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目的:观察中西医结合治疗对重症监护室(ICU)危重病患者胃肠功能的影响。方法:选取70例肠胃燥热型危重病患者作为观察对象,按照不同治疗方法分为参照组和试验组各35例,参照组单纯采用西医疗法进行治疗,试验组采用中西医结合疗法进行治疗,对2组患者的胃肠道并发症发生情况、胃肠道功能改善情况及各症状缓解时间进行观察和比较。结果:胃肠功能改善有效率试验组为91.4%,参照组为68.6%,2组比较,差异有统计学意义(P<0.05)。试验组肠麻痹、胃肠黏膜出血、器官功能障碍综合征(MODS)发生率均低于参照组,差异均有统计学意义(P<0.01,P<0.05)。试验组腹胀缓解时间、呕吐、呃逆消失时间、肠鸣音恢复时间及排气、排便时间均较参照组缩短,差异均有统计学意义(P<0.01)。结论:中西医结合治疗有利于保护ICU危重病患者的胃肠道功能,防止胃肠道并发症,进一步缩短康复时间,改善预后。
Objective: To observe the Integrative Medicine Intensive Care Unit (ICU) critically ill patients gastrointestinal function. Methods: Seventy patients with critical illness of gastrointestinal dampness were selected as observation objects. According to different treatment methods, 35 cases were divided into reference group and experimental group. The reference group was treated with Western medical therapy only. The experimental group was treated with integrated traditional Chinese and western medicine. The incidence of gastrointestinal complications, the improvement of gastrointestinal function and the relief time of each symptom in 2 groups were observed and compared. Results: The effective rate of gastrointestinal function improvement was 91.4% in the test group and 68.6% in the reference group. There was significant difference between the two groups (P <0.05). The incidence of intestinal paralysis, gastrointestinal mucosal hemorrhage and organ dysfunction syndrome (MODS) in the experimental group were significantly lower than those in the reference group (P <0.01, P <0.05). Vomiting, vomiting, disappearance time of hiccups, bowel sounds recovery time and exhaust and defecation time in the experimental group were shorter than those in the reference group, with significant differences (P <0.01). Conclusion: Integrative Chinese and Western medicine is good for the protection of gastrointestinal function in critically ill patients with ICU, preventing gastrointestinal complications, further shortening the recovery time and improving the prognosis.