内外合治促进腹部外科术后胃肠功能恢复临床研究及对患者血浆胃动素的影响

Clinical Research of Internal and External Treatment on Gastrointestinal Function Recovery after Abdominal Operation and Its Impact on blood Motilin

目的:观察内外合治促进腹部外科手术后胃肠功能恢复的临床疗效及对患者血浆胃动素(MOT)变化的影响。方法:将150例患者随机分为内外合治组、中药组和对照组。对照组常规治疗,中药组加服芪朴汤,内外合治组在中药组的基础上,双侧足三里穴敷贴黄香散。结果:内外合治组在腹外科术后的肠鸣音恢复时间、肛门排气、肛门排便时间及血浆胃动素(MOT)含量、白细胞恢复均优于中药组及对照组。结论:内外合治法能促进腹外科术后的胃肠功能恢复疗效肯定,并符合用药原则,值得在临床推广。

Objective： To observe the improvement of gastrointestinal function in patients underwent abdominal operation treated with internal and external treatment and its impact of the change of blood Motilin. Methods： A hundred and fifty patients who had abdominal operation were randomly divided into three groups. Fifty patients in the control groups were treated with route methods.Fifty patients were additionally administered with Qipu Decoction. The test 50 patients were additionally administered with internal and external treatment,compared with Qipu Decoction group. Results： The intestinal voice restoration time,first anus exhausted time and defecation time of the treatment group were shorter than those of the control group,which showed statistically significant difference（ P〈0. 01）. The level of blood Motilin,and hemameba recovery of the three groups were higher after operation. But the treatment group showed greater efficiency than the control group. Conclusion： Internal and external treatment may promote the recovery of gastrointestinal function after abdominal operation,which is worth of promotion.