董梦婷，李广梅，张彩霞

（广东省湛江市第一中医医院外科，广东 湛江 524000）

中西医结合治疗粘连性肠梗阻疗效观察

董梦婷，李广梅，张彩霞

（广东省湛江市第一中医医院外科，广东 湛江 524000）

目的：探讨粘连性肠梗阻的中西医结合治疗的疗效。方法：采用随机设计法将符合纳入、排除标准的粘连性肠梗阻患者128例，分为中西医结合治疗组和西医治疗组，各64例。西医治疗组采用粘连性肠梗阻常规治疗方法，中西医结合治疗组在西医治疗基础上加用针灸。观察期3 d。通过患者胃肠功能恢复情况和腹部X线平片检查，统计症状改善情况、治愈率、住院天数以及住院费用。结果：中西医结合治疗组腹痛腹胀、恶心呕吐缓解率及肛门排气排便恢复率均高于西医治疗组（P＜0.05）；治愈率高于西医治疗组（P＜0.05）；平均住院天数、住院费用均低于西医治疗组（P＜0.01）。结论：针灸结合西医治疗粘连性肠梗阻较单用西医治疗见效快、治愈率高、疗程短、费用低。

中西医；西医；针灸；粘连性肠梗阻；卫生经济；护理

［Abstract］Objective：To study the curative effect of adhesive intestinal obstruction with integrated traditional Chinese and western medicine.Methods：A total of 128 patients with adhesive intestinal obstruction were randomly divided into 2 groups（64 patients in each）.The western medicine group was treated with conventional therapies.Traditional Chinese and western medicine group received acupuncture and moxibustion on the basis of western medicine treatment.After 3 days，abdominal X-ray plain film examination was done.The recovery of gastrointestinal function，cure rate，hospitalization days and cost was compared.Results：The symptom alleviation rate of abdominal pain and distension，nausea and vomitting，and exhaust and defecation in Chinese and Western medicine group were higher than those in western medicine group（P＜0.05）.The cure rate was higher than that in western medicine group（P＜0.05）.Hospitalization days and cost were lower than those in western medicine group（P＜0.01）.Conclusion：Compared with treatment with western medicine，it has quick effect，high cure rate，short treatment course，low cost in the treatment of adhesive intestinal obstruction with integrated traditional Chinese and western medicine and acupuncture.

［Key words］traditional Chinese and western medicine；western medicine；acupuncture；adhesive intestinal obstruction；health economics；nursing

粘连性肠梗阻是由先天性腹腔粘连带压迫肠管或既往有腹腔内的感染、外伤、出血、手术等原因引起的肠管粘连、肠腔狭小，导致肠内容运行受阻，出现腹痛、腹胀、呕吐、停止排气排便等，是普外科常见的急腹症。临床上无手术指征的肠梗阻常先采用保守治疗，因为手术治疗本身会加重肠粘连，导致再次的肠梗阻，所以提高保守治愈率是治疗的关键［1］。传统的治疗方法是在禁食、胃肠减压、灌肠、应用抗生素等基础治疗加生长抑素。……