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目的观察中药联合莫沙比利治疗不全性肠梗阻效果。方法回顾分析36例无肿瘤进展的不全性肠梗阻病例,所有患者常规行静脉营养支持、莫沙比利口服,其中加用中药口服者16例,为观察组;未加用中药口服者20例,为对照组,比较2组一般情况、肠粘连缓解时间。结果治疗后观察组16例患者均得到缓解,无行手术者;对照组18例得到缓解,2例症状加重转外科治疗。观察组平均缓解时间4.06日,治疗组为5.39日,2组比较,差异有统计学意义(P<0.05)。观察组KPS评分下降6例,对照组KPS评分下降14例,2组比较差异有统计学意义(P<0.05)。结论中药联合莫沙比利口服治疗不全性肠梗阻可缩短缓解时间,对患者一般状况影响较小。
Objective To observe the effect of traditional Chinese medicine combined with mosapride on incomplete intestinal obstruction. Methods Thirty-six cases of incomplete intestinal obstruction without tumor progression were retrospectively analyzed. All patients received routine intravenous nutrition support and mosapride oral administration. Among them, 16 cases were treated with traditional Chinese medicine oral administration, which was observed in the study group. Twenty patients without oral administration of traditional Chinese medicine , As a control group, comparing the general situation of two groups, intestinal adhesion remission time. Results After treatment, 16 patients in the observation group were relieved and no surgery was performed. In the control group, 18 patients were relieved and 2 patients were surgically treated. The mean relief time of the observation group was 4.6 days, and the treatment group was 5.99 days. There was significant difference between the two groups (P <0.05). The observation group KPS score decreased 6 cases, control group KPS score decreased 14 cases, the difference between the two groups was statistically significant (P <0.05). Conclusion Chinese medicine combined with mosapride oral treatment of incomplete intestinal obstruction can shorten the time to remission, the general impact on patients with less.