Observation on Curative Effect of Congrong Tongbian Oral Liquid Combined with Routine Western Medicine Treatment for Abdominal Distention and Constipation After Surgery for Femoral Neck Fracture in Senile Patients
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摘要:
目的:观察苁蓉通便口服液联合西医常规治疗老年股骨颈骨折术后腹胀便秘的临床疗效。方法:选取股骨颈骨折Ⅲ型患者 118 例,按随机数字表法分为对照组和观察组各 59 例。2 组均于术后给予常规抗凝、抗感染治疗,对照组给予枸橼酸莫沙必利分散片和乳果糖口服溶液治疗,观察组在对照组的基础上给予苁蓉通便口服液治疗。2 组疗程均为 1 周,比较手术时间、术中出血量、术后 24 h 疼痛视觉模拟评分法(VAS)评分、临床疗效,以及治疗前后主要临床症状评分。结果:观察组总有效率为 98.31%,高于对照组的86.44%,差异有统计学意义(P<0.05)。2 组手术时间、术中出血量、术后 24 h VAS 评分比较,差异无统计学意义(P>0.05)。治疗后,2 组主要临床症状排便困难、腹胀、排便时间、排便频次、粪便性状 Bristol 分型评分均较治疗前明显降低(P<0.05);且观察组上述各项评分均低于对照组(P<0.05)。结论:苁蓉通便口服液联合西医常规治疗老年股骨颈骨折术后腹胀便秘患者,能有效改善临床症状,提高临床疗效。
Abstract:
Abstract:Objective:To observe the curative effect of Congrong Tongbian oral liquid combined with routine western medicine treatment for abdominal distention and constipation after surgery for femoral neck fracture in senile patients. Methods:A total of 118 cases of patients with femoral neck fracture type Ⅲ were selected and divided into the control group and the observation group according to the random number table method, with 59 cases in each group. Both groups were given routine anticoagulant and anti- infective therapy;the control group was additionally treated with mosapride citrate dispersible tablets and lactulose oral solution,and the observation group was additionally treated with Congrong Tongbian oral liquid based on the treatment of the control group. The treatment lasted for one week. Surgery duration, intraoperative bleeding,scores of Visual Analogue Scale(VAS) 24 hours after the surgery,clinical effects and main symptom scores before and after treatment were compared between the two groups. Results: The total effective rate was 98.31% in the observation group,higher than that of 86.44% in the control group,the difference being significant(P<0.05). There was no significant difference being found in the comparison of surgery duration, intraoperative bleeding, and VAS scores 24 hours after the surgery between the two groups(P>0.05). After treatment,scores of main clinical symptoms including difficult defecation and abdominal distention,defecation time,defecation frequency,and Bristol typing scores in the two groups were significantly decreased when compared with those before treatment(P<0.05),and the above scores in the observation group were lower than those in the control group(P<0.05). Conclusion: Congrong Tongbian oral liquid combined with routine western medicine treatment for abdominal distention and constipation after surgery for femoral neck fracture in senile patients can effectively improve clinical symptoms and enhance clinical effects.