裴富　李建国　杨春勇

[摘要] 目的 探讨理气汤治疗肠梗阻的效果。 方法 收治元宝山矿医院与赤峰学院附属医院被诊断为肠梗阻的患者90例，随机分为对照组和治疗组，治疗组在对照组常规治疗的基础上加用理气汤。比较两组患者的腹痛、腹胀消失时间，恶心、呕吐消失时间，排气时间，中转手术例数，胃肠减压量，住院天数。 结果 除中转手术率（P=0.35）外，治疗组各项指标均优于对照组（P<0.05）。 结论 理气汤治疗肠梗阻的效果显著，能加快解除梗阻，值得推广。

[关键词] 理气汤；肠梗阻；临床效果

[中图分类号] R574.2 [文献标识码] A [文章编号] 1674-4721（2014）04（b）-0071-02

[Abstract] Objective To investigate the effect of Liqi decoction in the treatment for intestinal obstruction. Methods 90 patients were diagnosed with intestinal obstruction，they were treated for the Hospital of Yuanbaoshan Coal Mine and the Affliated Hospital of Chifeng College，they were randomly divided into control group and treatment group，the treatment group was given Liqi decoction treated on the basis of the control group conventional treatment，the abdominal pain，bloating disappeared time，the disappearance time of nausea and vomiting，anal exhaust time，transfer mode，gastrointestinal decompression，hospitalization days of the two groups were compared. Results The clinical symptoms in Liqi decoction group were significantly less than those in the conventional group （P<0.05） excpt the rate of transferring to operation （P=0.35）. Conclusion It is beneficial for intestinal obstruction to apply Liqi decoction，which can improve the effect of expectant treatment，and it is worth to spread.

[Key words] Liqi decoction；Intestinal obstruction；Clinical effect

肠梗阻是普通外科较常见的急腹症，其治疗多以保守治疗为主，肠梗阻传统的治疗方法多为西医治疗，往往忽略了中医药在保守治疗肠梗阻中的重要作用，本研究采用本院经典方剂理气汤治疗肠梗阻，比较理气汤组与常规组的临床疗效，以探讨理气汤在肠梗阻治疗中的价值，为其推广应用提供依据。

1 资料与方法

1.1 一般资料

选择元宝山矿医院与赤峰学院附属医院2006年12月～2011年12月收治的肠梗阻患者90例，随机分为对照组和治疗组（理气汤组）。对照组44例，男性25例，女性19例，平均年龄（49.11±9.26）岁；其中手术后炎症导致梗阻10例，肿瘤原因导致梗阻7例，手术粘连导致梗阻27例。治疗组46例，男性28例，女性18例，平均年龄（48.02±10.38）岁；其中手术后炎症导致梗阻8例，肿瘤原因导致肠梗阻8例，手术粘连导致梗阻30例。两组患者的年龄、性别等一般资料差异无统计学意义（P>0.05），具有可比性。

1.2 肠梗阻的临床诊断标准

临床主要表现为腹痛、腹胀、恶心呕吐、肛门停止排气排便等；……