西药联合灌肠疗法治疗腹部手术后胃肠功能障碍的效果分析

Effect analysis of western medicine combined with enema therapy in the treatment of gastrointestinal dysfunction after abdominal surgery

目的：探讨西药联合灌肠疗法治疗腹部手术后胃肠功能障碍的效果。方法选取本院2010年5月∽2014年5月收治的80例腹部手术后出现胃肠功能障碍患者为研究对象，随机分成联合组与常规组，各40例，常规组采用常规西药进行治疗，联合组在常规组的基础上采用灌肠疗法进行治疗，比较两组治疗后的排气、排便、肠鸣音恢复时间，进食时间，肠胃功能障碍评分，住院时间等指标。结果两组治疗前胃肠功能障碍评分比较差异无统计学意义（P〉0.05）；治疗后，常规组的胃肠功能障碍评分明显高于联合组，差异有统计学意义（P〈0.05）；常规组胃肠功能恢复时间、进食时间、住院时间均长于联合组，差异有统计学意义（P〈0.05）。结论对腹部手术后出现胃肠功能障碍的患者行西药联合灌肠疗法，疗效显著，能有效缩短患者术后排气、排便、肠鸣音恢复时间，改善进食效果，缓解胃肠功能障碍症状，对改善患者生活质量、促进其早日回归正常生活等具有积极意义，值得临床推广应用。

Objective To explore the effects of western medicine combined with enema therapy in the treatment of gas-trointestinal dysfunction after abdominal surgery. Methods 80 cases of patients with gastrointestinal dysfunction oc-curred after abdominal operation from May 2010 to May 2014 in our hospital were selected and randomly divided into combined group and routine group,each group for 40 cases.The routine group were treated by conventional western medicine therapy,the combined group were treated with enema therapy on the basis of the routine group.The recovery time of exhaust,defecate,bowel sound and eating time,gastrointestinal dysfunction score,hospitalization time in two groups was compared respectively. Results Gastrointestinal dysfunction score of the two groups was compared before treatment,with no statistical difference （P〉0.05）.After the treatment,gastrointestinal dysfunction score of routine group was higher than that in combined group,with statistical difference（P〈0.05）.The recovery time of gastrointestinal function, eating time and hospitalization time in routine group was longer than that in combined group respectively,with statistical difference （P〈0.05）. Conclusion There is obvious curative effect of western medicine combined with enema therapy in the treatment of gastrointestinal dysfunction after abdominal surgery,which can effectively shorten the recovery time of exhaust,defecate,bowel sound,improve the feeding effect,relieve the symptom of gastrointestinal dysfunction.There is positive significance to improve the life quality of the patients and promoting its early return to normal life,and it is worthy of clinical promotion and application.