清热祛湿导滞汤辅助腹腔镜阑尾切除手术对湿热瘀滞型患者胃肠功能的影响

Effect of Clearing Heat,Dispelling Dampness and Promoting Stagnation Decoction Combined with Laparoscopic Appendectomy on Gastrointestinal Function of Damp Heat Stasis Type Patients

目的研究分析清热祛湿导滞汤结合腹腔镜阑尾切除术对湿热瘀滞型患者的影响。方法选取2021年1月—2023年6月本院收治的150例湿热瘀滞型急性阑尾炎患者为样本,按照抛硬币法将其分为对照组和试验组,每组75例。对照组采用常规治疗法,试验组在对照组的基础上加用清热祛湿导滞汤治疗。对两组中医证候积分、胃肠功能相关指标进行对比分析。结果治疗后,试验组中医证候积分低于对照组,差异显著,有统计学意义(P<0.05);与对照组比,试验组术后排气时间、肠鸣音恢复时间更短,差异显著,有统计学意义(P<0.05);试验组胃肠功能障碍发生率少于对照组,差异显著,有统计学意义(P<0.05)。结论清热祛湿导滞汤辅助腹腔镜阑尾切除术能促进湿热瘀滞型患者胃肠功能恢复,值得临床推广。

Objective To study effect of clearing heat,dispelling dampness and promoting stagnation decoction combined with laparoscopic appendectomy for damp heat stasis type patients.Methods The paper chose 150 patients with acute appendicitis of damp heat stasis type from January 2021 to June 2023 as samples,and divided them into control group and experimental group according to coin toss method,with 75 cases in each group.Control group was treated with routine treatment,while experimental group with clearing heat,dispelling dampness and promoting stagnation decoction on the basis of control group.TCM syndrome scores and gastrointestinal function related indicators were compared and analyzed between two groups.Results After treatment,TCM syndrome scores of experimental group were lower than control group,difference was statistically significant(P<0.05).Experimental group had shorter postoperative exhaust time and bowel sound recovery time than control group,difference was statistically significant(P<0.05).Gastrointestinal dysfunction in experimental group was less than control group,difference was statistically significant(P<0.05).Conclusion Combination of clearing heat,dispelling dampness and promoting stagnation decoction and laparoscopic appendectomy can promote recovery of gastrointestinal function of patients with damp heat stasis type,which is worthy of clinical promotion.