中西医结合预防胃十二指肠穿孔修补术后肠麻痹临床观察  

Clinical Observation of Combine Traditional Chinese and Western Medicine to Prevent Postoperative Intestinal Paralysis of Laparoscopic Neoplasty in the Gastroduodenal Ulcer Perforation

作　　者：沈晓娣[1] 刘国涛[1] 金丽明[1] 

机构地区：[1]浙江中医药大学附属第一医院,浙江杭州310006

出　　处：《中国中医急症》2014年第1期104-106,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：浙江省中医药科研基金计划(2012ZA042);浙江中医药大学科研基金(2010LX06)

摘　　要：目的观察中西医结合干预预防胃十二指肠溃疡穿孔修补术后肠麻痹的疗效。方法将60例胃十二指肠溃疡穿孔的患者,按随机数字表法分为干预组和对照组,常规手术腹腔镜探查、修补、清洗、引流。干预组在对照组的基础上给予中药保留灌肠、芒硝敷脐、针刺等,观察胃肠道术后患者胃肠道功能恢复情况。结果干预组术后肠蠕动恢复时间、腹胀消失时间、肛门排气时间、胃肠减压每日引流量和胃肠减压解除时间等指标均优于对照组。结论胃十二指肠穿孔修补术后,采用中西医结合方法预防肠麻痹,可明显促进术后恢复,缩短康复时间。Objective： To observe the effect of combine traditional Chinese and western medicine to prevent postoperative intestinal paralysis of laparoscopic neoplasty in the gastroduodenal ulcer perforation. Methods： 60 patients with gastroduodenal ulcer perforation according to random number table method were divided into the Chinese medicine intervention group and the control group of traditional Chinese medicine. Besides that routine procedure was used in the control group including laparoscopic exploration, repair, cleaning, drainage, traditional Chinese medicine retention enema,Mangxiao applies umbilical,acupuncture and other therapeutic methods were used in the Chinese medicine intervention group. The postoperative recoveries of gastrointestinal function were observed in 2 groups. Results： The postoperative intestinal peristalsis recovery time,abdominal distension disappear time, anal exhaust time, gastrointestinal decompression daily indexes such as flow and gastrointestinal decompression lift time of Chinese medicine intervention group was better than those of the control group. Conclusion： That gastric duodenal perforation repair surgery ,which uses the method of combining traditional Chinese and western medicine to prevent intestinal paralysis,can obviously promote the postoperative recovery and reduce the recovery time.

关 键 词：术后肠麻痹 中西医结合 胃十二指肠溃疡穿孔 修补 预防 

分 类 号：R656.6[医药卫生—外科学]