腹部外科术后胃肠功能恢复临床观察

Recovery of gastrointestinal function after abdominal surgery clinical observation

目的探索腹部外科术后患者胃肠功能恢复的方法与措施。方法将患者随机分成三组,即药物治疗组:予肌肉注射维生素Bl 200mg,并于术后24h开始服用四磨汤口服液20ml;针灸治疗组:由中医科行针灸治疗,取与胃肠道功能相关穴道,针刺以改善胃肠运化和传导功能;复合治疗组:采用药物和针灸治疗联合治疗的方法。结果三组患者经积极治疗后均能够恢复正常,无出现肠梗阻、缺血坏死等严重并发症。比较各组间肛门恢复排气平均时间表明,药物治疗组与针灸组进行比较P<0.01有显著差异性,联合治疗组与针灸组比较无显著差异性P>0.05。结论针灸治疗和联合治疗效果确切,其疗效明显优于单纯药物治疗,具有一定的临床推广价值。

[ Objective] To explore patients after abdominal surgery recovery of gastrointestinal function. [ Meth- ods] The patients were randomly divided into three groups, Drug treatment group： intramuscular injection of vitamin B1 200mg, and 24h after the operation began taking Simotang oral 20ml; acupuncture treatment group： Acupuncture medical treatment, take and gastrointestinal channel function related acupuncture points, acupuncture to improve the gas- trointestinal transport and conduction by Traditional Chinese Medicine; Composite treatment group： The acupuncture treatment of drug and combination therapy approach. [ Results ] Three groups of patients after treatment were able to re- turn to normal, no intestinal obstruction, ischemic necrosis and other serious complications. The average recovery time anal exhaust the differences among the groups ：drug treatment group and the acupuncture group, P 〈 0.01 significant difference ; drug treatment group and the acupuncture group there was a significant difference P 〈 0.05, acupuncture and drug therapy group group P 〉 0.01 significant differences. [ Conclusion ] Acupuncture treatment and the exact effect of combination therapy, its efficacy was better than drug treatment, has some clinical value.