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目的:观察在西医治疗基础上加用健脾益气,宣肺化痰中药治疗慢性呼吸衰竭合并胃肠功能障碍患者,为制定中西医结合治疗方案奠定基础。方法:对照组35例患者采用西医常规治疗,治疗组37例患者在对照组的基础上加用健脾益气,宣肺化痰中药。观察治疗前、第7、14、21天的胃肠功能评分、腹内压、肠鸣音、排便次数、脱机成功率。结果:中西医结合治疗明显降低患者的胃肠功能评分和腹内压,增加患者的肠鸣音和排便次数,改善胃肠功能,提高患者的脱机成功率(均P<0.05)。结论:健脾益气,宣肺化痰中药具有明显的临床疗效。
OBJECTIVE: To observe and treat patients with chronic respiratory failure complicated with gastrointestinal dysfunction based on the treatment of traditional Chinese medicine plus spleen and qi, Xuanfei Huotan traditional Chinese medicine to lay the foundation for the development of integrated traditional Chinese and Western medicine treatment. Methods: 35 patients in the control group were treated routinely with Western medicine. 37 patients in the treatment group were given traditional Chinese medicine of invigorating the spleen and invigorating Qi and Xuanfei Huatan in the control group. The gastrointestinal function scores, intra-abdominal pressure, bowel sounds, defecation frequency and off-line success rate were observed before treatment, on the 7th, 14th and 21st days. Results: Integrative treatment significantly reduced gastrointestinal function scores and intra-abdominal pressure, increased bowel sounds and defecation frequency, improved gastrointestinal function, and improved the success rate of patients offline (all P <0.05). Conclusion: Spleen Qi, Xuanfei Huatan Chinese medicine has obvious clinical efficacy.