摘要
【目的】观察通腑泻热合剂保留灌肠合并电针对急性弥漫性腹膜炎疗效的影响。【方法】按入院顺序选择 32例急性弥漫性腹膜炎手术病例作为试验组 ,术后 6h开始运用通腑泻热合剂保留灌肠合并电针治疗 ,选择同期急性弥漫性腹膜炎手术病例 2 8例作为对照组 ,术后不用中药和电针治疗 ,两组西医治疗方法相同。观察两组肠鸣音恢复时间、肛门排气和排便时间、术后并发症、多器官功能障碍综合征 (MODS)、多脏器功能衰竭 (MOF)等情况。【结果】试验组的肠鸣音恢复时间为 (2 0 32± 4 34)h、肛门排气时间为 (2 9 4 3± 9 6 6 )h及排便时间为 (4 0 6 9± 13 6 9)h ,与对照组的 (30 6 6± 6 0 6 )h、(4 0 6 6± 17 33)h、 (6 6 4 8± 17 5 8)h相比 ,均有明显缩短 (均P <0 0 5 ) ;此外 ,试验组术后肺部感染、症状性肠粘连、MODS、MOF及死亡率均较对照组明显减少。【结论】通腑泻热合剂保留灌肠合并电针治疗急性弥漫性腹膜炎疗效较好。
To investigate the effect of retention-enema of Bowels-Unblocking and Heat-Purging Mixture (BHM) combined with electro-acupuncture (EA) for peritonitis after operative.In admission order, 32 cases of acute diffuse peritonitis were allocated to group A and were treated with retention-enema of BHM and EA based on routine western medicine 6 hours after operation.Other 28 cases in group B were treated with routine western medicine only. Recovery time of bowel sound,passing flatus and defecation was observed after operation as well as post-operative complications, multiple organs dysfunction syndrome (MODS) and multiple organ failure (MOF).After operation, recovery time of bowel sounding,passing flatus and defecation was 20.32±4.34, 29.43±9.66 and 40.69±13.69 hours in group A respectively, which differed from 30.66±6.06, 40.66±17.33 and 66.48±17.58 hours in group B (P<0.05). Post-operative pulmonary infection, symptomatic intestinal adhension (SIA), MODS, MOF and death rate were reduced in group A as compared with group B.[Conclusion]Retention-enema of BHM combined with EA exerts a good effect in treating acute diffuse peritonitis.
出处
《广州中医药大学学报》
CAS
2004年第3期164-166,共3页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
通腑泻热合剂
保留灌肠
电针
腹膜炎
足三里
中药疗法
PERITONITIS/TCD therapy
BOWELS-UNBLOCKING AND HEAT-PURGING MIXTURE/therapeutic use
ENEMA
PERITONITIS/ acup-mox therapy
POINT ST36 (ZUSANLI)
