目的 :观察通腑安肠汤治疗急性单纯性肠梗阻的临床疗效。方法 :选取急性单纯性肠梗阻患者84例,采用随机数字表法分为对照组和治疗组各42例,对照组予常规西医治疗,治疗组在对照组基础上予通腑安肠汤治疗,疗程均为7 d。结果:两组治疗后腹胀、腹痛、恶心呕吐、排气排便症状评分较治疗前均降低(P<0.05),治疗组降低程度大于对照组(P<0.05);治疗组腹胀、腹痛、恶心呕吐消失时间及首次排气、排便时间均短于对照组(P<0.05);治疗组总有效率高于对照组(P<0.05)。结论:通腑安肠汤能够显著改善腹胀、腹痛、恶心呕吐、排气排便等临床症状,提高临床疗效。

Objective:To observe the clinical effect of Tongfu Anchang Decoction on treating acute simple intestinal obstruction. Methods:Total 84 patients with acute simple intestinal obstruction were divided into control group and treatment group by random number table. The control group was treated with routine western medicine,while the treatment group was treated with Tongfu Anchang Decoction besides the routine western medicine. Both groups were treated for 7 days. Results:The scores of abdominal distension,abdominal pain,nausea,vomiting,passing gas and defecation of the two groups after treatment were lower than those before treatment(P<0.05) and in the treatment group the scores were lower than those in the control group(P<0.05). In the treatment group,the disappearing time of abdomen distension,abdominal pain,nausea and vomiting,and appearing time of the first passing gas and defecation were shorter than those in the control group(P<0.05). The total effective rate in the treatment group was higher than that in the control group(P <0.05). Conclusion:Tongfu Anchang Decoction can significantly relieve the clinical symptoms such as abdominal distension,abdominal pain,nausea and vomiting,passing gas and defecation to achieve a satisfactory effect.