四维一体疗法治疗粘连性肠梗阻临床研究

目的 观察四维一体疗法治疗粘连性肠梗阻的临床疗效。方法 将87例粘连性肠梗阻患者随机分为观察组（45例）和对照组（42例）。对照组给予外科基础治疗，观察组除外科基础治疗外，给予四维一体疗法治疗，即中药辨证胃管注入、中医辨证敷脐、中医辨证灌肠、中医针刺。治疗结束后观察两组腹痛缓解时间、自主排气时间、自主排便时间、泛影葡胺到达升结肠和降结肠时间，并观察临床疗效及中转手术率。结果 与对照组比较，观察组腹痛缓解时间、自主排气时间、自主排便时间以及泛影葡胺到达升结肠和降结肠时间明显缩短，差异均有统计意义（P＜0.05）。两组临床疗效比较，差异无统计意义（P>0.05）。观察组中转手术率较对照组明显降低，差异有统计意义（P＜0.05）。结论 在外科基础治疗的基础上，联合中医四维一体疗法治疗粘连性肠梗阻疗效确切，能够提高临床疗效，缩短患者康复时间和降低中转手术率。

Clinical Effect of Four-Dimensional Integration Therapy in Treatment of Adhesive Ileus

Objective To investigate the clinical effect of four-dimensional integration therapy in the treatment of adhesive ileus. Methods A total of 87 patients with adhesive ileus were randomly divided into observation group with 45 patients and control group with 42 patients. The patients in the control group were given basic surgical treatment, and those in the observation group were given basic surgical treatment combined with four-dimensional integration therapy, i.e., gastric tube administration, umbilical compress, and enema based on traditional Chinese medicine syndrome differentiation and acupuncture. Time to abdominal pain remission, time to first flatus, time to spontaneous bowel movement, and time for meglumine diatrizoate to reach the ascending colon and the descending colon were observed for both groups after the treatment ended, and clinical outcome and rate of conversion to surgery were also observed. Results Compared with the control group, the observation group had significantly shorter time to abdominal pain remission, time to first flatus, time to spontaneous bowel movement, and time for meglumine diatrizoate to reach the ascending colon and the descending colon (P<0.05). There was no significant difference in clinical outcome between the two groups (P>0.05). The observation group had a significantly lower rate of conversion to surgery than the control group (P<0.05). Conclusion Basic surgical treatment combined with traditional Chinese medicine four-dimensional integration therapy has a good clinical effect in the treatment of adhesive ileus and can improve clinical outcome, shorten recovery time, and reduce the rate of conversion to surgery.