中医康抚护理与新斯的明治疗腹腔镜术后腹胀疗效比较研究

Comparative study of Chinese medicine recovery nursing and neostigmine for treatment of laparoscopic abdominal distension therapy

目的通过临床调查肌注新斯的明和以中医康抚护理腹腔镜术后腹胀患者首次排气时间及腹胀缓解的时间长短、疼痛程度等,比较两种方法的疗效,进一步提高护理水平和效果。方法收集腹腔镜术后腹胀患者,随机分配到中医康抚组和新斯的明组,比较两组患者首次肛门排气时间及腹胀消失情况。采用视觉模拟评分法评估腹胀伴随腹痛的疼痛程度,对收集的数据进行统计学分析,比较治疗效果。结果采用中医康抚护理组和肌注新斯的明组的患者平均首次排气时间分别为(6.8±4.6)h和(11.6±3.9)h,平均腹胀消失时间分别为(12.6±2.6)h和(24.6±3.8)h;视觉模拟评分法评分平均到2分时,用时分别为(18.6±3.2)h和(24.6±2.0)h,差异均具有显著意义(P<0.05)。结论中医康抚护理疗法操作简单,治疗作用快、疗程短、疗效显著且经济安全,病人感觉舒适,较肌注新斯的明法能在更短时间内促进肠蠕动,缓解患者腹胀。

Objective To compare Chinese medicine recovery nursing therapy and intramuscular neostigmine through a comparative clinical study for the treatment of laparoscopic abdominal distension. Method Applying two therapy methods on patients with laparoscopic abdominal distension and compare the first the anus exhaust time and abdominal distension disappear time uses the visual analogue scate（VAS） to evaluate pain level. Result The patients with Chinese medicine recovery nursing therapy and intramuscular neostigmine group＇s average first exhaust time was 6.8±4.6 h and 11.6±3.9 h respectively, abdominal distension disappear time is 12. 6±2. 6 h and 24. 6± 3.8 h respectively, average time of VAS down to 2 points is 18.6±3.2 h and 24.06±2. Oh respectively. There was significant difference between two groups（P〈0.05）. Conclusion Chinese medieine recovery nursing therapy operation is simple, the treatment effect quickly with short course, curative effect is distinct and economic security, the patient feel comfortable. It＇s a new method that can stimulate bowel wriggles, ease patient＇s clinical symptoms of abdominal distension.