和胃化湿方治疗胃肠道肿瘤术后胃肠功能紊乱临床观察
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R735

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Clinical Observation of Hewei Huashi Prescription for Gastrointestinal Dysfunction after Gastrointestinal Tumor Surgery
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    摘要:

    目的:观察和胃化湿方治疗胃肠道肿瘤术后胃肠功能紊乱的临床疗效及对患者肠道微生态的影响。方法:将100例行胃肠道肿瘤术后胃肠道功能紊乱患者随机分为对照组和观察组各50例。对照组给予奥美拉唑肠溶胶囊治疗,观察组予和胃化湿方治疗。记录各项症状的改善情况,分析治疗效果,观察肠道革兰氏阴性菌和革兰氏阳性菌的变化。结果:观察组治疗总有效率9 8.00%,高于对照组的82.00%(P<0.05)。治疗后,2组上腹疼痛、餐后饱胀感、早饱感、上腹灼烧感评分均较治疗前降低(P<0.05),观察组4项症状评分均低于对照组(P<0.05)。治疗后,2组革兰氏阳性及阴性菌均达到健康正常人水平,观察组上述肠道菌群的改善情况明显优于对照组,差异均有统计学意义(P<0.05)。结论:和胃化湿方治疗胃肠道肿瘤术后胃肠功能紊乱效果显著,能明显改善患者的症状体征,调节肠道微生态。

    Abstract:

    Objective:To observe the clinical effect of Hewei Huashi prescription for gastrointestinal dysfunction after gastrointestinal tumor operation and the effect on intestinal microecology of patients.Methods:Divided 100 cases of patients with gastrointestinal dysfunction after gastrointestinal tumor operation into the control group and the observation group randomly,50 cases in each group.The control group was given omeprazole enteric-coated capsules for treatment,while the observation group was given Hewei Huashi prescription for treatment.Recorded the improvement of each symptom,analyzed the treatment effect,and observed the changes of intestinal gram-negative and gram-positive bacteria.Results:The total effective rate was 98.00%in the observation group,being higher than that of 82.00%in the control group(P<0.05).After treatment,the scores of degree of abdominal pain,postprandial fulluess,early satiety and upper-abdominal burning in the two groups were all deceased when compared with those before treatment(P<0.05).The previous four symptom scores in the observation group were all lower than those in the control group(P < 0.05).After treatment,the gram-negative and gram-positive bacteria in the two groups reached the level of normal healthy people,and the improvements of the aforesaid intestinal flora in the observation group were significantly better than those of the control group,differences being significant(P < 0.05).Conclusion:The therapy of Hewei Huashi prescription has a significant effect in treating gastrointestinal dysfunction after gastrointestinal tumor operation,can evidently improve symptoms and signs of patients and regulate intestinal microecology.

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胡扬喜,董星,李英,刘寒松.和胃化湿方治疗胃肠道肿瘤术后胃肠功能紊乱临床观察[J].新中医,2018,50(6):99-101

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  • 在线发布日期: 2018-06-05
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