| 王冬芽,周青,肖苗苗,黄无浪,肖仁顺.中药封包四黄散治疗术后早期炎性肠梗阻50例临床效果分析[J].井冈山大学自然版,2020,41(6):92-95 |
| 中药封包四黄散治疗术后早期炎性肠梗阻50例临床效果分析 |
| ANALYSIS OF CLINICAL EFFECT OF ENCAPSULATED TRADITIONAL CHINESE MEDICINE SIHUANG MEDICAL POWDER IN THE TREATMENT OF EARLY POSTOPERATIVE INFLAMMATORY ILEUS IN 50 CASES |
| 投稿时间：2020-08-13 修订日期：2020-10-16 |
| DOI：10.3969/j.issn.1674-8085.2020.06.018 |
| 中文关键词: 四黄散 术后早期炎性肠梗阻 中药封包 |
| 英文关键词: Sihuang medical powder early postoperative inflammatory ileus Traditional Chinese Medicine (TCM) packet |
| 基金项目:江西省中医药科研课题项目(2019B050) |
| 作者 | 单位 | | 王冬芽 | 井冈山大学附属医院, 江西, 吉安 343000 | | 周青 | 井冈山大学医学部, 江西, 吉安 343009 | | 肖苗苗 | 井冈山大学附属医院, 江西, 吉安 343000 | | 黄无浪 | 井冈山大学附属医院, 江西, 吉安 343000 | | 肖仁顺 | 井冈山大学附属医院, 江西, 吉安 343000 |
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| 中文摘要: |
| 目的 观察中药封包四黄散腹部外敷治疗术后早期炎性肠梗阻病人的临床疗效。方法 回顾性分析 2019年8月至2020年9月井冈山大学附属医院普外科收治的50例术后早期炎性肠梗阻患者的临床资料,根据随机数字表法将病人分为对照组和观察组两组:对照组按照西医常规治疗,观察组在对照组的基础上加用腹部外敷四黄散治疗。观察两组分别于治疗的第1、5、10 d血清超敏C反应蛋白(hs-CRP)、血清炎症因子白细胞介素-6(IL-6)水平;比较病人腹痛缓解时间,胃肠减压引流量,肛门恢复排气、排便时间。结果 两组患者治疗第1 d血清hs-CRP、IL-6水平比较无统计学意义(P > 0.05),治疗第5 d、第10 d,观察组较对照组显著降低,有统计学意义(P < 0.05),观察组病人腹痛缓解时间、胃肠减压引流量、肛门恢复排气时间均较对照组减少。结论 术后早期炎性肠梗阻在常规西医治疗基础上,给中药封包四黄散腹部外敷,可提高临床疗效,缩短住院时间,减少患者的治疗费用。 |
| 英文摘要: |
| Objective：To observe the clinical effect of encapsulated Traditional Chinese Medicine (TCM) Sihuang powder applied to abdomen in the treatment of early postoperative inflammatory intestinal obstruction. Methods: The clinical data of 50 patients with early postoperative inflammatory ileus admitted to the General Surgery Department of affiliated hospital of Jinggangshan University from August 2019 to September 2020 were retrospectively analyzed. Patients were divided into the control group and the observation group according to the random number table method, the control group received conventional treatment according to western medicine, and the observation group was treated with Sihuang powder applied externally on the basis of the control group. The serum levels of hs-CRP and IL-6, the inflammatory factor were observed on day 1, 5 and 10. The time for relieving abdominal pain, gastrointestinal decompression and drainage, and anal recovery of exhaust and defecation of two groups were compared. Results: There was no statistically significant difference in serum hs-CRP and IL-6 levels between the two groups on day 1 after treatment (P > 0.05); the levels of hs-crp and il-6 in the observation group were significantly lower than those in the control group on day 5 and day 10 after treatment (P < 0.05); the relief time of abdominal pain, gastrointestinal decompression and drainage flow, and anal recovery and exhaust time in the observation group were all lower than those in the control group. Conclusion: On the basis of conventional western medicine treatment for early postoperative inflammatory intestinal obstruction, applying the Traditional Chinese Medicine Sihuang powder on the abdomen can improve the clinical efficacy, shorten the hospital stay and reduce the treatment cost. |
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