摘要
目的探讨健脾益气法治疗重症胃肠功能障碍的临床疗效。方法选取2015年8月至2017年8月武汉市普仁医院收治的84例重症胃肠功能障碍为研究对象,按照随机数字法分为对照组和观察组,各42例。对照组行常规西医治疗,观察组在对照组的基础上增加健脾益气的中药方剂四君子汤。比较两组患者的临床疗效、营养学指标、胃肠功能障碍持续时间以及住院时间。结果观察组总有效率高于对照组[90.48%(38/42)比64.29%(27/42)](P<0.05);观察组治疗后血清总蛋白、白蛋白高于对照组[(65.68±4.97)g/L比(58.17±3.63)g/L,(35.68±3.97)g/L比(32.52±4.16)g/L](P<0.01);观察组胃肠功能障碍持续时间和住院时间均短于对照组[(5.64±1.49)d比(8.68±1.61)d,(9.14±0.67)d比(12.49±1.03)d](P<0.01)。结论健脾益气法治疗重症胃肠功能障碍的疗效显著,可改善患者营养学水平,缩短胃肠功能障碍持续时间以及患者住院时间。
Objective To explore the clinical effect of invigorating spleen and Qi method on patients with severe gastrointestinal dysfunction. Methods A total of 84 patients with severe gastrointestinal dysfunction admitted to Wuhan Puyan Hospital from Aug. 2015 to Aug. 2017 were included in the study,which were randomly divided into a control group and an observation group（42 cases each） according to the random number table method.The control group was treated with conventional western medicine treatment,while the observation group was treated with invigorating spleen and Qi therapy combined with conventional western medicine treatment.The clinical efficacy,nutritional indicators,duration of gastrointestinal dysfunction and the length of hospital stay in ICU of the two groups were observed and compared. Results The total effective rate in the observation group was higher than that in the control group[90.48%（38/42） vs 64.29% （27/42）]（ P 〈 0.05 ）.After treatment,the serum total protein and albumin in the observation group were higher than those in the control group[（65.68±4.97） g/L vs （58.17±3.63） g/L, （35.68±3.97） g/L vs （32.52±4.16） g/L]（ P 〈 0.01）;the duration of gastrointestinal dysfunction and the length of hospital stay in the observation group were shorter than those in the control group[（5.64±1.49） d vs （8.68±1.61） d,（9.14±0.67） d vs （12.49±1.03） d]（ P 〈0.01）. Conclusion The method of invigorating spleen and Qi therapy for patients with severe gastrointestinal dysfunction has significant curative effect,which can improve the patients′ nutrition level,shorten the duration of gastrointestinal dysfunction and hospital stay.
作者
齐馨馨
梁凌
胡小军
胡倩
刘甜
姚明
QI Xinxin;LIANG Ling;HU Xiaojun;HU Qian;LIU Tian;YAO Ming(Department of Intensive Care Unit;Department of Traditional Chinese Medicine;Department of Neurology,Wuhan Puren Hospital,Wuhan 430081,China)
出处
《医学综述》
2018年第14期2899-2902,共4页
Medical Recapitulate
关键词
重症胃肠功能障碍
健脾益气法
常规西医治疗
Severe gastrointestinal dysfunction
Invigorating spleen and Qi method
Conventional western medicine treatment
作者简介
通信作者:姚明,E-mail:yer15896@163.com
