自制大黄膏贴预防胸腔镜肺癌切除术后便秘的临床观察

Applicated effect of self -made Dahuang paste on preventing bloating and constipation after lung cancer endoscopic surgery

目的 探讨自制大黄膏贴用于腔镜肺癌术后便秘的效果.方法 选取2017年1～6月浙江省肿瘤医院120例实施胸腔镜手术治疗的肺癌患者作为研究对象,以入院时间的单双号为原则分为研究组和对照组,各60例.大黄膏由本院制剂中心配制.术后所有患者均采用静脉止痛泵,给予0.2 mg盐酸芬太尼＋0.9%氯化钠注射液100 mL.对照组采用灌肠或开塞露临时处理便秘,研究组则给予自制大黄膏贴敷神阙辅以按摩天枢穴的方法预防便秘.比较两组术后预防便秘的效果.结果 研究组术后预防便秘总有效率达95.00%,明显高于对照组的58.33%,差异有统计学意义（χ2＝22.547,P＝0.000）.结论 将大黄膏贴用于术后便秘疗效明显,值得临床推广.

Objective To explore the effect of self -made Dahuang paste on the prevention of postoperative constipation after lung cancer endoscopic surgery by pasting Shenque point and beating Tianshu point .Methods From January 2015 to April 2015,120 patients with lung cancer underwent thoracoscopic surgery in Zhejiang Cancer Hospital were selected and divided into study group and control group according to the principle of single and double numbers,with 60cases in each group.All patients were treated with intravenous analgesic pump after operation ,with 0.2mg fentanyl hydrochloride and 0.9%saline 100 mL.Dahuang paste was made by the hospital preparation center. The control group was treated with enema or cork ,the study group was given Dahuang massage.The effect on the prevention of postoperative constipation was compared.Results The total effective rate of postoperative prevention of constipation in the study group was 95.00%,which was significantly higher than 58.33%in the control group （χ2＝22.547,P＝0.000）.Conclusion Dahuang paste has obvious effect on the prevention of postoperative constipation by pasting Shenque point and beating Tianshu point ,which is worthy of clinical promotion.