中医定向透药疗法防治腹部手术患者术后肠粘连、胃肠功能紊乱的疗效观察

Effect of TCM Directional Drug Transdermal Delivery Therapy in Preventing and Treating Postoperative Intestinal Adhesion and Gastrointestinal Dysfunction in Patients after Abdominal Surgery

目的探讨中医定向透药疗法防治腹部手术患者术后肠粘连、胃肠功能紊乱的临床疗效。方法选取2018年10月—2019年12月期间大连市中心医院胃肠一科收治的行腹部手术患者150例,按随机数字表法分为观察组和对照组,每组各75例。术后,对照组采用常规治疗及护理,观察组在对照组的基础上加用中医定向透药疗法,疗程持续至患者肛门排气。观察记录治疗后两组患者肠粘连、胃肠功能、不良反应发生和护理满意度情况。结果治疗后观察组总有效率90.41%(66/73)明显高于对照组的77.33%(58/75),两组比较,差异有统计学意义(P<0.05)。治疗后观察组肠粘连无症状例数高于对照组,重度和再次手术例数低于对照组,且观察组肠粘连发生率41.10%(30/73)低于对照组57.33%(43/75),两组比较,差异有统计学意义(P<0.05)。治疗后观察组肠鸣音恢复时间、首次排气时间、首次排便时间均短于对照组,两组比较,差异有统计学意义(P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。治疗后观察组满意度评分高于对照组,两组比较,差异有统计学意义(P<0.05)。结论中医定向透药疗法能够有效改善腹部手术患者术后肠粘连情况,促进胃肠功能恢复,值得临床推广应用。

Objective To explore the effect of traditional Chinese medicine(TCM)directional drug transdermal delivery therapy in preventive treating intestinal adhesion and gastrointestinal dysfunction in patients after abdominal surgery.Methods A total of 150 patients with abdominal surgery admitted to our hospital from October 2018 to December2019 were randomly divided into the observation group 75 and the control group 75 After operation,the control group was treated with routine treatment and nursing.The observation group was treated with TCM directional drug transdermal delivery therapy on the basis of the control group.The course of treatment continues until the patient’s anus has vented.Intestinal adhesion,gastrointestinal function,adverse reactions and satisfaction were recorded in the two groups after treatment.Results After treatment,the total effective rate of the observation group was 90.41%(66/73),which was higher than77.33%(58/75)of the control group.The difference between the two groups was statistically significant(P<0.05).After treatment,the number of asymptomatic cases of intestinal adhesion in the observation group was higher than that of the control group,and the number of severe and reoperation were both lower than that of the control group,and the incidence of intestinal adhesions in the observation group(41.10%)(30/73)was lower than that in the control group(57.33%)(43/75),the difference between the two groups was statistically significant(P<0.05).After treatment,the bowel sound recovery time,first exhaust time and first defecation time of the observation group were all shorter than those of the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).After treatment,the satisfaction score of the observation group was higher than that of the control group(P<0.05).Conclusion TCM directional drug transdermal delivery therapy can effectively reduce postoperative intestinal adhesion,promote the recovery of gastrointestinal function in patients undergoing abdominal surgery.The patient’s satisfaction is high,and it is worthy of clinical application.