Clinical Effect Of Warming Yang To Clear The Bow-organs And Activating Blood Circulation To Remove Blood Stasis On ICU Patients With Intra-abdominal Hypertension

Objective:In this study,we observed the efficacy of the methods of Warming Yang to Clear the Bow-organs and Activating Blood Circulation to Remove Stasis in the treatment of patients with intra-abdominal hypertension in the ICU,in order to introduce a safe,effective and TCM characteristic clinical treatment scheme for ICU patients with IAH.Methods:A total of 90 eligible patients were recruited as part of the standardized IAH inpatients,which were divided into a treatment group and a control group using a randomized controlled study method,with 45 patients in each group.On the basis of active treatment of primary disease,the patients in both groups were given routine treatment such as infection control,respiratory and circulatory stability,and internal environment stability.Traditional Chinese medicine treatment group in the treatment of basic diseases with traditional Chinese medicine warming intestines tong fu decoction.The control group was given glycerin enema,oral or nasal feeding with gastrointestinal motility drugs,and intramuscular injection of metoclopramide.To observe the indexes of abdominal pressure,septal syndrome,acute physiological and chronic health score,number of bowel sounds,number of stool,etc.Results:After 3 days of treatment,IAP was compared between the two groups,and the differences were statistically significant(P < 0.05).After 5 days of treatment,the total effective rate of the treatment group was 88.89%,while that of the control group was 77.78%.The difference in the two groups was statistically significant(P < 0.05).During the treatment,4 patients in the treatment group developed ACS,with an incidence of 8.88%,and 11 patients in the control group developed ACS,with an incidence of 24.44%.The difference in the incidence of ACS between the two groups was statistically significant(P < 0.05).After 5 days of treatment,APACHEII scores of the two groups were compared,and the difference was statistically significant(P < 0.05).During the whole treatment process,there were no statistically significant differences in stool frequency and bowel sounds between the two groups(P > 0.05).Conclusion:The methods of Warming Yang to Clear the Bow-organs and Activating Blood Circulation to Remove Stasis can reduce intra-abdominal pressure of patients,cut off the progression of ACS in patients,improve the overall therapeutic effect and reduce the expected 28-day mortality of patients.