中药封包联合腹部推拿在不完全性肠梗阻患者中的临床应用效果<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2025.10.011

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摘要【目的】探讨中药封包联合腹部推拿在不完全性肠梗阻患者中的临床应用效果。【方法】选取2022年9月至2024年12月本院收治的80例不完全性肠梗阻患者,按照随机数字表法将其分为对照组和观察组,每组40例。比较两组患者平均治疗天数、肠鸣音恢复时间、首次排气时间、首次排便时间、首次进食时间、转行手术率、疼痛程度[视觉模拟评分法(VAS)评分]及生活质量[胃肠道生活质量指数(GIQLI)评分]。【结果】观察组平均治疗时间、肠鸣音恢复时间、首次排气时间、首次排便时间及首次进食时间均短于对照组,转行手术率低于对照组,差异有统计学意义(P<0.05)。干预3 d、5 d,两组患者VAS评分均低于干预前,差异有统计学意义(P<0.05);干预5 d,观察组VAS评分低于对照组,差异有统计学意义(P<0.05)。干预后1个月,两组GIQLI评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。【结论】中药封包联合腹部推拿可显著改善不完全性肠梗阻患者的临床症状,缩短治疗时间,降低转行手术率,提高生活质量,具有较好的临床应用价值。

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	冯宝荣
	赵计轩

关键词 ：肠梗阻, 推拿疗法, 中医药疗法, 治疗结果

Abstract：【Objective】To explore the clinical application effect of Traditional Chinese Medicine (TCM) poultice combined with abdominal massage in patients with incomplete intestinal obstruction. 【Methods】 A total of 80 patients with incomplete intestinal obstruction admitted to our hospital from September 2022 to December 2024 were selected and divided into the control group and the observation group according to the random number table method, with 40 patients in each group. The average treatment days, recovery time of bowel sounds, time to first flatus, time to first defecation, time to first oral intake, conversion to surgery rate, pain degree [Visual Analogue Scale (VAS) score] and quality of life [Gastrointestinal Quality of Life Index (GIQLI) score] were compared between the two groups. 【Results】The average treatment time, recovery time of bowel sounds, time to first flatus, time to first defecation and time to first oral intake in the observation group were shorter than those in the control group, and the conversion to surgery rate was lower than that in the control group, with statistically significant differences (P<0.05). At 3 days and 5 days after intervention, the VAS scores of both groups were lower than those before intervention, with statistically significant differences (P<0.05); at 5 days after intervention, the VAS score of the observation group was lower than that of the control group, with a statistically significant difference (P<0.05). One month after intervention, the GIQLI scores of both groups were higher than those before intervention, and the observation group was higher than the control group, with statistically significant differences (P<0.05). 【Conclusion】 TCM poultice combined with abdominal massage can significantly improve the clinical symptoms of patients with incomplete intestinal obstruction, shorten the treatment time, reduce the conversion to surgery rate, and improve the quality of life, which has good clinical application value.

Key words： Intestinal Obstruction Tuina Therapy Traditional Chinese Medicine Therapy Treatment Outcome

收稿日期: 2025-03-05

中图分类号:

R574.2

基金资助:* 河南省中医药科学研究专项课题(2021JDZY045)

通讯作者: ** E-mail:13839096883@163.com

引用本文:

冯宝荣, 赵计轩. 中药封包联合腹部推拿在不完全性肠梗阻患者中的临床应用效果^*[J]. 医学临床研究, 2025, 42(10): 1718-1720.
FENG Baorong, ZHAO Jixuan. Clinical Application Effect of Traditional Chinese Medicine Poultice Combined with Abdominal Massage in Patients with Incomplete Intestinal Obstruction. JOURNAL OF CLINICAL RESEARCH, 2025, 42(10): 1718-1720.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.10.011 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I10/1718

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