中药封包联合复方大承气汤治疗不完全性肠梗阻的临床研究

摘要

Objective To investigate the clinical effect of Chinese medicine packet joint compound Dachengqi soup in treatment incomplete intestinal obstruction.Methods100 inpatient with incomplete intestinal obstruction were selected and randomly divided into a treatment group and a control group,the treatment group received self-made traditional Chinese medicine (TCM) packet combined with compound Dachegnqi soup,the control group was treated with traditional methods in treatment,the obstruction lift time, hospitalization period,cure rate,recurrence rate within a year of the two groups were observed,and analyzed by statistical method. Results The bowel sound recovery time, time to intestinal obstruction lifting, anal exhaust time, defecation time, hospitalization time of the treatment group after treatment were significantly shorter than the control group,the difference was statistically significant (P<0.05);The symptoms, physical signs,total score of the two groups after treatment were significantly lower than before, and the difference was statistically significant (P<0.05);The symptoms,physical signs,total score in the treatment group after treatment were significantly lower than that in the control group,and the difference was statistically significant (P<0.05);X-ray cure rate in treatment group were significantly higher than that in the control group,the difference was statistically significant (P<0.05);Two groups of patients were followed up for 1 year,recurrence rates in the treatment group were significantly lower than the control group, and the difference was statistically significant (P<0.05).Conclusion The effect of Chinese medicine packet joint compound Dachengqi soup in the treatment of incomplete intestinal obstruction is remarkable,less side effects,can be popularized in clinical.%目的：探讨中药封包联合复方大承气汤应用治疗不完全性肠梗阻的临床效果。方法选取住院部不完全性肠梗阻患者100例，随机分成治疗组与对照组，治疗组采用自制的中药封包与复方大承气汤联合应用治疗，对照组采用传统方法治疗，随后观察2组梗阻解除时间、住院周期、治愈率、一年内复发率等指标，然后用统计学方法进行数据分析。结果治疗组患者治疗后肠鸣音恢复时间、肠梗阻解除的时间、肛门排气时间、排便时间、住院时间明显短于对照组，且比较差异有统计学意义（P＜0.05）；两组患者治疗后症状、体征总积分明显低于治疗前，且比较差异有统计学意义（P＜0.05）；治疗组患者治疗后症状、体征总积分明显低于对照组，且比较差异有统计学意义（P＜0.05）；治疗组患者X线治愈率明显高于对照组，且比较差异有统计学意义（P＜0.05）；两组患者均随访1年，治疗组患者复发率明显低于对照组，且比较差异有统计学意义（P＜0.05）。结论中药封包联合复方大承气汤应用治疗不完全性肠梗阻的临床效果显著，副作用少，可在临床推广。