發(fā)布時(shí)間：2018-07-21 17:02

【摘要】：目的：本次研究的主旨在于觀察自擬理氣通腑湯對(duì)比西醫(yī)常規(guī)療法對(duì)氣滯血瘀型粘連性腸梗阻的臨床療效,科學(xué)系統(tǒng)的探討自擬理氣通腑湯的作用機(jī)理。方法：選取本院有腹部手術(shù)史的氣滯血瘀型粘連性腸梗阻患者60例,隨機(jī)分兩組,每組30例。給予常規(guī)西醫(yī)治療的一組為對(duì)照組；另外一組在對(duì)照組治療方法的基礎(chǔ)上經(jīng)胃管注入自擬理氣通腑湯,稱之為治療組。通過觀察記錄下的數(shù)據(jù)探討中藥聯(lián)合西醫(yī)常規(guī)治療本病的效果,這些數(shù)據(jù)包括兩組患者肛門首次排氣時(shí)間、兩組患者在腹痛腹脹緩解情況、腹部平片氣液平面改變情況、腸鳴音恢復(fù)情況。結(jié)果：兩組患者經(jīng)治療后,治療組的腹部癥狀消失時(shí)間、腸鳴音恢復(fù)和肛門首次排氣時(shí)間、腹部平片氣液平面消失時(shí)間對(duì)比對(duì)照組均提前。對(duì)照組治愈9例、有效11例、無效10例,總有效率為66.7%；治療組治愈13例、好轉(zhuǎn)12例、無效5例,總有效率為83.3%。兩組比較有顯著性差異(P0.05),具有可比性,治療組優(yōu)于對(duì)照組。結(jié)論：自擬理氣通腑湯對(duì)比西醫(yī)常規(guī)療法對(duì)氣滯血瘀型粘連性腸梗阻的治療療效顯著,中藥聯(lián)合西醫(yī)治療本病值得進(jìn)一步研究和探討。
[Abstract]:Objective: the purpose of this study was to observe the clinical curative effect of traditional western medicine therapy on adhesive intestinal obstruction of Qi stagnation and Blood stasis type, and to explore the mechanism of self-made Qi Tong Fu decoction. Methods: sixty patients with adhesive intestinal obstruction of Qi stagnation and Blood stasis type were randomly divided into two groups, 30 cases in each group. One group was treated with routine western medicine as the control group, the other group was treated with self-made Liqi Tongfu decoction through stomach tube on the basis of the control group's treatment method, which was called the treatment group. Through observing and recording the data to discuss the effect of traditional Chinese medicine combined with western medicine routine treatment of this disease, these data include the first time of anal exhaust in two groups of patients, the relief of abdominal pain and abdominal distention, the change of gas-liquid level of flat film of abdomen in two groups. Recovery of bowel sounds. Results: after treatment, the time of disappearance of abdominal symptoms, the recovery of bowel sound, the first time of anal exhaust and the time of disappearance of gas and liquid plane of flat film of abdomen in the treatment group were earlier than those in the control group. In the control group, 9 cases were cured, 11 cases were effective, 10 cases were ineffective, the total effective rate was 66.7%, in the treatment group, 13 cases were cured, 12 cases were improved, 5 cases were ineffective, the total effective rate was 83.3%. There was significant difference between the two groups (P0.05), the treatment group was better than the control group. Conclusion: compared with conventional western medicine, the effect of self-made Liqi Tongfu decoction on adhesive intestinal obstruction of Qi stagnation and Blood stasis type is remarkable. It is worth further study and discussion on the treatment of this disease with traditional Chinese medicine combined with western medicine.
【學(xué)位授予單位】：長(zhǎng)春中醫(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)】：R656

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