大承气汤治疗粘连性肠梗阻的效果与护理体会分析
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摘要
目的探讨大承气汤治疗粘连性肠梗阻的效果与护理体会。方法选取2015年7月—2016年11月我院收治的90例粘连性肠梗阻患者为研究对象,按双盲法分为研究组47例和对照组43例。其中,对照组给予常规西医治疗,研究组在其基础上联合使用大承气汤进行治疗,对比两组临床治疗效果,同时根据治疗现状提出相应的护理措施。结果研究组治疗总有效率高于对照组(P <0.05);研究组各项消化功能恢复时间以及住院时间均短于对照组(P <0.05);研究组不良反应发生率低于对照组(P <0.05)。结论在粘连性肠梗阻中使用大承气汤并辅以对应的护理干预,可以有效的提高临床疗效,促进患者恢复。
Objective To probe into the effect and nursing experience of Dachengqi Decoction in treatment of adhesive intestinal obstruction.Methods 90 cases of patients with adhesive intestinal obstruction and who treated in our hospital from July,2015 to November,2016 were selected as the research objects, and were divided into study group(47 cases) and control group(43 cases) by double blind method. The control group were treated with conventional western medicine, while the study group were treated with Dachengqi Decoction on the basis of its treatment. Then, the clinical effects of two groups were compared, and the corresponding nursing measures were put forward according to the current treatment status. Results The total effective rate of treatment in the study group was higher than that in the control group(P < 0.05).The recovery time and hospitalization time in the study group were shorter than those in the control group(P < 0.05).The incidence of adverse reactions in the study group was lower than that in the control group(P < 0.05). Conclusion The Dachengqi decoction combined with corresponding nursing intervention for adhesive intestinal obstruction which can effectively improve the clinical effect and promote the recovery of patients.
Objective To probe into the effect and nursing experience of Dachengqi Decoction in treatment of adhesive intestinal obstruction.Methods 90 cases of patients with adhesive intestinal obstruction and who treated in our hospital from July,2015 to November,2016 were selected as the research objects, and were divided into study group(47 cases) and control group(43 cases) by double blind method. The control group were treated with conventional western medicine, while the study group were treated with Dachengqi Decoction on the basis of its treatment. Then, the clinical effects of two groups were compared, and the corresponding nursing measures were put forward according to the current treatment status. Results The total effective rate of treatment in the study group was higher than that in the control group(P < 0.05).The recovery time and hospitalization time in the study group were shorter than those in the control group(P < 0.05).The incidence of adverse reactions in the study group was lower than that in the control group(P < 0.05). Conclusion The Dachengqi decoction combined with corresponding nursing intervention for adhesive intestinal obstruction which can effectively improve the clinical effect and promote the recovery of patients.
引文
[1]杨正东,尹小勇,王应,等.复方大承气汤联合西药治疗腹部手术后粘连性肠梗阻40例[J].中国药业,2016,25(16):90-93.
[2]郝宏华.复方大承气汤联合常规疗法治疗粘连性肠梗阻疗效及对胃肠功能的影响[J].陕西中医,2017,38(5):560-561.
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[4]王雅平.复方大承气汤联合西药治疗腹部手术后粘连性肠梗阻的临床疗效[J].中国处方药,2017,15(5):100-101.
[5]周继生.复方大承气汤在治疗粘连性肠梗阻中的临床应用[J].中国处方药,2015,13(9):86-87.
[6]彭俊华.大承气汤治疗腹部手术后早期粘连性肠梗阻的研究进展[J].内蒙古中医药, 2017,36(20):135-136.
[7]徐英峰,方东.复方大承气汤灌肠结合皮硝外敷治疗单纯性肠梗阻52例临床疗效观察[J].中国中西医结合消化杂志,2015,23(2):118-119.
[8]刘艳红,邱彩红,王敏.大承气汤组方穴位定向透药治疗粘连性肠梗阻湿热壅滞证疗效观察[J].现代中西医结合杂志,2017,26(36):4042-4044.
[9]王希涛,孙珅,关如东,等.复方大承气汤加减治疗手术后早期粘连性肠梗阻疗效观察[J].中国全科医学,2017, 20(S3):381-382.
[10]户玉鹏,闫万里,李琳华.大承气汤加减保留灌肠对粘连性肠梗阻患者ET、 TNF-α、IL-6的影响[J].中国中医急症,2015,24(9):1638-1639.
[11]吴文琴.大承气汤加减联合西药治疗急性单纯性肠梗阻(阳明腑实证)患者临床观察[J].中国中医急症,2016,25(6):1251-1253.
[12]温莹莹.大承气汤治疗肠梗阻患者的疗效观察[J].中国实用医药,2016,11(12):182-183.
[2]郝宏华.复方大承气汤联合常规疗法治疗粘连性肠梗阻疗效及对胃肠功能的影响[J].陕西中医,2017,38(5):560-561.
[3]许干亮.芒硝外敷联合大承气汤灌肠治疗粘连性肠梗阻的临床观察[J].中国中医药现代远程教育,2016,14(15):133-134.
[4]王雅平.复方大承气汤联合西药治疗腹部手术后粘连性肠梗阻的临床疗效[J].中国处方药,2017,15(5):100-101.
[5]周继生.复方大承气汤在治疗粘连性肠梗阻中的临床应用[J].中国处方药,2015,13(9):86-87.
[6]彭俊华.大承气汤治疗腹部手术后早期粘连性肠梗阻的研究进展[J].内蒙古中医药, 2017,36(20):135-136.
[7]徐英峰,方东.复方大承气汤灌肠结合皮硝外敷治疗单纯性肠梗阻52例临床疗效观察[J].中国中西医结合消化杂志,2015,23(2):118-119.
[8]刘艳红,邱彩红,王敏.大承气汤组方穴位定向透药治疗粘连性肠梗阻湿热壅滞证疗效观察[J].现代中西医结合杂志,2017,26(36):4042-4044.
[9]王希涛,孙珅,关如东,等.复方大承气汤加减治疗手术后早期粘连性肠梗阻疗效观察[J].中国全科医学,2017, 20(S3):381-382.
[10]户玉鹏,闫万里,李琳华.大承气汤加减保留灌肠对粘连性肠梗阻患者ET、 TNF-α、IL-6的影响[J].中国中医急症,2015,24(9):1638-1639.
[11]吴文琴.大承气汤加减联合西药治疗急性单纯性肠梗阻(阳明腑实证)患者临床观察[J].中国中医急症,2016,25(6):1251-1253.
[12]温莹莹.大承气汤治疗肠梗阻患者的疗效观察[J].中国实用医药,2016,11(12):182-183.