颠簸疗法联合通腑消饮汤预防腹部术后早期炎性肠梗阻临床研究

Clinical Study on Bumping Therapy Combined with Tongfu Xiaoyin Tang in the Prevention for Early Postoperative Inflammatory Intestinal Obstruction after Abdominal Operation

目的:观察颠簸疗法联合通腑消饮汤对腹部手术术后早期炎性肠梗阻的预防效果。方法:选取400例急性弥漫性腹膜炎、急性肠梗阻开腹手术患者,随机分为观察组及对照组,每组200例。对照组给予常规西医治疗,观察组在对照组基础上给予颠簸疗法联合通腑消饮汤治疗。对比2组患者术后肠鸣音次数、首次肛门排气排便时间、腹腔压力、切口并发症及术后早期炎性肠梗阻发生情况。结果:观察组患者术后2、3、4、5、6、7天肠鸣音次数均多于对照组(P <0.05)。观察组患者术后3、4、5天腹腔内压均小于对照组(P <0.05),术后首次肛门排气排便时间短于对照组(P <0.05)。2组术后炎性肠梗阻发生率比较,差异有统计学意义(P <0.05)。2组术后切口并发症发生率比较,差异无统计学意义(P> 0.05)。术后2天,观察组操作后视觉模拟评分法(VAS)评分高于操作前(P <0.05)。术后3、4天,观察组操作前后VAS评分比较,差异均无统计学意义(P> 0.05)。结论:颠簸疗法联合通腑消饮汤能减少急性弥漫性腹膜炎和急性肠梗阻患者腹部术后早期炎性肠梗阻发生。

Objective:The preventive effect of bumping therapy combined with Tongfu Xiaoyin tang on early postoperative inflammatory intestinal obstruction after abdominal operation.Methods:Divided 400 cases of patients who received acute diffuse peritonitis and acute intestinal obstruction operation randomly into the observation group and the control group,with200 cases in each group.The control group was treated with routine western medicine,while the observation group was additionally given the bumping therapy combined with Tongfu Xiaoyin tang.Compared the times of postoperative borborygmi,the first anal defecation and exhaust time,abdominal pressure,incision complications and early postoperative inflammatory intestinal obstruction between the two groups.Results:The times of borborygmi of patients in the observation group was more than that in the control group at 2,3,4,5,6 and 7 da,ys after operation(P<0.05).The intra-abdominal pressure of patients in the observation group was lower than that of the control group at 3,4 and 5 days after operation;the first anal exhaust and defecation time was shorter than that of the control group,difference being significant(P<0.05).There was significant difference being found in the comparison of the incidence of postoperative inflammatory intestinal obstruction between the two groups(P<0.05).There was no significant difference being found in the comparison of the incidence of postoperative incision complications between the two groups(P>0.05).Two days after operation,the score of visual analog scale(VAS)in the observation group was higher than that before operation(P<0.05).At 3 and 4 days after operation,there were no significant differences being found in the comparison of the VAS scores in the observation group before and after operation(P>0.05).Conclusion:The application of bumping therapy combined with Tongfu Xiaoyin tang can reduce the occurrence of acute diffuse peritonitis and early postoperative inflammatory intestinal obstruction in patients with acute intestinal obstruction after abdominal operation.