厚朴理气汤对老年腹部手术后胃肠及肺功能的影响

Influence of Houpu Liqi Decoction on Gastrointestinal Function and Lung Function after Aged Abdominal Surgery

目的探讨厚朴理气汤对老年腹部手术后胃肠及肺功能的影响。方法老年腹部手术患者186例随机分为中药组和对照组,中药组术后口服厚朴理气汤,对照组口服枸橼酸莫沙比利片,手术当天和术后1d、3d,行动脉血气分析和肺功能检测FVC,同时观测术后规律肠鸣音出现时间、首次排气时间和首次排便时间。结果中药组Pa O2、FVC水平均较西药组明显升高,术后肺部并发症减少。术后中药组肠鸣音恢复时间、首次排气时间和排便时间均短于对照组(P<0.01)。结论术后早期服用厚朴理气汤能快速促进腹部手术后患者胃肠功能的恢复,显著增加FVC,减轻肺间质水肿,减轻对肺脏的损害。

Objective To investigate influence of Houpu Liqi decoction on gastrointestinal function and lung function after aged abdominal surgery. Methods 186 cases following aged abdominal operation were selected and divided into two groups randomly,treated Houpu Liqi Decoction and Mosapride respectively. Arterial blood gas analysis and FVC were measured on operation day and post-operation days1,3. Enteric function recovery time was recorded. Results Enteric function recovered earlier in Chinese herbal group than in control significantly,so were lung function. meanwhile,Arterial blood gas analysis were better than those in control.Conclusion The study showed that Houpu Liqi decoction can promote gastrointestinal function and lung function recovery,diminish lung injury after abdominal surgery.