中药敷脐治疗胃穿孔术后胃肠功能障碍临床观察

Clinical Study on Chinese Medicine Umbilical Compress in the Treatment of Gastrointestinal Dysfunction after Gastric Perforation

目的 探讨自制中药敷脐治疗胃穿孔术后胃肠功能障碍的临床效用。方法 选取2020年10月—2021年10月兴国县人民医院行胃穿孔手术治疗后胃肠功能障碍患者60例,按照随机数字表法分成2组,对照组30例采用常规基础治疗加温水袋敷脐治疗,试验组30例采用常规基础治疗加自制中药方敷脐治疗,连续治疗7 d,观察2组患者治疗有效率、胃肠功能改善情况、中医症状积分、胃肠激素水平变化。结果 试验组总有效率显著高于对照组(P<0.05);试验组术后胃肠功能改善情况、胃肠激素水平均优于对照组(P<0.05);试验组中医症状积分显著低于对照组(P<0.05)。结论 自制中药敷脐治疗胃穿孔术后胃肠功能障碍能促进胃肠激素的分泌,改善胃肠功能及中医症状积分,提升临床疗效,临床用药安全。

Objective To explore the clinical value of Chinese medicine umbilical application in the treatment of gastrointestinal dysfunction after gastric perforation.Methods Sixty patients with gastrointestinal dysfunction after gastric perforation surgery in Xingguo County People's Hospital from October 2020 to October 2021 were selected and divided into 2 groups according to random number table method.Thirty patients in the control group were treated with conventional basic treatment and warm water bag compress umbilical treatment,and 30 patients in the experimental group were treated with conventional basic treatment and self-made Chinese prescription compress umbilical treatment for 7 consecutive days.The effective rate,improvement of gastrointestinal function,TCM syndrome score and gastrointestinal hormone level were observed in 2 groups.Results The total effective rate of experimental group was significantly higher than that of control group(P<0.05).After treatment,the gastrointestinal function improvement and gastrointestinal hormone level of experimental group were better than those of control group(P<0.05).TCM syndrome score of experimental group was significantly lower than that of control group(P<0.05).ConclusionSelf-made Chinese medicine umbilical compress in the treatment of gastrointestinal dysfunction after gastric perforation can promote the secretion of gastrointestinal hormones,improve gastrointestinal function and TCM syndrome scores,improve clinical efficacy,and its safety meets clinical requirements.