Clinical Study On The Treatment And Prevention Of Abdominal Adhesions By Integration Of TCM And Modern Medicine

Objective: To probe a new regime, which is integrated into thecombination of Traditional Chinese medicine (TCM) and westernmedicine in treatment and prevention of, as well as to explore the effectof the new program.Methods: From April of 2003 to June of 2004, fouty-four patients whowere observed as clinical cases were divided into two groups,whichwere treatment group and prevention group of abdominal postoperativeadhesions, according to diagnose whether intestinal adhesion in operationor preoperation. Each group were randomly divided into two groupswhich were contral group and Traditional Chinese medicinegroup,according to the operation into at random successively respectively.Contrast group imprison belly 6ml daub at small intestine peritonaeumnear the serous coat and notch with 1% Sodium Hyaluronate(HA). Exceptcontral group's treatment method, in 24 hour the operation TraditionalChinese medicine group, take orally or inject traditional Chinesemedicine into intestines glue in flakes to in charge of to put in jejunum.Results: Gurgling sound resume time and time of exhausting for the firsttime and defecate time of traditional Chinese medicine group is earlierthan that of control group for the first time after the operation. Theprothrombin time(PT) and the activated partial thromboplastintime(APTT) of Traditional Chinese medicine group is longer than that ofcontrol group after using medicine, fibrinogen (FIB) of Chinese medicine group is lesser than that of control group Through B ultrasonic, theintestinal adhesion rate of the traditional Chinese medicine group is tothat of the contral group in tenth day after the operation.Conclusion: Sodium Hyaluronate(HA)is put among peritonaeum andserous coat which have been damaged in the operation, and the number 1changzhanlian pill of traditional Chinese medicin is used after theoperation.This can prevent the emergence of the intestinal adhesion afterthe obdominal operation effectively. The intestinal adhesion after theobdominal operation has been effectively treated through looseningadhesive intestines in operation and putting Sodium Hyaluronate(HA)into among peritonaeum and serous coat which have been damaged in theoperation and using the number 1 and number 2 changzhanlian pill oftraditional Chinese medicin after operation.