小承气汤对腹部术后24h胃肠电活动的影响  

Effects of Xiaochengqi Decoction on the Gastrointestinal Electrical Activity at the 24th Hours After Abdominal Operation

作　　者：张良清 冯时傧 高海鸿 吴浩源 李东 黄敏标 黄乾 

机构地区：[1]广西浦北县中医医院,浦北535300

出　　处：《实用中西医结合临床》2015年第11期1-3,15,共4页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

基　　金：广西中医药科技专项课题基金资助项目(编号:GZPT1267)

摘　　要：目的：观察小承气汤对腹部手术后24 h胃肠电活动的影响。方法 ：将60例腹部手术患者随机分为治疗组和对照组,每组30例。治疗组术后6~12 h口服或鼻饲小承气汤100 ml（鼻饲者夹管1.5 h开放）,对照组术后给予常规方法治疗。观察两组手术前与术后24 h胃肠电图波形平均幅值（P）、波形平均频率（f）、胃肠电节律紊乱百分比（RD）、波形反应面积（RA）。结果：术后24 h,治疗组8个导联的波形平均幅值及波形反应面积高于对照组,差异有统计学意义（P〈0.05）;5、6、7导联波形平均频率高于对照组,差异有统计学意义（P〈0.05）。治疗组术后24 h胃肠电图2、3、4、5、6、7、8导联的波形平均幅值及波形反应面积高于术前,差异有统计学意义（P〈0.05）。结论：小承气汤能提高腹部手术后胃肠电活动功能。Objective： To observe the effects of Xiaochengqi decoction on the gastrointestinal electrical activity for patients 24 hours after abdominal operation. Methods： 60 Patients were randomly divided into treatment group and control group, 30 cases in each group.The treatment group were administered orally or nasal feeding with 100 ml Xiaochengqi decoction within 6~12 hours after the operation（The pipe was clamped for 1.5 hours in the nasogastric patients）. The control group were treated by routine method only. The average amplitude（P） of gastrointestinal electrographic waveform, average wave frequency（f）, gastrointestinal electrical dysrhythmia percentage（RD）, wave response area（RA） in the 2 groups were observed before and after operation. Results： At the 24 th hour, The average amplitude of waveform（P） and wave response area（RA） in 8 leads of Electro-gastroenterogram in the treatment group were higher than those in the control group, the difference was significant between two groups（P0.05）; The average frequency（f） in the fifth, sixth, seventh lead of Electro-gastroenterogram in the treatment group was higher than that in the control group, the difference between two groups was statistically significant（P0.05）. The average amplitude of waveform（P） and wave reaction area（RA） in the 2nd, 3rd,4th,5th,6th,7th,8th lead in the treatment group at the twenty-fourth hour after abdominal operation were higher than that before the operation, the difference was statistically significant（P 0.05）. Conclusion： Xiaochengqi decoction can improve the function of gastrointestinal electrical activity in the patients after abdominal operation.

关 键 词：腹部手术后 胃肠电活动 小承气汤 胃肠电图 

分 类 号：R656[医药卫生—外科学]