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目的:观察大承气汤加味联合西药治疗大肠癌术后热毒伤阴证肠粘连的临床疗效,以及术后恢复和并发症发生情况。方法:选取80例大肠癌术后热毒伤阴证肠粘连患者为研究对象,随机分为对照组和观察组各40例。2组术后均予西药治疗,观察组在对照组用药基础上给予大承气汤加味治疗。比较2组主要临床症状的改善情况,以及术后恢复和并发症的发生情况。结果:总有效率观察组为95.0%,高于对照组的75.0%,差异有统计学意义(P<0.05)。治疗后,观察组肛门排气时间早于对照组(P<0.05)。观察组总并发症发生率为2.5%,对照组总并发症发生率为15.0%,2组比较,差异有统计学意义(P<0.05)。结论:大承气汤加味联合西药治疗大肠癌术后热毒伤阴证肠粘连,能有效改善患者的主要临床症状,促进患者术后排气,且并发症少。
Objective: To observe the clinical effect of Dachengqi Decoction combined with western medicine in treatment of colorectal cancer after heat-toxin injury and yin-viscous adhesion, and the situation of postoperative recovery and complication. Methods: Eighty patients with colorectal cancer after heat-toxin-induced colonic adhesions were randomly divided into control group and observation group of 40 cases. Both groups were treated with western medicine after operation. The observation group was treated with Dachengqi Decoction on the basis of the control group. The improvement of the main clinical symptoms in the two groups were compared, and the incidence of postoperative recovery and complications were compared. Results: The total effective rate in the observation group was 95.0%, which was higher than that in the control group (75.0%), the difference was statistically significant (P <0.05). After treatment, the anal exhaust time in the observation group was earlier than that in the control group (P <0.05). The total complication rate was 2.5% in the observation group and 15.0% in the control group. There was significant difference between the two groups (P <0.05). Conclusion: Modified Dachengqi Decoction combined with Western medicine in the treatment of colorectal cancer after heat toxins Yin Yin syndrome, can effectively improve the main clinical symptoms and promote postoperative patients with less complications.