复元活血汤对脊柱骨折术后腹胀、便秘的临床疗效观察

目的：观察中药对脊柱骨折术后腹胀和便秘的作用。方法：将60例患者按半随机法分为两组。对照组30例采用常规西医治疗，观察组30例加用复元活血汤加减治疗。结果：观察组和对照组痊愈率分别为53．33％、26．67％，总有效率分别为93．33％、66．67％。组间比较，差异均有统计学意义（P〈0．05）。两组治疗后组间比较。各时间点征候积分和积分差值差异均有统计学意义（P〈0．05）。观察纽治疗后第2天和第4天VAS评分均低于对照组。组间比较，差异均有统计学意义（P〈0．05）。结论：复元活血汤可明显改善脊柱骨折术后腹胀、便秘患者的临床症状，且有助于缓解疼痛，临床疗效优于单纯西药治疗。

Observation on Fuyuan Huoxue Decoction in Treatment of Abdominal Distension and Constipation after Operation of Spinal Fracture

Objective ： To observe the clinical effect of Fuyuan Huoxue Decoction in the treatment of abdominal distension and constipation after the operation of spinal fracture. Method： A total of 60 patients were divided into two groups according to the semi - random method. 30 cases treated with conventional western medicine treatment were taken as the control group, and the other 30 cases treated with Fuyuan Huoxue Decoction on the basis of control group were taken as the observation group. Results：The cure rates of observation group and control group were respectively 53.33% and 26.67% and the total effective rates were respectively 93.33% and 66.67% and the differences had statistically significant （P 〈 0.05）. After treatment, the differences of syndrome integral and the D - value among groups had statistical significance （P 〈 0. 05）. After 2 and 4 days treatment,the VAS scores of observation group were lower than that of the control group, and the differences had statistical significance （P 〈 0. 05 ）. Conclusion ： Fuyuan Huoxue Decoction can improve the clinical symptoms of patients with abdominal distension and constipation after the operation of spinal fracture and relieve pain. The clinical effect is better than pure western medicine.