【摘要】：目的:觀察六磨湯聯(lián)合中醫(yī)外治治療單氣囊小腸鏡診療術(shù)后不良反應(yīng)的臨床療效,客觀評(píng)價(jià)其有效性和安全性,為該治療方案的臨床應(yīng)用提供依據(jù)。研究方法:臨床研究共收集病例84例,按照隨機(jī)數(shù)字表分為對(duì)照組42例,治療組42例,對(duì)照組采用西醫(yī)常規(guī)西醫(yī)治療,治療組在對(duì)照組的基礎(chǔ)上予六磨湯加減聯(lián)合中醫(yī)外治(TDP紅外線治療儀)治療。以不良反應(yīng)完全緩解時(shí)間、腸鳴音恢復(fù)情況為療效指標(biāo),觀察記錄納入研究的治療組及對(duì)照組患者治療前后各療效評(píng)價(jià)指標(biāo)的變化。運(yùn)用spss19.0統(tǒng)計(jì)軟件,對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。結(jié)果:1、評(píng)價(jià)中醫(yī)證候療效比較,治療后對(duì)照組有效率為85.71%,治療組有效率為95.24%,兩組比較(X2=4.09,P0.05),差別有統(tǒng)計(jì)學(xué)意義,說明治療組優(yōu)于對(duì)照組。2、評(píng)價(jià)兩組中醫(yī)證候積分比較,治療前對(duì)照組中醫(yī)癥候積分為9.07±3.89,治療組為9.50±3.68,兩組比較(t=-5.2,P=0.610.05),具有可比性。治療后,對(duì)照組治療前后比較(t=10.76,P=0.000.01);治療組治療前后比較(t=16.50,P=0.00);治療后對(duì)照組與治療組比較(t=2.36,P=0.020.05)。3、評(píng)價(jià)腸鳴音恢復(fù)情況,兩組比較(P0.01),差異有統(tǒng)計(jì)學(xué)意義,治療組腸鳴音恢復(fù)較治療組快。4、評(píng)價(jià)組術(shù)后不良反應(yīng)完全緩解時(shí)間,兩組比較(X2=17.51,P0.01),具有高度顯著差異性,治療組優(yōu)于對(duì)照組。結(jié)論:1、六磨湯聯(lián)合中醫(yī)外治(TDP紅外線治療儀)能有治療單氣囊小腸鏡診療術(shù)后的不良反應(yīng)。2、六磨湯聯(lián)合中醫(yī)外治(TDP紅外線治療儀)較西醫(yī)常規(guī)治療在改善單氣囊小腸鏡診療術(shù)后腸鳴音恢復(fù)情況、不良反應(yīng)完全緩解時(shí)間方面具有更好的療效。
[Abstract]:Objective: to evaluate the efficacy and safety of Liumo decoction combined with external treatment of traditional Chinese medicine in the treatment of adverse reactions after single balloon enteroscopy. Methods: a total of 84 cases were collected and divided into control group (n = 42), treatment group (n = 42) and control group (n = 42). The treatment group was treated with Liumo decoction combined with TDP infrared therapy instrument on the basis of the control group. According to the time of complete remission of adverse reactions and the recovery of bowel sounds, the changes of evaluation indexes before and after treatment were observed in the treatment group and the control group. Spss19.0 statistical software is used to analyze the data. Results: compared with the control group and the treatment group, the effective rate was 85.71in the control group and 95.244in the treatment group, respectively. The difference between the two groups (X2P 4.09 P 0.05) was statistically significant, indicating that the treatment group was superior to the control group, and the score of TCM syndromes between the two groups was evaluated, indicating that the treatment group was superior to the control group, and the comparison of TCM syndromes between the two groups was evaluated. The score of TCM symptom in the control group was 9.07 鹵3.89 and that in the treatment group was 9.50 鹵3.68 before treatment. After treatment, the control group was compared before and after treatment (tn 10.76), the treatment group was compared before and after treatment (tr 16.50% P0.00), and the control group was compared with the treatment group (tn 2.36 P0. 020.05) .3, to evaluate the recovery of bowel sounds (P0.01), the difference was statistically significant. The recovery of bowel sounds in the treatment group was faster than that in the treatment group. The time of complete remission of adverse reactions in the evaluation group was significantly higher than that in the control group (X2P 17.51, P0.01), and the treatment group was superior to the control group. Conclusion the TDP infrared therapy instrument can treat the adverse reaction of single airbag enteroscopy. Liumo decoction combined with traditional Chinese medicine treatment (TDP infrared therapy instrument) can improve the single airbag. Recovery of bowel sounds after enteroscopy, There is a better effect on the time of complete remission of adverse reactions.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R656

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 沈江立;李娜;焦云婷;;加味六磨湯治療結(jié)直腸癌術(shù)后早期炎癥性腸梗阻臨床研究[J];中醫(yī)學(xué)報(bào);2017年03期

2 陳桂霞;;加味六磨湯治療返流性胃炎60例療效探討[J];光明中醫(yī);2016年12期

3 倪陣;陳虹彬;呂勇;劉煉煉;徐輝;;單氣囊小腸鏡對(duì)可疑小腸疾病診療價(jià)值的探討[J];胃腸病學(xué);2015年10期

4 王冠芝;;中醫(yī)中藥治療上消化道出血臨床應(yīng)用[J];亞太傳統(tǒng)醫(yī)藥;2015年18期

5 劉麗;;TDP神燈照射在蛇串瘡治療中的辨證施護(hù)[J];遼寧中醫(yī)藥大學(xué)學(xué)報(bào);2015年08期

6 朱晨;;加味六磨湯治療結(jié)腸冗長(zhǎng)病人習(xí)慣性便秘臨床觀察[J];中國(guó)民間療法;2015年06期

7 李申海;;觀察加味六磨湯治療反流性胃炎的臨床療效[J];中國(guó)衛(wèi)生標(biāo)準(zhǔn)管理;2015年05期

8 時(shí)強(qiáng);武逸人;蔡世倫;任重;陳濤;陳天音;朱俊宇;徐佳昕;馬麗黎;鐘蕓詩(shī);姚禮慶;;單氣囊小腸鏡在小腸疾病診治中的價(jià)值[J];中華結(jié)直腸疾病電子雜志;2014年06期

9 朱鳴;張靜;唐杰;毛高平;寧守斌;金曉維;李彥飛;;單氣囊小腸鏡對(duì)老年人小腸疾病的診斷價(jià)值[J];空軍醫(yī)學(xué)雜志;2014年04期

10 陳建春;;加味六磨湯治療反流性胃炎120例觀察[J];實(shí)用中醫(yī)藥雜志;2014年09期

相關(guān)博士學(xué)位論文 前2條

1 顏彥;蒙藥山沉香揮發(fā)油成分分析及抗心肌缺血作用研究[D];華中科技大學(xué);2011年

2 劉琳娜;大黃多糖對(duì)腸上皮細(xì)胞損傷的修復(fù)作用及其機(jī)制研究[D];第四軍醫(yī)大學(xué);2005年

相關(guān)碩士學(xué)位論文 前2條

1 譚明明;烏藥醇提物保護(hù)急性酒精性肝損傷的腸源性機(jī)制研究[D];安徽醫(yī)科大學(xué);2016年

2 劉雪艷;木香檳榔湯治療便秘型腸易激綜合征（腸道氣滯型）的臨床觀察[D];山東中醫(yī)藥大學(xué);2012年

，

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