【摘要】 目的:探讨生大黄粉煎剂保留灌肠对ICU患者胃肠功能影响的疗效。方法:选取86例于2016年8月-2017年6月在我院ICU住院且出现胃肠功能障碍的患者,将其随机分为对照组和观察组,对照组行常规西医治疗,观察组于对照组基础上加施生大黄粉煎剂保留灌肠,观察并比较两组患者初次排便时间、ICU住院时间及MODS的发生情况。结果:观察组患者初次排便时间及ICU住院时间较对照组均明显更低,组间比较存在显著差异(P<0.05);观察组MODS的发生率为13.95%,较对照组的65.12%明显更低,组间比较存在显著差异(P<0.05)。结论:生大黄粉煎剂保留灌肠可有效缓解ICU患者胃肠功能障碍,缩短患者初次排便及ICU住院时间,且不易发生MODS,具较高安全性,值得在临床当中推广应用。更多还原

【Abstract】 Objective: To investigate the effect of rhubarb powder decoction retention enema on gastrointestinal function in ICU patients. Methods: Eighty-six patients with gastrointestinal dysfunction admitted to ICU of our hospital from August 2016 to June 2017 were selected and randomly divided into the control group and the observation group. The control group received routine Western medical treatment, and the observation group received rhubarb powder decoction retention enema treatment more. The initial defecation time, ICU hospital stay and MODS incidence in two groups were observed and compared. Results: The initial defecation time and ICU hospitalization time in the observation group were significantly lower than those in the control group(P<0.05). The incidence of MODS in the observation group was 13.95%, which was significantly lower than 65.12% in the control group. There were significant differences between groups(P<0.05). Conclusion: Raw rhubarb powder decoction retention enema could effectively relieve gastrointestinal dysfunction in ICU patients, it could shorten the initial defecation and ICU hospital stay, and make patients be less prone to MODS, which was of higher safety and was worth promoting in the clinical application.更多还原