results]Before treatment,no significant difference was shown in all these indexes between the treated group and the control group.After three days of treatment,the effective rate was higher in the treated group than the control group(P<0.05).[Conclusion]Combination of Dachengqi Decoction and the conventional western therapy has a better effect than the conventional western therapy on intestinal obstruction after intracerebral hemorrhage.Its mechanism might be related to Dachengqi Decoction significantly increasing intestine peristalsis and impulse action.