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目的:观察中西医结合治疗重症患者胃肠功能障碍的疗效。方法:将41例危重症患者随机分为两组,治疗组在治疗原发病和西药常规治疗基础上联合大承气汤口服或高位灌肠加复方丹参针穴位注射;对照组仅治疗原发病和西药常规治疗。两组疗程均为10天,于入选后24h、48h、72h、第7天、10天,观察患者肠功能恢复情况及腹腔压力变化。结果:治疗第10天治疗组与对照组有效率比较为P<0.05,有统计学意义,腹腔压力比较无明显差异性,腹腔压力恢复时间治疗组较对照组短。结论:中西医结合治疗方法更利于促进胃肠功能的恢复,改善患者的胃肠功能障碍。
Objective: To observe the curative effect of integrated traditional Chinese and western medicine on gastrointestinal dysfunction in critically ill patients. Methods: 41 cases of critically ill patients were randomly divided into two groups. The treatment group was treated with Dachengqi Decoction orally or high enema with compound Danshen acupuncture point injection on the basis of the treatment of primary disease and conventional treatment of western medicine. The control group was only treated with primary disease And western medicine routine treatment. The two groups of treatment were 10 days, 24h, 48h, 72h, 7 days, 10 days after the selection, observe the recovery of patients with intestinal function and intra-abdominal pressure changes. Results: The effective rate of the treatment group and the control group on the 10th day of treatment was P <0.05, with statistical significance. There was no significant difference in the intra-abdominal pressure, and the treatment group of the intra-abdominal pressure recovery time was shorter than the control group. Conclusion: The combination of traditional Chinese and Western medicine treatment is more conducive to promote the recovery of gastrointestinal function, improve gastrointestinal dysfunction in patients.