非手术治疗胃肠道癌术后早期炎性肠梗阻临床研究

刘忠武

[摘要] 目的 研究分析对胃肠道癌术后早期炎性肠梗阻患者采用非手术方式治疗的效果，以有效的指导临床实践和研究。方法 该次研究中开展的时间为2013年5月—2014年5月，组中共纳入研究对象138例，根据患者治疗期间接受的不同治疗方案，将138例患者分为两组，对照组患者64例，临床期间采用常规内科非手术方式治疗，观察组患者74例，在对照组治疗的基础上给予加减桃核承气汤治疗，比较两组患者的治疗效果，治疗数据情况采用统计学软件进行分析处理。结果 经临床治疗分析，观察组患者的肠梗阻缓解时间明显短于对照组，两组比较差异有统计学意义（P<0.05）；观察组患者的治疗有效率为94.6%，对照组为90.6%，观察组明显高于对照组，组间比较差异有统计学意义（P<0.05）。 结论 在胃肠道癌术后早期炎性肠梗阻患者的治疗中加强中西医非手术治疗可有效的缩短患者疾病缓解的时间，提高临床治疗效果，对于患者的治疗和恢复具有重要意义，值得广泛关注和推广应用。

[关键词] 非手术治疗；胃肠道癌；早期炎性肠梗阻；缓解时间；治疗效果

[中图分类号] R656.7 [文献标识码] A [文章编号] 1674-0742（2015）01（b）-0005-03

Clinical Study of Non-surgical Treatment for Early Inflammatory Ileus after Gastrointestinal Cancer Surgery

LIU Zhongwu

The Second Department of Surgery， Santai County Hospital of Traditional Chinese Medicine， Mianyang， Sichuan Province， 621100， China

[Abstract] Objective To study and analyze the effect of non-surgical treatment for patients with early postoperative inflammatory ileus after gastrointestinal cancer surgery so as to effectively guide the clinical practice and research. Methods This study was conducted from May 2013 to May 2014， and a total of 138 cases were included in the study as the subjects. In accordance with the treatment regimen during the treatment， the 138 patients were divided into two groups， the control group and the observation group. 64 cases in the control group were treated by the conventional non-surgical treatment of internal medicine， and 74 cases in the observation group were treated by the Modified Taohe Chengqi Decoction based on the treatment given to the control group. And the treatment effect of the two groups was compared. The treatment data were analyzed and treated by statistical software. Results The analysis of clinical treatment showed that the ileus remission time of the observation group was much shorter than that of the control group， the difference between the two groups was statistically significant， P<0.05； the treatment effective rate of the observation group was 94.6%， higher than 90.6% of the control group， the difference between the two groups was statistically significant， P<0.05. Conclusion For patients with early postoperative inflammatory ileus after gastrointestinal cancer surgery， strengthening the non-surgical treatment of integrative medicine can effectively shorten the remission time and improve the clinical treatment effect， which is of great significance in the treatment and recovery of the patients， and worthy of wide attention and application.