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目的观察艾灸联合ω-3多不饱和脂肪酸治疗炎性肠梗阻的临床疗效及对患者胃肠动力学的影响。方法选取2012年7月至2015年9月术后炎性肠梗阻患者82例作为研究对象,按照随机数字表法分为观察组与对照组,每组41例。对照组应用ω-3鱼油脂肪乳注射液治疗,观察组在对照组基础上联合艾灸治疗,比较两组治疗总有效率、肛门排气时间、腹胀缓解时间、治疗前后胃肠动力学(Flm及FLu)。结果观察组治疗总有效率为92.7%,高于对照组的75.6%,差异有统计学意义(P<0.05)。观察组肛门排气时间、腹胀缓解时间均短于对照组,差异有统计学意义(P<0.05)。两组治疗前FLm、FLu比较差异未见统计学意义(P>0.05);治疗后两组FLm、FLu均增大,且观察组FLm、Flu大于对照组,差异有统计学意义(P<0.05)。结论艾灸联合ω-3多不饱和脂肪酸治疗炎性肠梗阻可有效提高患者胃肠动力学、恢复肠管的通畅,促使临床症状得到缓解,具有较大应用价值。
Objective To observe the clinical efficacy of moxibustion combined with ω-3 polyunsaturated fatty acid in the treatment of inflammatory intestinal obstruction and its effect on gastrointestinal motility. Methods From July 2012 to September 2015, 82 patients with postoperative inflammatory bowel obstruction were selected as the research object. According to the random number table, the patients were divided into observation group and control group, with 41 cases in each group. The control group was treated with omega-3 fish oil fat emulsion injection. The observation group was treated with moxibustion on the basis of the control group. The total effective rate, anal exhaust time, abdominal distension time, gastrointestinal motility before and after treatment (Flm And FLu). Results The total effective rate of the observation group was 92.7%, which was higher than that of the control group (75.6%), the difference was statistically significant (P <0.05). The observation group anal exhaust time, abdominal distension time were shorter than the control group, the difference was statistically significant (P <0.05). There was no significant difference in FLm and FLu between the two groups before treatment (P> 0.05). FLm and FLu in both groups increased after treatment, and FLm and Flu in the observation group were significantly higher than those in the control group (P <0.05 ). Conclusion Moxibustion combined with omega-3 polyunsaturated fatty acids in the treatment of inflammatory bowel obstruction can effectively improve the gastrointestinal motility of patients and restore the patency of bowel and promote the clinical symptoms, which has great value.