超声电导大承气汤对全身麻醉腹腔镜胃癌根治术患者术后恢复的影响

Effect of Dachengqi Decoction with ultrasonic conductance on postoperative recovery of laparoscopic gastrectomy under general anesthesia

目的探究超声电导大承气汤对全身麻醉腹腔镜胃癌根治术患者术后恢复的影响。方法选取2015年3月至2018年5月行全身麻醉腹腔镜胃癌根治术的96例胃癌患者为研究对象,按照随机数字表法分为2组各48例,对照组行常规护理,观察组于对照组基础上行超声电导大承气汤干预,对比2组术后胃肠功能恢复情况、血清胃泌素(GAS)、血浆胃动素(MTL)水平以及40项恢复质量评分(QoR40)。结果观察组术后各项胃肠功能指标均优于对照组(P<0.05);与术前1 d比较,2组术后24 h GAS与MTL水平均降低,观察组GAS与MTL分别为(92.56±5.12)、(258.58±5.59)ng/L,高于对照组的(52.12±3.15)、(185.63±4.12)ng/L,差异有统计学意义(t值为46.608、72.782,P<0.01);与干预前比较,2组干预后QoR40评分均提高,观察组和对照组分别为(198.56±5.58)、(152.12±2.63)分,且观察组高于对照组,差异有统计学意义(t值为52.157,P<0.01)。结论超声电导大承气汤利于促进全身麻醉腹腔镜胃癌根治术患者术后恢复。

Objective To explore the effect of Dachengqi Decoction on the postoperative recovery of laparoscopic gastrectomy under general anesthesia.Methods From March 2015 to May 2018,96 patients with gastric cancer undergoing laparoscopic gastrectomy under general anesthesia in our hospital were selected as the study objects and divided into two groups according to the random number table method.The control group received routine nursing.The observation group received the intervention of Dachengqi Decoction with ultrasonic conductivity on the basis of the control group.The recovery of gastrointestinal function,the levels of gas(serum gastrin),MTL(plasma motilin)and Quality of Recovery 40(QoR40)were compared between the two groups.Results The gastrointestinal function indexes of the observation group were better than those of the control group(P<0.05).Compared with one day before operation,the levels of gas and MTL in the two groups were lower 24 hours after operation,but the levels of GAS and MTL in the observation group were(92.56±5.12),(258.58±5.59)ng/L,which were higher than(52.12±3.15),(185.63±4.12)ng/L in the control group(t values were 46.608,72.782,P<0.01).Compared with the pre intervention group,QoR40 scores of the two groups were improved after intervention,and the observation group was(198.56±5.58)points,which was higher than(152.12±2.63)points of the control group(t value was 52.157,P<0.01).Conclusion Dachengqi Decoction can promote the recovery of patients after laparoscopic gastrectomy under general anesthesia.