胃肠复原汤对腹部手术后胃肠功能恢复的疗效观察

Clinical observation on recovering gastrointestinal function following abdominal surgery with the Weichang Fuyuan decoction

目的：观察胃肠复原汤对促进腹部手术后胃肠道功能恢复的疗效。方法：选取自2012年6月-2013年4月间接受腹部手术的住院患者106例，随机分为治疗组和对照组，术后胃肠功能恢复前均接受相同的治疗措施。治疗组患者术后6h开始服用胃肠复原汤20mL，间隔6h1次，直至肛门排气为止；观察患者术后肠鸣音恢复情况，术后首次肛门排气、排便时间，术后48～72h主要临床症状平均积分和；测定术前、术后24h、术后48h及术后72h的胃动素（MTLilin，MTL）水平。结果：治疗组患者的术后肠呜音恢复时间、术后首次肛门排气、排便时间、术后48～72h主要-临床症状平均积分和明显短于或低于对照组（P〈0．05），差异有统计学意义；术后48h、72h胃动素水平较对照组明显升高（P〈0．05），差异有统计学意义。结论：胃肠复原汤能有效改善术后胃肠功能恢复，具有较好的临床应用价值，值得推广。

Objective： To observe clinical effects of the Weichang Fuyuan decoction on recovering gastrointestinal function following abdominal surgery. Methods： 106 patients were randomly divided into two groups. All accepted the same treatment before recovery of gastrointestinal function. The treatment group was given the Weichang Fuyuan decoction, 20mL once, 6 hour interval, until flatus up; postoperative recovery of bowel sounds, first flatus, defecation, 48~72 hours average credit of the main clinical symptoms were observed; preoperative and postoperative 24 hour, 48 hour, 72 hour MTL level were tested. Results： Recovery time of bowel sounds, flatus, defecation, 48~72 hours average credit of the main clinical symptoms in the treatment were shorter than those in the control （P〈0.05）, the difference was statistically significant; postoperative 48 hour and 72 hour MTL level in the treatment were obviously higher （P〈0.05）, the difference was statistically significant. Conclusion： The Weichang Fuyuan decoction can effectively improve gastrointestinal function following abdominal surgery with better clinical value, and was worthy of promotion.