大承气汤治疗术后早期炎性肠梗阻的临床观察

目的 探讨大承气汤治疗术后早期炎性肠梗阻的临床疗效,并探讨其应用价值.方法 将76例术后早期炎性肠梗阻患者随机分为治疗组(大承气汤+常规西药治疗)和对照组(常规西药治疗),每组38例,观察比较腹胀、腹痛、便秘、呕吐等临床表现出现缓解时间；对比分析两组患者胃液引流量,排气、排便时间及住院时间.结果 (1)治疗组总有效率97.37％显著高于对照组81.58％,差异有统计学意义(P＜0.05)； (2)治疗组患者腹胀、腹痛、便秘、呕吐的缓解时间均快于对照组差异有统计学意义(P＜0.05)； (3)治疗组排气、排便时间、住院时间均快于对照组(P＜0.05),胃液引流量少于对照组(P＜0.05).结论大承气汤治疗术后早期炎性肠梗阻效果显著,明显缩短住院时间,避免再次手术,是治疗术后早期炎性肠梗阻的可靠有效方剂.

The clinical value of Dachengqi decoction treatment in early stage of postoperative inflammatory ileus

Objective To explore the effect of Dachengqi decoction treatment in early stage of postoperative inflammatory ileus,and explore the clinical value.Methods 76 cases of early stage of postoperative inflammatory ileus were divided into treatment group(Dachengqi decoction+ routine western drugs) and control group(routine western drugs),each for 38 cases.The relaxation time of ventosity,bellyache,constipation and vomit were analyzed.The total volume of drainage,the time of exhaust and defecate and hospital stays were compared between two groups.Results(1) The effect rates of treatment group was higher than in the control group(97.37%VS81.58%,P<0.05).(2)The relaxation time of ventosity,bellyache,constipation and vomit was faster in the treatment group than in the control group(P<0.05).(3) The time of exhaust and defecate and hospital stays was faster in the treatment group than in the control group(P<0.05),the total volume of drainage was shorter than that of control group(P<0.05).Conclusion Dachengqi decoction treatment in early stage of postoperative inflammatory ileus is effect,reduce hospital stays,and avoids once more surgery.It is a reliable method for early stage of postoperative inflammatory ileus.