小承气合剂促进结肠吻合术后胃肠动力恢复的临床观察

The clinical observation on the promotion of Xiaochengqi mixture to the recovery of gastrointestinal motility after the colonic anastomosis

目的:观察小承气合剂早期应用对结肠吻合术后胃肠动力恢复的临床护理观察。方法:对结肠吻合术后106例患者,用随机法分为实验组和对照组,实验组于术后4h开始鼻饲小承气合剂,对照组组自术后保持禁食至肛门排气;记录肠鸣音的恢复、第1次排气、第1次排便时间。结果:实验组与对照组患者,平均肠鸣音恢复时间分别为术后(11.67±1.77)h、(18.39±3.21)h;平均首次排气时间分别为(19.00±2.76)h、(28.09±5.14)h;平均首次排便时间分别为(29.04±10.37)h、(42.27±7.13)h。结论:术后早期应用小承气合剂对促进结肠吻合术后胃肠动力的恢复是有效的、安全可行的。

Objective： To observe the influence of stomach intestine functional recovery by drenching xiaochengqi mixture in all earlier period of posteolocolic anastomosis. Methods： A total of 106 patients selected from the postcolocolic anastomosis were randomly divided into group Ⅰ and Ⅱ ,group Ⅰ was treated with xiaochengqi mixture 4 hours after surgery and group Ⅱ was treated with nothing, and we observed the recovery time of bowel sounds, the time of first air bleed, and the time of first defecation. Results： The average time of the first of bowel sound was （11.67±1.77） h in group Ⅰ,and （18.39±3.21） h in group Ⅱ. The average time of the first air bleed was （19.00±2.76） h in group Ⅰ ,and （28.09±5.14） h in group Ⅱ. The aver age first defecation time was （29.04±1037） h,（42.27±7.13） h. Conclusion： Xiaochengqi mixture can promote the stomach intestine functional recovery,in an earlier period of postcolocolic anastomosis, and reduce the occurrence of short-term complication significantly, and have important effect in preventing the long-term postoperative entero-complications.