小承气汤保留灌肠对胃癌术后胃肠功能恢复的影响

Effect of Retention Enema of Xiao Chengqi Decoction on the Recovery of Gastrointestinal Function after Gastric Cancer Operation

目的观察小承气汤保留灌肠对胃癌术后胃肠功能恢复的影响。方法将78例胃癌术后患者分为对照组和治疗组,对照组给予西医一般治疗,治疗组在一般治疗基础上,采用小承气汤保留灌肠,评价两组临床疗效,同时观察两组肠鸣音恢复时间、肛门首次排气排便时间及住院天数。结果与对照组比较,治疗组肠鸣音恢复时间更短,肛门首次排气排便出现更早,住院时间明显缩短,经统计分析有显著性差异(<0.05)。治疗组总有效率为92.3%,对照组总有效率为82.1%,治疗组临床疗效明显优于对照组(<0.05)。结论小承气汤保留灌肠在胃癌术后胃肠功能障碍方面的疗效优于胃癌术后一般治疗。

Objective To observe the effect of retention enema of Xiao Chenqi decoction on the recovery of gastrointestinal function after gastric cancer operation. Methods 78 cases of patients after gastric cancer operation were divided into control group and treatment group,control group was treated with routine treatment,treatment group received retention enema of Xiao Chenqi decoction on the basis of control grouop. The clinical efficacies of the two groups were evaluated,and the recovery time of bowel sound,anal exhaust defecation time and hospital stay of the two groups were observed. Results Compared with control group,the recovery time of the bowel sounds in treatment group was shorter,the first exhaust and defecation of the anus appeared earlier,the time of hospitalization was obviously shortened,and the statistical analysis had significant difference（ P〈0.05）. The total effective rate of treatment group was 92.3%,higher than 82.1% of control group. The clinical efficacy of treatment group was significantly better than that of control group（ P〈0.05）. Conclusion The effect of retention enema of Xiao Chengqi decoction is better than routine nursing for gastric cancer after gastric cancer operation.