大承气汤冲剂术后早期使用的临床观察

Clinical Observation on Early Postoperative Use of Da Cheng Qi Decoction

目的 :观察大承气汤冲剂术后早期使用促进肠功能早期恢复 ,提高围手术期治疗效果的作用。 方法 :选择上腹部手术病人 10 0例 ,随机分为中药组和对照组。中药组在术后 1～ 3d给予大承气汤冲剂 ,从术后肠音恢复时间、排气、排便和进食时间、肺通气功能和血氧饱和度变化、血浆内毒素及胃动素变化等指标进行了观察。 结果 :术后早期在没有禁忌症条件下 ,服用大承气汤冲剂 ,使进食和排便时间提前 ,加快术后的恢复 ,同时肺功能SaO2 和FEV1 0 (%PRED)也得到改善 ,促进血浆内毒素水平早期下降及胃动素水平提高等。 结论 :术后早期使用大承气汤冲剂具有提高围手术期治疗效果 。

To observe the effect of Da Cheng Qi decoction on intestinal function recovery in early postoperative period Methods:One hundred patients following cholecyctectomy were investigated.A prospective comparative analysis was made between oral use of Da Cheng Qi decoction in early postoperative period and conventional treatment.Results:The use of Da Cheng Qi decoction early postoperatively could promote intestinal function recovery with significant improvement of respiratory function.The plasma content of endotoxin was reduced and that of actin was raisedConclusion:Da Cheng Qi decoction used in early postoperative period can improve the effect of perioperative care and prevent the attack of enterogenous infection.