承气活血通腑汤联合穴位贴敷治疗粘连性肠梗阻的疗效及对胃肠功能和血清炎性因子的影响

目的:探讨承气活血通腑汤联合穴位贴敷治疗粘连性肠梗阻的疗效及对胃肠功能和血清炎性因子的影响。方法:选取2018年2月到2020年7月期间于我院接受诊治的粘连性肠梗阻患者60例。分组方法采用随机数字表法,将入选患者分为对照组(n=30,常规治疗)、研究组(n=30,对照组的基础上给予承气活血通腑汤联合穴位贴敷治疗),对比两组疗效、胃肠功能、炎性因子、住院时间、住院费用、临床症状评分。结果:研究组的临床总有效率较对照组高(P<0.05)。两组治疗12d后血清降钙素原(PCT)、C反应蛋白(CRP)水平较治疗前降低,且研究组较对照组低(P<0.05)。两组治疗12d后腹部胀痛、排便排气、恶心呕吐、口苦口干评分较治疗前降低,且研究组较对照组低(P<0.05)。研究组胃管拔除时间、恢复正常饮食时间均短于对照组(P<0.05)。研究组住院时间短于对照组,住院费用少于对照组(P<0.05)。结论:承气活血通腑汤联合穴位贴敷治疗粘连性肠梗阻的疗效确切,可改善患者临床症状和胃肠功能,促进患者早日恢复,减少住院费用,降低机体炎性因子水平。

Curative Effect of Chengqi Huoxue Tongfu Decoction Combined with Acupoint Application on Adhesive Intestinal Obstruction and Its Influence on Gastrointestinal Function and Serum Inflammatory Factors

ABSTRACT Objective: To investigate the curative effect of Chengqi Huoxue Tongfu decoction combined with acupoint application on adhesive intestinal obstruction and its influence on gastrointestinal function and serum inflammatory factors. Methods: From February 2018 to July 2020, 60 patients with adhesive intestinal obstruction who received in our hospital were selected. Random number table method was used for grouping, the selected patients were divided into the control group (n=30, routine treatment) and the study group (n=30, on the basis of the control group, Chengqi Huoxue Tongfu decoction combined with acupoint application treatment). The curative effect, gastrointestinal function, inflammatory factors, hospitalization time, hospitalization expenses and clinical symptom scores of the two groups were compared. Results: The clinical total effective rate of the study group was higher than that of the control group (P<0.05). The levels of serum procalcitonin (PCT) and C-reactive protein (CRP ) of the two groups at 12d after treatment were lower than those before treatment, and the study group was lower than the control group (P<0.05). 12d after treatment, the scores of abdominal distension pain, defecation and exhaust, nausea and vomiting, bitter mouth and dry mouth of the two groups were lower than those before treatment, and the study group was lower than control group (P<0.05). The extubation time of gastric tube and return to normal diet time of the study group were shorter than those of the control group (P<0.05). The hospitalization time of the study group was shorter than that of the control group, and the hospitalization expenses were less than that of the control group (P<0.05). Conclusion: Chengqi Huoxue Tongfu decoction combined with Acupoint Application in the treatment of adhesive intestinal obstruction is effective, can improve the clinical symptoms and gastrointestinal function of patients, promote the early recovery of patients, reduce hospitalization expenses, reduce the level of inflammatory factors.