腹部手术后应用参芪和胃颗粒的临床观察  

Shengqihewei Granule in the Clinical Application of Postoperative Abdominal

作　　者：何运胜[1] 李建斌[1] 刘晓波[1] 何计 

机构地区：[1]梓潼县中医院普外科,四川绵阳622150

出　　处：《成都中医药大学学报》2011年第4期39-41,共3页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：绵阳市应用技术研究与开发资金项目(编号:07S007-4)

摘　　要：目的:观察参芪和胃颗粒在腹部手术后恢复肠功能、促进肠蠕动的作用。方法:回顾分析腹部手术后早期使用参芪和胃颗粒的病例(使用组)1450例,与同期未使用病例(对照组)415例作对比,评价两组在术后第一次肛门排气时间、出现反复阵发性腹痛腹胀和肠梗阻的临床表现、因肠梗阻再手术4个方面的差异。结果:使用组术后肛门第一次排气时间为31.6 h,未使用组是73.1 h(P﹤0.05);在出现反复阵发性腹痛腹胀和肠梗阻表现两个方面,使用组明显优于未使用组(P﹤0.01);使用组没有出现因为肠梗阻而再次手术病例,未使用组出现9例(P﹤0.01)。结论:参芪和胃颗粒在术后早期应用,能明显促进肠蠕动的加快,进而预防肠粘连肠梗阻的发生。Objective：To develop Shengqihewei Granule in the role of promote intestinal peristalsis of postoperative abdominal.Methods：Retrospective analysis of routine early use Shengqihewei Granule of postoperative abdominal（using the group） 1450 cases,unused case over the same period（control group） 415 cases for comparison,Evaluation of the two groups for postoperative the first time anal exhaust time,and relapse of paroxysmal abdominal pain bloating and clinical manifestations of intestinal obstruction,and re-operation due to intestinal obstruction in four different.Results： the postoperative the first time anal exhaust time of using the group for 31.6h,controled group is 73.1h（P0.05）;In the two indicators of relapse of paroxysmal abdominal pain bloating and clinical manifestations of intestinal obstruction was significantly better than the use of the controled group（P0.01）;Using the group does not appear because of intestinal obstruction and the re-operation cases,controled group appeared in 9 cases（P0.01）.Conclusion： Shengqihewei Granule in the early postoperative abdominal application can significantly promote intestinal peristalsis of postoperative abdominal,thereby preventing intestinal adhesion intestinal obstruction.

关 键 词：参芪和胃颗粒 肠粘连肠梗阻 预防 

分 类 号：R283.6[医药卫生—中药学] R574.2[医药卫生—中医学]