自拟增液排气汤对妇科患者术后胃肠功能恢复疗效的临床观察  

Curative effect of Zengyepaiqi Decoction on gastrointestinal function in gynecologic patients after operation

作　　者：王燕霞[1] 陈艳[1] 

机构地区：[1]北京中医药大学东直门医院妇科,北京100700

出　　处：《北京中医药大学学报（中医临床版）》2010年第3期11-13,共3页Journal of Beijing University of Traditional Chinese Medicine

基　　金：北京中医药大学校级课题

摘　　要：目的探讨增液排气汤对妇科患者术后早期胃肠功能恢复的作用。方法将240例在我科进行全子宫切除术、子宫内膜异位症半根治术及附件手术患者随机分为治疗组120例和对照组120例。治疗组术后6h开始服用自拟增液排气汤,1剂/d;对照组术后6h开始服用温开水。对患者术后排气、排便时间及术后腹痛、腹胀的发生率进行比较。结果按开腹附件手术、开腹子宫手术、腹腔镜下附件手术、腹腔镜下子宫手术、开腹子宫手术术后使用麻醉泵不同类分别进行统计,各治疗组肛门排气时间、排便时间均较对照组明显缩短(P<0.01)。腹痛、腹胀的发生率治疗组为6.7%,对照组为60.0%。结论增液排气汤可明显促进妇科患者术后胃肠功能恢复,加快了患者的术后康复。Objective To discuss the effect of Zengyepaiqi Decoction on the early recovery of gastrointestinal function in gynecologic patients after operation.Method All 240 patients were randomly divided into the treatment group （n=120） and control group （n=120） after panhysterectomy, half radical operation of endometriosis or appendages operation.Six hours after the operation, the treatment group began to take self-made Zengyepaiqi Decoction （1 dose/d）, and the control group began to drink warm water.The start time of postoperative expel flatus and defecation, and incidence rate of postoperative abdominal pain and distention were compared.Result The numerical statement was carried out respectively according to abdominal appendages operation, abdominal hysterectomy, laparoscopic appendages operation, laparoscopic hysterectomy, and postoperative use of anesthesia pump after abdominal hysterectomy.The result showed that the start time of postoperative expel flatus and defecation was shorter significantly in the treatment group than that in the control group （P0.01）.The incidence rate of postoperative abdominal pain and distention was 6.7 % in the treatment group and 60.0% in the control group.Conclusion Zengyepaiqi Decoction can improve significantly the recovery of gastrointestinal function and postoperative rehabilitation in gynecologic patients after operation.

关 键 词：妇科 手术后 增液排气汤 胃肠功能 

分 类 号：R271.1[医药卫生—中医妇科学]