加减大承气汤联合保守治疗脊柱骨折后肠梗阻的效果研究(1)
[摘要] 目的 研究加減大承气汤联合保守治疗方案在脊柱骨折后肠梗阻中的应用价值。方法 方便选择2016年2月—2018年1月该科接诊的脊柱骨折后肠梗阻病患64例，采用奇偶数字分组法将之随机分成实验和对照两组，每组32例。两组都实行常规保守治疗，实验组加用大承气汤加减疗法。综合分析两组不良反应的发生情况，比较胃肠减压量等指标。 结果 实验组的不良反应发生率为0.0%，明显比对照组的12.5%低，组间差异有统计学意义(χ2=13.333 3，P<0.05)。实验组的治疗总有效率为93.75%，明显比对照组的71.87%高，组间差异有统计学意义(χ2=16.815 4，P<0.05)。实验组的胃肠减压量明显少于对照组，组间差异有统计学意义(t=67.528 3，P<0.05)。 结论 积极采用加减大承气汤联合保守治疗方案，对脊柱骨折后肠梗阻病患进行施治，可显著减少药物不良反应，提高疾病控制效果，建议采纳和使用。
[关键词] 肠梗阻；脊柱骨折；加减大承气汤；保守治疗
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2018)08(b)-0138-03
Effect of Dachengqi Decoction Plus Conservative Treatment on Intestinal Obstruction after Spinal Fracture
HUANG Kun， ZANG Hong-chun， SHI Qing
Department of Traditional Chinese Medicine Orthopedics， Suqian Traditional Chinese and Western Medicine Hospital， Suqian， Jiangsu Province， 223800 China
[Abstract] Objective To study the value of Dachengqi Decoction combined with conservative treatment in the treatment of intestinal obstruction after spinal fracture. Methods A total of 64 patients with intestinal obstruction after spinal fracture received from February 2016 to January 2018 were convenient selected and randomly divided into experimental and control group(32 cases in each group) by odd-even number grouping. Both groups were given conventional conservative treatment， and the experimental group was treated with Dachengqi Decoction. Comprehensive analysis of the incidence of adverse reactions in the two groups， compared gastrointestinal decompression and other indicators. Results The incidence of adverse reactions in the experimental group was 0.0%， which was significantly lower than that in the control group (12.5%). There was a significant difference between groups (χ2=13.333 3， P<0.05). The total effective rate of treatment in the experimental group was 93.75%， which was significantly higher than that of the control group (71.87%). The difference between the groups was significant (χ2=16.815 4， P<0.05). The amount of gastrointestinal decompression in the experimental group was significantly lower than that in the control group， with significant differences between groups (t=67.528 3， P<0.05). Conclusion The active use of addition and subtraction of Dachengqi Decoction combined with conservative treatment programs to treat patients with intestinal obstruction after spinal fracture can significantly reduce the adverse drug reactions and improve the effect of disease control. It is recommended to adopt and use.
[Key words] Intestinal obstruction； Spine fracture； Modified Dachengqi Decoction； Conservative treatment, 百拇医药(黄坤 臧红春 侍氢)
[关键词] 肠梗阻；脊柱骨折；加减大承气汤；保守治疗
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2018)08(b)-0138-03
Effect of Dachengqi Decoction Plus Conservative Treatment on Intestinal Obstruction after Spinal Fracture
HUANG Kun， ZANG Hong-chun， SHI Qing
Department of Traditional Chinese Medicine Orthopedics， Suqian Traditional Chinese and Western Medicine Hospital， Suqian， Jiangsu Province， 223800 China
[Abstract] Objective To study the value of Dachengqi Decoction combined with conservative treatment in the treatment of intestinal obstruction after spinal fracture. Methods A total of 64 patients with intestinal obstruction after spinal fracture received from February 2016 to January 2018 were convenient selected and randomly divided into experimental and control group(32 cases in each group) by odd-even number grouping. Both groups were given conventional conservative treatment， and the experimental group was treated with Dachengqi Decoction. Comprehensive analysis of the incidence of adverse reactions in the two groups， compared gastrointestinal decompression and other indicators. Results The incidence of adverse reactions in the experimental group was 0.0%， which was significantly lower than that in the control group (12.5%). There was a significant difference between groups (χ2=13.333 3， P<0.05). The total effective rate of treatment in the experimental group was 93.75%， which was significantly higher than that of the control group (71.87%). The difference between the groups was significant (χ2=16.815 4， P<0.05). The amount of gastrointestinal decompression in the experimental group was significantly lower than that in the control group， with significant differences between groups (t=67.528 3， P<0.05). Conclusion The active use of addition and subtraction of Dachengqi Decoction combined with conservative treatment programs to treat patients with intestinal obstruction after spinal fracture can significantly reduce the adverse drug reactions and improve the effect of disease control. It is recommended to adopt and use.
[Key words] Intestinal obstruction； Spine fracture； Modified Dachengqi Decoction； Conservative treatment, 百拇医药(黄坤 臧红春 侍氢)