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普外科腹部手术后早期炎性肠梗阻22例治疗分析

         

摘要

目的:探讨普外科腹部手术后早期炎性肠梗阻的治疗方法及疗效分析。方法:选取2007年7月-2012年7月笔者所在医院普外科实施腹部手术后早期炎性肠梗阻患者22例,随机分为观察组和对照组,各11例。对照组单纯采用西医外科常规保守疗法,观察组在常规保守治疗基础上应用复方大承气汤治疗,比较两组患者治疗效果。结果:观察组治疗总有效率为90.9%,对照组治疗总有效率为72.7%,观察组总有效率显著高于对照组,差异有统计学意义(P<0.05);观察组患者腹胀消失时间、肛门排气时间及肠鸣音恢复时间均显著短于对照组,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显著,促进胃肠功能恢复,值得在临床上应用和推广。%  Objective:To discuss the treatment methods and curative effects of EPISBO after abdominal surgery in the department of general surgery. Method:22 cases of EPISBO patients after the abdominal surgery in the departement of general surgery of our hospital from July 2007 to July 2012 were selected and randomly divided into observation group and control group,each group contained 11 cases,the control group were given western medicine surgical conventional conservative therapy only,while the observation group were added compound Dachengqi Decoction on that basis. The treatment effects of these two groups were compared. Result:The overall effective rate of the observation group was 90.9%,and 72.7%in the control group,which showed that the effective rate of the observation group was significantly higher than that of the control group,with statistically significant differences(P<0.05);the bloating disappeared time recovery time,anal exhaust time and bowel sounds of the observation group were significantly lower than those of the control group,with statistically significant differences(P<0.05). Conclusion:The curative effect of integrative treatment is significant on the treatment of EPISBO,can promote the recovery of gastrointestinal function,it’s worthy of clinical application and promotion.

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