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目的探讨中西医结合治疗脑出血术后肠梗阻的效果。方法病例选自2006年3月—2010年10月宝丰县人民医院和贵阳医学院附院住院的脑出血微创术后并发肠梗阻病人72例,随机分为两组,治疗组和对照组各36例。对照组留置胃管持续胃肠减压,温肥皂水灌肠,静滴甲氰咪胍、补液支持治疗。治疗组在对照组基础上加服中药,自拟行气通腑汤。结果对照组总有效(80.56%),治疗组总有效率(94.44%),P<0.05,治疗组疗效优于对照组。结论中西医结合治疗脑出血微创术后并发肠梗阻有一定的优势。
Objective To explore the effect of integrative treatment of intestinal obstruction after intracerebral hemorrhage. Methods From March 2006 to October 2010, 72 cases of patients with intestinal obstruction who underwent minimally invasive intracranial hemorrhage in Baofeng County People’s Hospital and Guiyang Medical College Affiliated Hospital were randomly divided into two groups, treatment group and control group 36 cases. The control group was placed gastric tube continuous gastrointestinal decompression, warm soapy water enema, intravenous cimetidine, fluid replacement therapy. On the basis of the control group, the treatment group added the traditional Chinese medicine and self-made Qi Tong Fu Tang. Results The total effective rate (80.56%) in the control group and the total effective rate (94.44%) in the treatment group were significantly higher than those in the control group (P <0.05). Conclusion Integrative treatment of intracerebral hemorrhage after minimally invasive intestinal obstruction has certain advantages.