小承气汤中药灌肠联合复方聚乙二醇电解质散剂用于妇科术前的效果

Effect of Xiaochengqi Decoction TCM Enema Combined with Compound Polyethylene Glycol Electrolyte Powder for Gynecological Surgery

目的探讨小承气汤中药灌肠联合复方聚乙二醇电解质散剂用于妇科手术前肠道清洁的临床效果。方法选取2021年3月—2022年12月江苏省邳州市中医院收治的82例妇科手术患者为研究对象,以双盲抽签法随机分为对照组和研究组,各41例。对照组予以复方聚乙二醇电解质散剂治疗,研究组在对照组基础上联合应用小承气汤中药灌肠治疗,比较两组临床效果。结果研究组肠道清洁效果优良性为97.56%,高于对照组的85.37%,差异有统计学意义(χ^(2)=3.904,P<0.05)。研究组不良反应发生率为2.44%,低于对照组的4.88%,但差异无统计学意义(P>0.05)。研究组术后首次排气、排便时间明显短于对照组,差异有统计学意义(P均<0.05)。结论小承气汤中药灌肠联合复方聚乙二醇电解质散剂用于妇科手术前可保障良好的肠道清洁效果,且安全性较高,可促使术后及早排气及排便。

Objective To investigate the clinical effect of Xiaochengqi Decoction TCM enema combined with com⁃pound polyethylene glycol electrolyte powder for intestinal cleaning before gynecological surgery.Methods A total of 82 gynecological surgery patients admitted to Pizhou Hospital of Traditional Chinese Medicine in Jiangsu Province from March 2021 to December 2022 were selected as the study objects.They were randomly divided into control group and study group by double-blind lottery method,with 41 cases in each group.The control group was treated with com⁃pound polyethylene glycol electrolyte powder,and the study group was treated with Xiaochengqi Decoction TCM en⁃ema based on the control group.The clinical effect of the two groups was compared.Results The excellent intestinal cleaning effect of the research group was 97.56%,which was higher than the control group's 85.37%,and the differ⁃ence was statistically significant(χ^(2)=3.904,P<0.05).The incidence of adverse reactions in the study group was 2.44%,lower than the control group's 4.88%,but the difference was not statistically significant(P>0.05).The first postoperative exhaust and defecation time in the study group were significantly shorter than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion Xiaochengqi Decoction TCM enema com⁃bined with compound polyethylene glycol electrolyte powder can ensure good intestinal cleaning effect before gyneco⁃logical surgery,and has high safety,and can promote early postoperative exhaust and defecation.