六磨承气汤联合肥皂水灌肠治疗急性肠梗阻胃肠气闭证临床研究
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R574.2

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国家中医药管理局第七批全国老中医药专家学术经验继承项目(国中医药办人教函〔2022〕76号);开封市科技发展计划项目(2203066)


Clinical Study on Liumo Chengqi Decoction Combined with Soapsuds Enema for Acute Intestinal Obstruction with Stomach-Intestinal Qi Block Syndrome
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    摘要:

    目的:观察六磨承气汤联合肥皂水灌肠治疗急性肠梗阻胃肠气闭证的临床疗效。方法:选取62例 急性肠梗阻胃肠气闭证患者,按随机数字表法分为对照组与观察组各31例。2组均接受常规疗法治疗(包括禁 食、禁水、胃肠减压等),在此基础上,对照组给予肥皂水灌肠治疗,观察组则给予六磨承气汤联合肥皂水灌 肠治疗。2组均治疗3 d。比较2组临床疗效、中医证候积分、胃肠激素、炎症因子和不良反应发生率。结果: 治疗3 d后,总有效率观察组93.55%,高于对照组74.19%(P<0.05)。2组中医证候积分均较治疗前降低(P< 0.05),观察组中医证候积分低于对照组(P<0.05)。2 组血清胃动素、胃泌素水平均较治疗前升高(P< 0.05),观察组血清胃动素、胃泌素水平均高于对照组(P<0.05)。2组血清白细胞介素-8(IL-8)、C-反应蛋 白(CRP)、肿瘤坏死因子-α(TNF-α) 水平均较治疗前降低(P<0.05),观察组血清IL-8、CRP、TNF-α水 平均低于对照组(P<0.05)。不良反应总发生率观察组9.68%,与对照组6.45%比较,差异无统计学意义(P> 0.05)。结论:六磨承气汤联合肥皂水灌肠治疗急性肠梗阻胃肠气闭证疗效确切,可有效改善患者的胃肠功能, 降低炎症因子水平,且不良反应发生率低。

    Abstract:

    Abstract: Objective: To observe the clinical efficacy of Liumo Chengqi Decoction combined with soapsuds enema in the treatment of acute intestinal obstruction with the stomach-intestinal qi block syndrome. Methods: A total of 62 cases of patients with acute intestinal obstruction with the stomachintestinal qi block syndrome were selected and divided into the control group and the observation group by the random number table method,with 31 cases in each group. Both groups received conventional therapy (fasting, water deprivation, gastrointestinal decompression, etc.). On this basis, the control group was treated with soapsuds enema, and the observation group was treated with Liumo Chengqi Decoction combined with soapsuds enema. Both groups were treated for three days. The clinical effects, traditional Chinese medicine (TCM) syndrome scores,gastrointestinal hormone,inflammatory factor,and incidence of adverse reactions were compared between the two groups. Results:After three days of treatment,the total effective rate was 93.55% in the observation group, which was higher than that of 74.19% in the control group (P<0.05). The TCM syndrome scores in the two groups were declined when compared to those before treatment (P<0.05),and the TCM syndrome scores in the observation group were lower than those in the control group (P<0.05). The levels of serum motilin and gastrin in both groups were increased when compared with those before treatment (P<0.05),and the levels of serum motilin and gastrin in the observation group were higher than those in the control group (P<0.05). The levels of serum interleukin-8 (IL-8),C-reactive protein (CRP),and tumor necrosis factor-α (TNF-α) in the two groups were decreased when compared with those before treatment (P<0.05),and the levels of serum IL-8,CRP,and TNF-α in the observation group were lower than those in the control group (P<0.05). The total incidence of adverse reactions was 9.68% in the observation group and 6.45% in the control group,with no significance in the difference (P>0.05). Conclusion:The combination of Liumo Chengqi Decoction and soapsuds enema has a definite therapeutic effect on acute intestinal obstruction with the stomach-intestinal qi block syndrome. It can effectively improve the gastrointestinal function of patients and reduce the level of inflammatory factors, with a low incidence of adverse reactions.

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娄永亮,刘静宇,张云瑞.六磨承气汤联合肥皂水灌肠治疗急性肠梗阻胃肠气闭证临床研究[J].新中医,2024,56(24):59-63

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  • 在线发布日期: 2024-12-27
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