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1、和胃理气汤治疗腹部非胃手术后胃瘫16例临床观察昆明医科大学学报2012,(8):95耀97CN53-1049RJournalofKunmingMedicalUniversity和胃理气汤治疗腹部非胃手术后胃瘫16例临床观察1)1)1)2)朱锦腾,杨春平,叶仁群,曾穗德(1)深圳市宝安区中医院,广东深圳518133;2)广东省人民医院胃肠外科,广东广州510060)[摘要]目的观察和胃理气汤治疗腹部非胃手术后胃瘫的疗效及对患者体表胃电图的影响.方法在常规,将西医治疗基础上33例腹部非胃手术后胃瘫患者随机分为治疗组16例和对照组1
2、7例,治疗组从胃管注入和胃理气汤30mL,每日3次;对照组从胃管注入生理盐水30mL和多潘立酮粉末10mg,每日3次.分别观察治疗前1d及治疗后7d症状体征、记录胃管引流量、体表胃电图的变化,并对两组疗效和体表胃电图改变进行统计学分析.结果治疗组总有效率为81.3%对照组总有效率为47.1%,2组总有效率比较,差异有统计学意义(P0.05);治疗组正常胃电节律明显高于对照组(<0.05).结论和胃理气汤治疗腹部非胃手术后胃瘫,疗效可靠,副作用小,值得临床推广应用.[关键词]和胃理气汤;腹部非胃手术后;胃瘫综合征;疗效观察;胃电
3、图[中图分类号]R256.3[文献标识码]A[文章编号]1003-4706(2012)08-0095-04ClinicalObservationofHeweiliqiDecoctionintheTreatmentof16CasesofGastroparesisafterNon-gastricAbdominalOperation1)1)1)2)ZHUJin-teng,YANGChun-ping,YERen-qun,ZENGHui-de(1)TraditionalChineseMedicalHospitalinBao’anDist
4、rictofShenzhenCity,ShenzhenGuangdong518133;Dept.ofGastrointestinalSurgery,People’sHospitalofGuangdong,GuangzhouGuangdong510060,China)[Abstract]ObjectiveToobservetheeffectsofHeweiliqidecoctionongastroparesisafternon-gastricabdominaloperationandcutaneouselectrogastrog
5、ramofpatients.MethodsOnthebasisofconventionaltreatmentbyWesternmedicine,33casesofgastroparesisafternon-gastricabdominaloperationwererandomlydividedintotreatmentgroup(16cases)andcontrolgroup(17cases).PatientsinthetreatmentgroupweregivenHeweiliqidecoction(30mL,daily3t
6、imes)fromthestomachtube,patientsinthecontrolgroupweregivensaline(30mL)anddomperidonepowder(10mg,3timesaday)fromthestomachtube.Thesymptomsandsigns,nasogastricdrainage,andelectrogastrogramchangeswererecordedandobserved1daysbeforeand7daysaftertreatment,andtheefficacyan
7、delectrogastrogramchangesbetweenthetwogroupswerestatisticallyanalyzed.ResultsThetotaleffectiveratewas81.3%intreatmentgroupand47.1%incontrolgroup,thedifferencewasstatisticallysignificantbetweentwogroup(<0.05).Normalgastricelectricrhythmintreatmentgroupwasobviouslyhig
8、herthanthecontrolgroup(<0.05).ConclusionHeweiliqidecoctioninthetreatmentofgastroparesisafternon-gastricabdominaloperation,isreliableandeff
