【摘要】：目的:觀察六磨湯聯(lián)合中醫(yī)外治治療單氣囊小腸鏡診療術后不良反應的臨床療效,客觀評價其有效性和安全性,為該治療方案的臨床應用提供依據(jù)。研究方法:臨床研究共收集病例84例,按照隨機數(shù)字表分為對照組42例,治療組42例,對照組采用西醫(yī)常規(guī)西醫(yī)治療,治療組在對照組的基礎上予六磨湯加減聯(lián)合中醫(yī)外治(TDP紅外線治療儀)治療。以不良反應完全緩解時間、腸鳴音恢復情況為療效指標,觀察記錄納入研究的治療組及對照組患者治療前后各療效評價指標的變化。運用spss19.0統(tǒng)計軟件,對數(shù)據(jù)進行統(tǒng)計分析。結(jié)果:1、評價中醫(yī)證候療效比較,治療后對照組有效率為85.71%,治療組有效率為95.24%,兩組比較(X2=4.09,P0.05),差別有統(tǒng)計學意義,說明治療組優(yōu)于對照組。2、評價兩組中醫(yī)證候積分比較,治療前對照組中醫(yī)癥候積分為9.07±3.89,治療組為9.50±3.68,兩組比較(t=-5.2,P=0.610.05),具有可比性。治療后,對照組治療前后比較(t=10.76,P=0.000.01);治療組治療前后比較(t=16.50,P=0.00);治療后對照組與治療組比較(t=2.36,P=0.020.05)。3、評價腸鳴音恢復情況,兩組比較(P0.01),差異有統(tǒng)計學意義,治療組腸鳴音恢復較治療組快。4、評價組術后不良反應完全緩解時間,兩組比較(X2=17.51,P0.01),具有高度顯著差異性,治療組優(yōu)于對照組。結(jié)論:1、六磨湯聯(lián)合中醫(yī)外治(TDP紅外線治療儀)能有治療單氣囊小腸鏡診療術后的不良反應。2、六磨湯聯(lián)合中醫(yī)外治(TDP紅外線治療儀)較西醫(yī)常規(guī)治療在改善單氣囊小腸鏡診療術后腸鳴音恢復情況、不良反應完全緩解時間方面具有更好的療效。
[Abstract]:Objective: to evaluate the efficacy and safety of Liumo decoction combined with external treatment of traditional Chinese medicine in the treatment of adverse reactions after single balloon enteroscopy. Methods: a total of 84 cases were collected and divided into control group (n = 42), treatment group (n = 42) and control group (n = 42). The treatment group was treated with Liumo decoction combined with TDP infrared therapy instrument on the basis of the control group. According to the time of complete remission of adverse reactions and the recovery of bowel sounds, the changes of evaluation indexes before and after treatment were observed in the treatment group and the control group. Spss19.0 statistical software is used to analyze the data. Results: compared with the control group and the treatment group, the effective rate was 85.71in the control group and 95.244in the treatment group, respectively. The difference between the two groups (X2P 4.09 P 0.05) was statistically significant, indicating that the treatment group was superior to the control group, and the score of TCM syndromes between the two groups was evaluated, indicating that the treatment group was superior to the control group, and the comparison of TCM syndromes between the two groups was evaluated. The score of TCM symptom in the control group was 9.07 鹵3.89 and that in the treatment group was 9.50 鹵3.68 before treatment. After treatment, the control group was compared before and after treatment (tn 10.76), the treatment group was compared before and after treatment (tr 16.50% P0.00), and the control group was compared with the treatment group (tn 2.36 P0. 020.05) .3, to evaluate the recovery of bowel sounds (P0.01), the difference was statistically significant. The recovery of bowel sounds in the treatment group was faster than that in the treatment group. The time of complete remission of adverse reactions in the evaluation group was significantly higher than that in the control group (X2P 17.51, P0.01), and the treatment group was superior to the control group. Conclusion the TDP infrared therapy instrument can treat the adverse reaction of single airbag enteroscopy. Liumo decoction combined with traditional Chinese medicine treatment (TDP infrared therapy instrument) can improve the single airbag. Recovery of bowel sounds after enteroscopy, There is a better effect on the time of complete remission of adverse reactions.
【學位授予單位】：廣西中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R656

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