大黄芒硝散脐周外敷对粘连性肠梗阻疗效的影响
Effect of Umbilical Compress of Rhubarb and Glauber Salt Powder in the Treatment of Adhesive Intestinal Obstruction
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摘要: 探讨大黄芒硝散脐周外敷辅助治疗粘连性肠梗阻的临床疗效。方法 就诊的粘连性肠梗阻患者67例,其中采取西医常规治疗的32例设为对照组,另35例患者在西医常规治疗的基础上应用大黄芒硝散脐周外敷辅助治疗设为治疗组,观察2组中性粒细胞百分率、血液C反应蛋白(CRP)恢复情况,腹痛缓解时间、自主排气时间、自主排便时间、住院时间及住院费用。结果 治疗组总有效率97.1%,优于对照组81.1%(P<0.05) 。治疗组中性粒细胞百分率、CRP恢复情况,腹痛缓解时间、自主排气时间、自主排便时间、住院时间、住院费用均优于对照组(P<0.05)。结论 大黄芒硝散脐周外敷辅助治疗粘连性肠梗阻疗效确切,且能缩短住院时间,减轻患者痛苦和经济负担,值得临床推广。Abstract: OBJECTIVE To explore the clinical effect of umbilical compress of rhubarb and glauber salt powder in the treatment of adhesive intestinal obstruction. METHODS 67 patients with adhesive intestinal obstruction visited the hospital were enrolled in the study, among which 32 cases treated with the conventional western medicine was taken as the control group, 35 cases treated with umbilical compress of rhubarb and glauber salt powder on the basis of the conventional western medicine treatment was taken as the observation group. The neutrophils percentage, recovery situation of serum CRP, abdominal pain relief time, autonomous exhaust time, autonomous defecation time, hospital stay and hospitalization cost in both groups were observed. RESULTS The total effective rate of the observation group was 97.1%, which was better than that of the control group (81.1%, P<0.05). The neutrophils percentage, recovery situation of serum CRP, abdominal pain relief time, autonomous exhaust time, autonomous defecation time, hospital stay and hospitalization cost in the observation group were all better than those in the control group(P<0.05). CONCLUSIONS Umbilical compress of rhubarb and glauber salt powder has exact curative effect in the treatment of adhesive intestinal obstruction, and it can shorten the hospital stay, relieve the pain and economic burden of the patients, which is worthy of clinical promotion.