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目的:观察四磨汤联合乳果糖治疗老年人假性肠梗阻(SIPO)的疗效。方法:选择46例SIPO确诊病例,随机分为治疗组和对照组,所有入选病例均给予禁食、胃肠减压、通便灌肠、营养支持等常规处理,治疗组同时加用乳果糖口服液10 mL,3次/日;四磨汤口服液20 mL,3次/日,疗程1周。结果:对照组和治疗组总有效率分别为56.5%,78.3%,组间比较差异有显著性(P<0.05)。治疗组肠梗阻症状积分改善明显,其总有效率明显高于对照组,组间比较差异有显著性(P<0.05)。结论:乳果糖与四磨汤联用对SIPO具有较好治疗效果。
Objective: To observe the curative effect of Sihuang Decoction combined with lactulose in the treatment of senile pseudo intestinal obstruction (SIPO). Methods: A total of 46 cases diagnosed by SIPO were selected and randomly divided into treatment group and control group. All cases were given routine treatment such as fasting, gastrointestinal decompression, laxative enema and nutritional support. The treatment group was treated with lactulose oral liquid 10 mL, 3 times / day; four mill soup oral solution 20 mL, 3 times / day, course of treatment for 1 week. Results: The total effective rates of the control group and the treatment group were 56.5% and 78.3%, respectively. There was significant difference between the two groups (P <0.05). The treatment group, intestinal obstruction symptom score improved significantly, the total effective rate was significantly higher than the control group, the difference between the groups was significant (P <0.05). Conclusion: Lactulose combined with Sihuang decoction has good therapeutic effect on SIPO.