Integrated Traditional Chinese Medicine And Western Medicine Treatment Of Adhesive Intestinal Obstruction

Objective Integrated traditional Chinese medicine and Western medicine treatment of adhesive intestinal obstruction(AIO) (qi asthenia causing blood stasis type), were compared to the observations, the discussion of adhesive intestinal obstruction after disease and its treatment, discussion on the superiority of integrated traditional Chinese medicine and Western medicine treatment of adhesive intestinal obstruction (qi asthenia causing blood stasis type).Methods From December 2008 to December 2010, our department of patients treated cases of adhesive intestinal obstruction (qi asthenia causing blood stasis type) in 73 cases, including major surgery in 54 cases,19 cases of small and medium surgery; randomly divided into study group and control group, which studies group,38 patients (52.05%), control group 35 cases (47.95%). Study Group:Treatment through the use of foundation:①fast water, continued decompression;②maintain water, electrolyte and acid-base balance;③total parenteral nutrition support;④application of H2 receptor antagonists and somatostatin to reduce secretion of digestive juice;⑤early use of adrenal cortex hormones to reduce leakage and promote intestinal edema;⑥the condition of patients with antibiotics. At the same time combined with traditional Chinese prescription blood Tongfu side (rhubarb 15g, peach kernel 10g, Glauber's salt 10g, safflower 5g, Corydalis 10g, radish seed 10g. Decoction of Chinese medicine fry than 200mL, day 1, morning and afternoon, the 1st stomach tube implantation, after which pinch 2～3h, while a daily decoction of 200 ml rhubarb retention enema 30g) method of treatment of adhesive intestinal obstruction (qi asthenia causing blood stasis type). Control group:35 cases with simple basic treatment to give adhesive intestinal obstruction (qi asthenia causing blood stasis type). By observing the clinical symptoms, respectively, X ray analysis of gas-liquid surface and other indicators of clinical efficacy. Treatment groups were observed for 10 days, through before and after treatment in patients with symptoms and signs of change, comparative study group to improve adhesive intestinal obstruction (qi asthenia causing blood stasis type) treatment, shorten the course hospital stay,and other aspects and differences between the control group.Results The study group of patients recovered in 27 cases accounted for 71.05%; 5 cases markedly, accounting for 13.15%; 5 cases, accounting for 13.15%; 1 patient, accounting for 2.63%; the total effective rate was 97.36%; control group,18 patients recovered cases, accounting for 51.43%; markedly effective in 6 cases, accounting for 17.14%; effective in 4 cases, accounting for 11.43%; 7 cases, accounting for 20.00%; the total effective rate was 80.00%. Both in the recovery time of bowel sounds restore the exhaust time, symptoms disappeared completely time, treatment time, water samples will become brighter time and the time of gastric juice were significantly different. (P<0.05).Conclusions Abdominal surgery complicated by a variety of types of intestinal obstruction and ileus occurred in different periods is not the same reasons. Adhesion and the formation of intra-abdominal adhesions can be divided into congenital and clinically acquired. Acquired were more common, often due to intra-abdominal surgery, inflammation, trauma, bleeding, foreign bodies caused by surgery after clinical intestinal obstruction due to adhesions the most. The medicine believes that the six fu qi stagnation, not General pain, a "pain, vomiting, swelling, closing" the four symptoms, namely, qi asthenia causing blood stasis and obstruction of water to drink on the stopping performance of six internal organs. Among the main Qi stagnation, namely nausea or abdominal distension syndrome is pain, channeling attack uncertain, cited lower abdomen pain, belching, or loss of gas is obtained pain reduce it, the case of anger is intensified, with vomiting, pulse string, moss thin; to qi asthenia causing blood stasis dominated by, the pain more potential drama, pain does not pass, tongue cyanosis, pulse string or astringent. This study of adhesion obstruction (qi asthenia causing blood stasis type) of patients, after Chinese and retention enema tube into the joint after basic treatment, can achieve very satisfactory results, easing the suffering of patients and improve the quality of life of patients, Integrative Medicine on the treatment of adhesive intestinal obstruction (qi asthenia causing blood stasis) have a significant effect, and worthy of further promotion and in clinical research.