中西医结合治疗腹部外科胃肠功能障碍临床体会

Clinical experience for treating gastrointestinal dysfunction abdominal surgery in the integrative medicine

目的:观察外科术后胃肠功能障碍患者,用中西医结合的方法治疗的效果。方法:选用临床86例病例,随机分为两组,对照组用西医常规方法进行治疗,治疗组在常治疗的基础上加用中药复方大承气汤。比较两组胃肠道功能恢复时间。结果:肛门排气时间,实验组为41.4h,对照组为78.3h(P<0.001)。肠鸣恢复正常时间,实验组为38.2h,对照组为71.9h(P<0.001),肛门排便时间,实验组为44.4h,对照组为82.5h(P<0.001)。结论:中西医联合治疗腹部外科手术后胃肠道功能障碍,能使肠鸣时间、肛门排气时间以及排便时间均明显减少,证明中西医结合治疗效果好与单纯应用西医治疗,在统计学上有显著性意义。

Objective： To observe the effect of treating gastrointestinal dysfunction after surgery in the integrative medicine. Methods： 86 patients were randomly divided into two groups, control group was treated with common Western medicine, the treatment treated group was treated with TCM Fufang Dachengqi decoction based common treatment. Comparing the recovery time of gastrointesti -nal function of two groups. Results： anal exhaust time, the experimental group was 41.4 hours, the control group was 78.3 hours （P〈0.001） Bowel recovery time, the experimental group and 38.2 hours, the control group was 71.9 hours （P〈0.001）, anal defecation time, the experi -mental group was 44.4 hours, the control group was 82.5 hours （P〈0.001）. Conclusion： Treating gastrointestinal dysfunction abdominal surgery in the integrative medicine, reduced the bowel time, anal exhaust time and defecation significantly, proved that effects in the integrative medicine was better than a simple application of Western medicine treatment, there was statistically significant.