厚朴排气合剂联合针刺穴位对重症监护室多发伤术后患者胃肠功能恢复的影响

Effect of Houpo Paiqi Mixture(厚朴排气合剂)Combined with Acupuncture on Recovery of Gastrointestinal Function in Postoperative Patients with Multiple Injuries in Intensive Care Unit

目的 探讨厚朴排气合剂联合针刺穴位对重症监护室多发伤术后患者胃肠功能恢复的影响。方法 选择2020年1月—2021年1月医院重症监护室收治的80例多发伤术后合并胃肠功能障碍的患者,按干预措施不同分为观察组和对照组,各40例。对照组给予针刺穴位干预,观察组在对照组基础上给予厚朴排气合剂干预。比较两组胃肠功能恢复情况、干预效果及并发症发生率。结果 干预后,观察组肠鸣音恢复时间、肛门排气时间、饮食恢复时间均少于对照组,差异有统计学意义(P<0.05);干预后,两组腹内压、肠功能障碍评分均较前明显下降,观察组低于对照组,差异有统计学意义(P<0.05);两组并发症发生率无差异(P>0.05)。结论 厚朴排气合剂联合针刺能促进多发伤术后患者胃肠功能早期恢复,提高治疗有效率,值得推广应用。

Objective To explore the effect of Houpo Paiqi Mixture(厚朴排气合剂)combined with acupuncture on the recov-ery of gastrointestinal function in patients after multiple injuries surgery in intensive care unit.Methods Eighty patients with post-operative gastrointestinal dysfunction after multiple injuries admitted to the intensive care unit of the hospital from January 2020 to January 2021 were selected and divided into an observation group and a control group,with 40 cases in each group,according to different intervention measures.The control group was treated with acupuncture while the observation group was treated with Hou-po Paiqi Mixture on the basis of the control group.The recovery of gastrointestinal function,intervention effects and incidence of complications were compared between the two groups.Results After the intervention,the recovery time of bowel sounds,anal ex-haust time and dietary recovery time in the observation group were significantly shorter than those in the control group(P<0.01).After intervention,the intra-abdominal pressure and intestinal dysfunction scores of the two groups decreased signifi-cantly compared to those before intervention and those of the observation group were lower than those of the control group,with a statistically significant difference(P<0.01).There was no difference in the incidence of complications between the two groups(P>0.05).Conclusion Houpo Paiqi Mixture combined with acupuncture can promote early recovery of gastrointestinal function in patients with multiple injuries after surgery and improve the treatment efficiency,and is worthy of promotion and application.