清肠合剂保留灌肠治疗术后肠粘连的临床探究.pdfVIP

提 要 目的：通过清肠合剂保留灌肠治疗术后肠粘连疗效的临床观察，研究应用清肠合 剂的作用机理和效果。 方法：本课题对符合纳入标准的术后肠粘连患者 60 例随机分为两组，每组 30 例。治疗组在常规治疗基础上采用清肠合剂灌肠，对照组采取解痉止痛的常规治疗。 观察两组患者腹痛等症状以及治疗时间，并对以上指标量化评分。 结果：两组病例在腹痛等症状疗效方面，有显著性差异，治疗组明显优于对照组。 结论：清肠合剂保留灌肠治疗术后肠粘连能明显减轻患者痛苦并缩短患者恢复时 间，对临床实践有一定的指导意义。 关键词：清肠合剂；术后肠粘连；灌肠；临床观察 Abstract Objective : Through the clinical observation,we can research the curative effect of Qing Chang He Ji to cure the ankylenteron after surgical operation,besides,we can also approach the mechanism of action ot Qing Chang He Ji. Methods: 60 patients were divided into two groups:The treatment group(30 patients) and the control group(30 patients). The treatment group take the Qing Chang He Ji to enteroclysis on the basis of routine treatment while the control group take the treatment of relieving spasm and pain. To observe the situation of abdominal pain and distention and other symptoms. Results: Two groups of cases curative effect that no obvious differences and both methods are effective, but afterwards,there were outstanding differences in the situation of symptoms. The treatment group was clear better than the control group. Conclusion: This method offers a new way for the treatment of ankylenteron after surgical operation ,It is significant and applicable. Key words ankylenteron after surgical operation; enteroclysis; clinical observation 引 言 术后肠粘连是目前仍然困扰外科界的一个难题。主要表现为手术后腹部出现隐 痛，胀痛，攻窜痛，阵发性发作，肛门排气或排便后缓解，腹软，无反跳痛，可有局 限性压痛，无肠型及蠕动波，听诊肠鸣音活跃，无气过水声或金属音，腹部摄片可见 [1] 肠管胀气扩张，无阶梯状气液平面 。近年的研究报告指出，经历过腹部手术的病人 [2]