五仁汤在腹股沟疝术后康复中的应用效果

Application Effect of Wuren Decoction in Postoperative Rehabilitation of Inguinal Hernia

目的探讨五仁汤在腹股沟疝术后康复中的应用效果.方法选取2022年3月—2023年3月在无锡市中医院普外科接受腹股沟疝手术的98例患者为研究对象,采用随机数字表法将其分为常规组(n=49)和五仁汤组(n=49).常规组按照常规快速康复理念处理,五仁汤组在常规组的基础上口服五仁汤.比较两组术后肠鸣音恢复时间、首次排气和排便时间、腹胀和并发症发生率,以及术后24、48 h的血清胃泌素水平.结果五仁汤组肠鸣音恢复时间(20.37±4.79)d、首次排气时间(24.25±6.16)d、排便时间(31.33±11.01)d,均短于常规组的(25.68±7.32)d、(30.18±10.14)d和(37.82±16.65)d,组间差异有统计学意义(P<0.05).五仁汤组腹胀发生率12.24%、便秘发生率6.12%均低于对照组的30.61%和20.41%,组间差异有统计学意义(P<0.05).五仁汤组术后24、48 h的血清胃泌素水平为(78.59±12.36)pg/mL和(100.45±18.51)pg/mL,均高于对照组的(70.54±13.44)pg/mL和(81.26±16.32)pg/mL,组间差异有统计学意义(P<0.05).结论腹股沟疝修补术后应用五仁汤可以改善患者胃肠功能,促进早日排气排便,减少便秘发生,有助于术后早日康复.

Objective To investigate the application effect of Wuren decoction in postoperative rehabilitation of inguinal.Methods 98 patients who underwent inguinal hernia surgery at the General Surgery Department of Wuxi Traditional Chinese Medicine Hospital from March 2022 to March 2023 were selected as the study subjects.They were randomly divided into a conventional group(n=49)and a Wuren decoction group(n=49)using a random number table method.The conventional group patients were treated according to the conventional concept of rapid recovery,while the Wuren decoction group received oral treatment with Wuren decoction on the basis of the control group.The recovery time of intestinal sounds,the first time of exhaust and defecation,the incidence of abdominal distension and complications,and the serum gastrin levels at 24 and 48 h after surgery between two groups of patients were compared.Results The recovery time of intestinal sounds in the Wuren decoction group was(20.37±4.79)d,the first exhaust time was(24.25±6.16)d,and the defecation time was(31.33±11.01)d,were all shorter than(25.68±7.32)d,(30.18±10.14)d,and(37.82±16.65)d in the conventional group,the differences were statistically significant(P<0.05).The incidences of abdominal distension and constipation in the Wuren decoction group were 12.24%and 6.12%,were lower than 30.61%and 20.41%in the conventional group,with statistical significances(P<0.05).The serum gastrin levels in the Wuren decoction group at 24 and 48 hours after surgery were(78.59±12.36)pg/mL and(100.45±18.51)pg/mL,were higher than(70.54±13.44)pg/mL and(81.26±16.32)pg/mL,in the control group with statistical significances(P<0.05).Conclusion The application of Wuren decoction after inguinal hernia repair surgery can improve the patient's gastrointestinal function,promote early defecation,reduce constipation,and help with early postoperative recovery.