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[目的]观察中西医结合治疗急性肠梗阻疗效。[方法]使用随机平行对照方法,将85例住院及门诊患者胃肠减压,抗生素头孢噻肟纳4g+0.9%生理盐水200mlq12h/d,静滴,保证水电解质平衡。胃肠减压2～3h后,经胃管注入中药,防止呕吐或减少呕吐,发挥中药效力。辨证治疗:实热,寒实,肠燥津枯。颠簸:取俯伏膝肘位,加大肘膝关节间距离,充分暴露下腹部。术者在患者一侧用双手在患者腹部两侧上下或左右震荡,震度由小渐次扩大,以能忍受为度。5～10min/次,根据情况可反复应用。按摩:取仰卧位,术者以双手轻而有力顺扭转相反方向按摩,同时多次改变体位,以助膨胀肠袢之回旋复位,按摩时以舒适为宜。若为蛔虫性肠梗阻,以轻揉手法将蛔虫团块揉散。电针:取足三里、上巨虚、内关、天枢、中脘穴,强刺激电疗30～60min,2次/d,止痛、止呕和肠梗阻。灌肠:经胃管注入2%温盐水400～800mL,或用复方大承气汤,200～300mL点滴保留灌肠,辅助治疗,利于排气、排便、解除梗阻症状。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗1疗程,判定疗效。[结果]治愈:40例。好转25例,无效22例(中转手术20例,死亡2例),总有效率76.40%。[结论]中西医结合治疗急性肠梗阻效果显著,值得推广。
[Objective] To observe the curative effect of integrative treatment of acute intestinal obstruction. [Methods] 85 cases of inpatients and outpatients were treated with cefotaxime and antibiotics cefotaxime sodium 4g + 0.9% saline 200mlq12h / d intravenously to ensure the balance of water and electrolyte. Gastrointestinal decompression 2 ~ 3h after the tube into the traditional Chinese medicine to prevent vomiting or reduce vomiting, exert the efficacy of traditional Chinese medicine. Dialectical treatment: real heat, cold real, intestinal dryness Jin dry. Bumpy: Take prone knee elbow, increase the distance between the knee elbow, fully exposed lower abdomen. Surgeons in the patient's side with both hands on both sides of the patient's abdomen up and down or left and right shocks, gradually increased the size of small gradually to be able to endure the degree. 5 ~ 10min / times, according to the situation can be repeatedly applied. Massage: Take the supine position, the surgeon with both hands light and powerful cis reverse the opposite direction of massage, while many changes in position to help swollen intestine expansion reduction, massage is comfortable and appropriate. If roundworm intestinal obstruction, to gently rub the roundworm lumps. Electroacupuncture: Take Zusanli, on the virtual, Neiguan, Tianshu, Zhongya point, strong stimulation of electrotherapy 30 ~ 60min, 2 times / d, pain, nausea and intestinal obstruction. Enema: Intramuscular injection of 2% warm saline 400 ~ 800mL, or compound Dachengqi Decoction, 200 ~ 300mL bit retention enema, adjuvant therapy, which will help exhaust, defecation, relieve symptoms of obstruction. Continuous treatment 7d for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of a course of treatment to determine the efficacy. [Results] Cure: 40 cases. 25 cases improved, 22 cases ineffective (transit surgery in 20 cases, 2 deaths), the total effective rate 76.40%. [Conclusion] Integrative treatment of acute intestinal obstruction significant effect, it is worth promoting.