通腹汤对腹部手术后胃肠功能影响
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摘要
目的:探讨通腹汤对腹部手术后胃肠功能的影响。方法:选取我院腹部外科手术后胃肠功能紊乱患者150例,随机分为观察组和对照组,各75例。对照组常规治疗,观察组增加通腹汤,200 mL/(次·剂),每日1剂。对比肠鸣音恢复、自主排气、首次排便时间,及血常规变化。结果:观察组术后肠鸣音恢复、自主排气及排便时间较对照组显著缩短(P=0.000);治疗后,两组患者WBC、RBC、HGB较治疗前显著降低(P=0.000,P=0.001),但观察组患者降低幅度显著小于对照组(P=0.001,P=0.016)。结论:通腹汤能够改善腹部手术后紊乱的胃肠功能,缩短患者恢复时间。
Objective:To discuss the influences of Tonggu Decoction on gastrointestinal function after abdominal surgery. Methods:150 patients with gastrointestinal dysfunction after abdominal surgery were selected and were randomly divided into observation group and control group,each of them was 75. The control group were treated with conventional treatment,and the observation group added Tongfu Decoction,200 mL/times,1 agent a day. Contrast bowel sounds recovery,independent exhaust and defecation for the first time and the change of blood routine were observed. Results:The postoperative bowel sound recovery,independent exhaust and defecation time of observation group were significantly shortened than those of control group(P=0.000). After treatment,the WBC,RBC,HGB of two groups were significantly lower than those before(P=0.000,P=0.001),but the reduction between the two groups showed a significant difference(P=0.001,P=0.016). Conclusion:Tongfu Decoction can improve disorder of gastrointestinal function after abdominal surgery and shorten the patients' recovery time.
Objective:To discuss the influences of Tonggu Decoction on gastrointestinal function after abdominal surgery. Methods:150 patients with gastrointestinal dysfunction after abdominal surgery were selected and were randomly divided into observation group and control group,each of them was 75. The control group were treated with conventional treatment,and the observation group added Tongfu Decoction,200 mL/times,1 agent a day. Contrast bowel sounds recovery,independent exhaust and defecation for the first time and the change of blood routine were observed. Results:The postoperative bowel sound recovery,independent exhaust and defecation time of observation group were significantly shortened than those of control group(P=0.000). After treatment,the WBC,RBC,HGB of two groups were significantly lower than those before(P=0.000,P=0.001),but the reduction between the two groups showed a significant difference(P=0.001,P=0.016). Conclusion:Tongfu Decoction can improve disorder of gastrointestinal function after abdominal surgery and shorten the patients' recovery time.
引文
[1]李涛,黄新红,林荣繁,等.腹部手术后胃肠功能紊乱机制与营养支持研究进展[J].当代医学,2013,13(26):17-18.
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[7]王平江,张晓宇,腾正杰,等.当归补血汤对心血管系统作用的研究概况[J].医学信息(下旬刊),2010(7):173-174.
[8]李树民,徐鹏远,岑云云,等.腹部手术后早期血浆白蛋白及炎症介质变化的研究[J].中华普通外科杂志,2010(12):1002-1004.
[2]张丹丹.大黄的临床药理研究[J].中国中医药现代远程教育,2011(17):68-69.
[3]贺会刚,李小芬.大黄建中汤治疗功能性消化不良效果观察[J].临床合理用药杂志,2013(35):45-46.
[4]杨战军,董雅洁.大黄对消化系统的药理作用研究机临床应用概况[J].承德医学院学报,2008(25):188-189.
[5]龙飞,卫莹芳,刘永,等.厚朴叶化学成分初步研究[J].华西药学杂志,2010(4):387-388.
[6]张慧力,尚大可,高满仓.厚朴排气合剂保留灌肠对腹部手术后胃肠功能恢复的研究[J].中国卫生产业,2013(23):91-92.
[7]王平江,张晓宇,腾正杰,等.当归补血汤对心血管系统作用的研究概况[J].医学信息(下旬刊),2010(7):173-174.
[8]李树民,徐鹏远,岑云云,等.腹部手术后早期血浆白蛋白及炎症介质变化的研究[J].中华普通外科杂志,2010(12):1002-1004.