中西医结合治疗术后早期炎性肠梗阻的疗效观察

目的探讨中西医结合治疗早期炎性肠梗阻的优势和价值。方法将186例早期炎性肠梗阻患者随机分为对照组和治疗组。对照组采用西医保守治疗方案，包括完全禁食与胃肠减压、应用生长抑素、使用地塞米松、在肠道功能恢复后经过适当的肠内营养后即恢复经口饮食。治疗组在对照组基础上减少生长抑素及激素的用量，加用中药汤剂，并予以灌肠、外敷、针灸等治疗。总结和分析对比经典非手术治疗方案和中西医结合治疗的差异。结果对照组和治疗组总体疗效差异无统计学意义（P〉0．05）；治疗组首次进食时间、排便时间及住院时间与对照组比较，差异有统计学意义（P〈0．05）。结论中西医结合治疗早期炎性肠梗阻疗效明确，可缩短治疗时间。

Efficacy Observation of the Early Postoperative Inflammatory Intestinal Obstruction Treated with the Integrated Chinese and Western Medicine

Objective To explore the advantage and value of the integrated Chinese and western medicine in the treatment of early inflammatory intestinal obstruction. Methods One hundred and eighty - six cases of early inflammatory intestinal obstruction were randomized into a control group and a treatment group. In the treatment group, the conservative therapy of western medicine was applied such as complete fasting, gastrointestinal decompression, somatostatin and dexamethasone. The oral intake was recovered when the intestinal function was restored after a proper enteral nutrition. In the treatment group, on the basic treatment as the control group, the dose of somatostatin and hormone was reduced. Instead, Chinese herbal decoction was supplemented and enema, external application, acupuncture and moxibustion were applied. The differences were summarized and analyzed between the classical non - operative treatment program and the integrated Chinese and western medicine. Results The difference in the overall efficacy was not significant statistically between the control group and the treatment group （P 〉 0.05 ）. The differences were significant statistically in the first intake time, defecation time and admission duration between the treatment group and the control group（P 〈 0.05 ）. Conclusion The integrated Chinese and western medicine achieves the definite efficacy on early inflammatory intestinal obstruction and shortens the treatment duration.