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目的观察大承气汤配合穴位按摩对促进机械通气患者胃肠功能恢复的效果。方法将75例机械通气胃肠功能衰竭患者按抽签法分为对照组37例和观察组38例。对照组常规西医治疗14d,观察组在对照组基础上加大承气汤鼻饲及穴位按摩治疗,疗程14d。观察两组患者治疗前后肠鸣音、腹围及腹内压的情况;比较两组患者治疗前后血清白细胞介素-6、C-反应蛋白和氧合指数变化。结果两组患者治疗后肠鸣音改善、腹围缩小、腹内压下降,但观察组症状改善较对照组更为显著,经比较,P<0.01;治疗7、14d,血清白细胞介素-6、C-反应蛋白水平观察组明显低于对照组,两组比较差异有统计学意义(P<0.05);治疗3、7、14d,氧合指数观察组明显高于对照组,两组比较差异有统计学意义(P<0.05)。结论大承气汤鼻饲配合穴位按摩能促进机械通气患者胃肠功能恢复。
Objective To observe the effect of Dachengqi Decoction combined with acupoint massage on gastrointestinal function recovery in patients with mechanical ventilation. Methods Seventy-five patients with gastrointestinal failure who underwent mechanical ventilation were divided into control group (n = 37) and observation group (n = 38) according to the drawing method. Control group routine Western medicine treatment 14d, the observation group in the control group based on the increase of Chengqi soup nasal feeding and acupressure therapy, treatment 14d. The bowel sounds, abdominal circumference and intra-abdominal pressure were observed before and after treatment. The changes of serum interleukin-6, C-reactive protein and oxygenation index were compared between the two groups before and after treatment. Results The bowel sounds of the two groups improved, the abdominal circumference decreased and the intra-abdominal pressure decreased after treatment, but the symptom improvement in the observation group was more significant than that in the control group (P <0.01). After treatment for 7 and 14 days, the serum interleukin-6 , C-reactive protein level in the observation group was significantly lower than that in the control group, the difference was statistically significant (P <0.05); on the 3rd, 7th and 14th days after treatment, the oxygenation index observation group was significantly higher than the control group, There was statistical significance (P <0.05). Conclusion Dachengqi soup nasal feeding combined with acupressure can promote gastrointestinal function recovery in patients with mechanical ventilation.