Observation on clinical efficacy of Chaishao Decoction in treatment of postoperative intestinal adhesion
Objective:To observe the clinical efficacy of Chaishao Decoction in the treatment of postoperative intestinal adhesion.Methods:A total of 80 patients with postoperative intestinal adhesion who met the criteria were included and randomly divided into the traditional Chinese medicine group and the control group,40 cases in each group.The patients in both groups were treated with conventional supportive treatment with western medicine,and the patients in the traditional Chinese medicine group were treated with Chaishao Decoction based on above.The treatment course was 14 d.The clinical efficacy of the two groups was evaluated.Before and after treatment,the total scores of traditional Chinese medicine syndromes were compared between the two groups.The time of the first exhaust,the time of the first autonomic defecation and the time of hospital stay were compared between the two groups.Before and after treatment,the levels of interleukin(IL)-6 and IL-10 were detected and compared between the two groups.Results:① After treatment,the total effective rate was 90.0%in the traditional Chinese medicine group and 75.0%in the control group,and the efficacy of the traditional Chinese medicine group was better than that of the control group(P<0.05).②After treatment,the total scores of traditional Chinese medicine syndromes in both groups were significantly decreased compared with those before treatment(P<0.05),and the scores of the traditional Chinese medicine group were significantly lower than those of the control group(P<0.05).③The time of the first exhaust,the time of the first autonomic defecation and the time of hospital stay in the traditional Chinese medicine group were significantly shorter than those in the control group(P<0.05).④After treatment,the levels of IL-6 and IL-10 in both groups were decreased compared with those before treatment(P<0.05),and the levels of IL-6 and IL-10 in the traditional Chinese medicine group were lower than those in the control group(P<0.05).Conclusion:Chaishao Decoction combined with conventional western medicine can effectively relieve the discomfort symptoms in patients with postoperative intestinal adhesion,shorten the time of the first exhaust and defecation and the hospitalization time,and decrease the levels of serum inflammatory factors.
intestinal adhesionafter laparoscopic surgeryChaishao Decoctionintegrated traditional Chinese and western medicine