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臍療方治療術(shù)后麻痹性腸梗阻的臨床療效觀察

發(fā)布時(shí)間:2018-07-07 09:22

  本文選題:腹部胃腸道手術(shù) + 臍療方; 參考:《廣州中醫(yī)藥大學(xué)》2015年碩士論文


【摘要】:研究目的:本研究應(yīng)用簡(jiǎn)單隨機(jī)對(duì)照原則進(jìn)行研究,首先收集匯總兩組患者的年齡,性別等基本信息,觀察和檢測(cè)記錄兩組術(shù)后麻痹性腸梗阻病人各項(xiàng)指標(biāo)的恢復(fù)情況,用合格正版統(tǒng)計(jì)學(xué)軟件進(jìn)行科學(xué)合理驗(yàn)證,把兩組的臨床療效進(jìn)行比較,觀測(cè)哪組療效更優(yōu),從而在臨床經(jīng)驗(yàn)上,為證實(shí)臍療方對(duì)術(shù)后麻痹性腸梗阻的有一定的預(yù)防和治療作用,為擴(kuò)大臨床用藥提供參考及依據(jù)。研究方法:從廣州市中醫(yī)醫(yī)院的外科的住院手術(shù)病人中,嚴(yán)格按照研究標(biāo)準(zhǔn)選取病例120例,按入院前后順序,以簡(jiǎn)單隨機(jī)分組方法把病人分為兩組,即試驗(yàn)組60例,對(duì)照組60例。術(shù)后麻痹性腸梗阻病人兩組分別予西醫(yī)非手術(shù)基礎(chǔ)保守治療,試驗(yàn)組在此基礎(chǔ)上加用臍療方,分別觀察其排氣,排便,腸鳴音,腹脹,腹痛等情況。研究成果:1.本臨床研究數(shù)據(jù),經(jīng)正版統(tǒng)計(jì)學(xué)軟件科學(xué)比較后,兩組患者的年齡、性別無(wú)統(tǒng)計(jì)學(xué)意義,即患者的年齡及性別對(duì)運(yùn)用臍療方治療術(shù)后麻痹性腸梗阻的臨床療效無(wú)影響。2.應(yīng)用臍療方的試驗(yàn)組比對(duì)照組,腹痛,腹脹,排便,排氣,腸鳴音情況恢復(fù)較好,兩組比較具有統(tǒng)計(jì)學(xué)意義。研究結(jié)論:1.治療術(shù)后麻痹性腸梗阻在西醫(yī)基礎(chǔ)治療的同時(shí)加用臍療方,臨床效果更明顯。兩組治療方法對(duì)術(shù)后麻痹性腸梗阻都有一定療效,在恢復(fù)排氣、排便,改善腸鳴音,減輕腹脹、腹痛等方面均有改善;試驗(yàn)組在西醫(yī)保守治療基礎(chǔ)上結(jié)合臍療方的五項(xiàng)臨床觀察指標(biāo)的臨床療效上優(yōu)于對(duì)照組西醫(yī)保守治療,兩組在術(shù)式,年齡,性別等觀察指標(biāo)無(wú)統(tǒng)計(jì)學(xué)意義,故西醫(yī)保守治療基礎(chǔ)上結(jié)合臍療方是臨床治療術(shù)后麻痹性腸梗阻的更為有效的療法之一,實(shí)用人群度較廣,值得臨床進(jìn)一步推廣。
[Abstract]:Objective: the purpose of this study was to collect and collect the basic information of age and sex of the patients in the two groups, and to observe and record the recovery of the indexes of the patients with paralytic intestinal obstruction after operation. Scientific and reasonable verification with qualified authentic statistical software, comparison of clinical efficacy between the two groups, observation of which group is better, and clinical experience, In order to confirm the effect of navel therapy on paralytic intestinal obstruction after operation, and to provide reference and basis for expanding clinical use. Methods: one hundred and twenty cases were selected from the surgical inpatients in Guangzhou traditional Chinese Medicine Hospital. According to the sequence before and after admission, the patients were divided into two groups by a simple randomized method: the experimental group (n = 60), and the control group (n = 60). There were 60 cases in the control group. The patients with paralytic intestinal obstruction were treated with non-operative conservative therapy respectively. The experimental group was treated with navel prescription on this basis, and the exhaust, defecation, bowel sound, abdominal distension and abdominal pain were observed respectively. Research results: 1. The data of this clinical study, after the scientific comparison of the original statistical software, the age and gender of the two groups have no statistical significance, that is, the age and gender of the patients have no effect on the clinical effect of the treatment of paralytic intestinal obstruction after operation by using the navel prescription. 2. Compared with the control group, abdominal pain, abdominal distension, defecation, exhaust and bowel sounds recovered better in the experimental group. Conclusion: 1. The clinical effect of palsy intestinal obstruction after operation is more obvious than that of western medicine. The two groups have certain curative effect on paralytic intestinal obstruction after operation. They can improve the recovery of exhaust, defecation, improve the sound of bowel sounds, relieve abdominal distention and abdominal pain. On the basis of conservative treatment of western medicine, the trial group had better clinical efficacy than the control group in terms of five clinical observation indexes combined with umbilical therapy, and there was no significant difference between the two groups in terms of operation method, age, sex and other observation indexes. Therefore, the combination of western conservative treatment and umbilical therapy is one of the more effective treatments for postoperative paralytic intestinal obstruction.
【學(xué)位授予單位】:廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2015
【分類號(hào)】:R619

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