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Clinical observation of Houposanwu Decoction for enema in the treatment of intractable abdominal distension due to thoracolumbar spine fracture in 120 cases |
WANG Jun TAO Xiao-bing LIU Xiao-hui CHEN Yan-ping CHU Ding-kun LIU Hong-zheng |
Department of Spine Surgery,Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine in Hebei Province,Cangzhou 061001,China |
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Abstract Objective To explore the clinical effect of Houposanwu Decoction for enema in the treatment of intractable abdominal distension due to thoracolumbar spine fracture.Methods After being approved by Medical Ethics Committee of our hospital,a prospective,double-blind,randomized,controlled study was conducted in 120 patients with refractory abdominal distension after thoracolumbar fracture in our hospital from March 2015 to March 2016.They were selected as research objects and evenly divided into two groups in random.In control group(n=60),patients were treated by regular intramuscular injection of Neostigmine,while in treatment group(n=60),Houposanwu Decoction for enema was adopted.The abdominal distension relief after medication,exhaust time,and defecation time in the two groups were observed. Results The marked improvement rate and total effective rate in the control group was 55.00%and 83.33%,and in the treatment group,they were 73.33%and 95.00%respectively,with statistical difference(P<0.05).After therapy,the exhaust time was(0.87±0.18)h in the control group,while(0.39±0.14)h in the treatment group,with statisticant difference(P<0.05).The defecation time in the control group and treatment group was(2.23±0.32)h and(1.21±0.33)h,with statisticant difference(P<0.05).Conclusion Houposanwu Decoction for enema can greatly alleviate the symptoms of abdominal distension in patients with intractable abdominal distension due to thoracolumbar spine fracture and shorten the time of abdominal distension at advantages of being simple and easy to perform,and reliable on effect,which is especially suitable for promotion in grass-roots hospitals.
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