藿香正气散加味治疗腹腔镜胆囊切除术后肠胀气102例疗效观察

Treating 102 cases of flatulence after laparoscopic cholecystectomy with Huoxiang Zhengqi San

目的:观察藿香正气散加味治疗腹腔镜胆囊切除术后肠胀气临床效果。方法:选择102例腹腔镜胆囊切除术后肠胀气的患者为研究对象,将患者随机分为治疗组和对照组,每组51例。对照组患者术后不使用任何促进胃肠蠕动的胃肠动力药物或其他方法,治疗组患者在术后8h口服藿香正气散加味汤剂100ml,观察肛门有无排气或排便,若无,20h后再口服藿香正气散加味汤剂100ml,继续观察。结果:对照组患者总有效率为78.4%,治疗组患者总有效率为96.1%,治疗组的疗效要明显好于对照组(P<0.05);治疗组患者术后腹痛腹胀恶心症状缓解时间也要早于对照组患者(P<0.05)。结论:藿香正气散加味治疗腹腔镜胆囊切除术后肠胀气疗效显著,能够明显缓解腹腔镜胆囊切除术后腹痛腹胀恶心症状,值得临床推广。

Objective:To observe Huoxiang Zhengqi San on flatulence after laparoscopic cholecystectomy.Methods:102patients were divided into2groups,51cases for each.The treatment group was given the Huoxiang Zhengqi San more.Results:The total efficiency was78.4%in the control group,lower than96.1%on the treatment group(P<0.05);adverse reactions remission time in the treatment group were shorten(P<0.05).Conclusion:Huoxiang Zhengqi San on flatulence after laparoscopic cholecystectomy shows a good effect,with fewer adverse reactions,and is worthy of promotion.