首荟通便胶囊治疗腹腔镜术后腹胀的疗效观察

Clinical observation on Shouhui Tongbian Capsules in treatment of abdominal distension after laparoscopic surgery

目的探讨首荟通便胶囊治疗腹腔镜术后腹胀的临床疗效。方法选取成都市郫都区人民医院于2016年8月—2018年8月收治的腹腔镜术后腹胀患者98例作为研究对象,按照治疗方案将患者随机分为对照组和观察组,每组49例。对照组患者进行常规护理;观察组在对照组基础上口服首荟通便胶囊,2粒/次,3次/d。两组均连续治疗14 d。观察并比较两组患者的临床疗效、术后肠鸣音恢复时间、术后排气时间,及治疗前后不同腹胀程度人数的变化。结果治疗后,对照组总有效率71.4%,显著低于观察组的87.8%(P<0.05)。治疗后,观察组肠鸣音恢复时间和术后排气时间显著低于对照组,两组比较差异有统计学意义(P<0.05)。治疗后,两组不同腹胀程度人数均有显著改善(P<0.05),且观察组显著优于对照组(P<0.05)。结论首荟通便胶囊对治疗腹腔镜术后腹胀疗效显著优于常规护理,可有效提高治疗总有效率,缩短首次排气时间,增加治疗后无腹胀人数,安全高效,值得临床推广。

Objective To investigate the clinical effect of Shouhui Tongbian Capsules on abdominal distension after laparoscopy.Methods A total of 98 patients with abdominal distension after laparoscopy admitted in Pidu District People’s Hospital, Chengdu from August 2016 to August 2018 were selected as the study subjects, and the patients were randomly divided into control group and observation group according to the treatment regimen, with 49 cases in each group. Patients in the control group were received routine nursing, patients in the observation group were po administered with Shouhui Tongbian Capsules on the basis of control group, 2 capsules/time, three times daily. Both groups were treated continuously for 14 days. Clinical efficacy, postoperative recovery time of intestinal sounds, postoperative exhaust time, and the number of patients with different degrees of abdominal distension before and after treatment in two groups were compared. Results After treatment, the total effective rate of the control group was 71.4%, which was significantly lower than 87.8% of the observation group(P < 0.05). After treatment, the recovery time of intestinal sounds and postoperative exhaust time in the observation group were significantly shorter than those in the control group, with statistical significance(P < 0.05). After treatment, the number of patients with different degrees of abdominal distension in two groups was significantly improved(P < 0.05), and the number in the observation group was significantly better than the control group(P < 0.05). Conclusion Shouhui Tongbian Capsules has significantly better efficacy than conventional nursing in treatment of abdominal distension after laparoscopic surgery. It can effectively improve the total effective rate of treatment, shorten the first exhaust time, and increase the number of patients without abdominal distension after treatment. It is safe and efficient, and worthy of clinical promotion.