自拟通腑顺气汤对妇科腹部手术后胃肠功能恢复的临床观察

Clinical Observation on the Recovery of Gastrointestinal Function after Gynecological Abdominal Surgery with Self-made Tongfushunqi Decoction

目的观察自拟通腑顺气汤对妇科腹部手术后患者胃肠功能恢复的临床疗效。方法将60例妇科腹部手术患者随机分成2组,中药组在术后常规处理的基础上予自拟通腑顺气汤口服;对照组予术后常规处理。结果术后肠鸣音恢复时间、首次排气时间、首次排便时间中药组均低于对照组,2组相比均有显著性差异(P<0.05)。术后24 h症状总积分中药组低于对照组,2组无显著差异(P>0.05);术后72 h症状总积分中药组低于对照组,2组有显著性差异(P<0.05)。2组患者疗效比较有显著性差异,具有可比性(P<0.05)。结论自拟通腑顺气汤可加快妇科腹部手术后患者的肠鸣音恢复及首次排气、排便,改善术后患者腹痛腹胀、恶心呕吐等症状。

Objective Objective To observe and investigate the clinical effect of Self-made Tongfushunqi Decoction on the recovery of gastrointestinal function after gynecological abdominal surgery. Methods 60 patients with gynecological abdominal surgery were randomly divided into into 2 groups. Give control group routine postoperative treatment;in addition,Chinese medicine group take Self-made Tongfushunqi Decoction orally. Results The results showed that the time of postoperative bowel sounds recovery,the first exhaust time and the first defecation time of Chinese medicine group were lower than control group,and the differences were significant（P〈0.05）. The total symptom score of postoperative at 24 hours after surgery of Chinese medicine group was lower than control group with no significant difference（P〉0.05）. The total symptom score of postoperative at 24 hours after surgery of Chinese medicine group was lower than control group,showing a significant difference（P〈0.05）. There was a significant difference with comparative effectiveness in the two groups of patients（P〈0.05）. Conclusion Self-made Tongfushunqi Decoction can accelerate the gynecological abdominal surgery in patients with postoperative bowel sounds recovery,the first exhaust and defecation time. In addition,it can improve symptoms such as abdominal distension,abdominal pain,nausea and vomiting after surgery.