加味小承气汤促进妇产科术后胃肠功能恢复的应用价值  

Application Value of Modified Xiaochengqi Decoction in Promoting Gastrointestinal Function Recovery after Obstetrics and Gynecology

作　　者：谷青青 张水荣 GU Qing-qing;ZHANG Shui-rong(Zhumadian City Hospital of Traditional Chinese Medicine,Henan Zhumadian 463000)

机构地区：[1]驻马店市中医院,河南驻马店463000

出　　处：《深圳中西医结合杂志》2021年第17期67-69,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:研究加味小承气汤促进妇产科术后胃肠功能恢复的应用价值。方法:选取驻马店市中医院2018年11月至2019年11月收治的90例妇产科手术患者,采用随机数字表法分为观察组和对照组,各45例,对照组术后给予常规西医疗法,观察组在对照组的基础上给予加味小承气汤治疗。比较两组患者治疗后的肛门排气时间、术后排便时间、肠鸣音恢复正常时间、肠功能障碍评分以及疗效。结果:治疗后,观察组患者肛门排气时间、肠鸣音恢复正常时间均早于对照组,但差异无统计学意义(P>0.05);观察组患者术后排便时间早于对照组,差异具有统计学意义(P<0.05)。治疗后,两组患者肠功能障碍评分均降低,且观察组显著低于对照组,差异具有统计学意义(P<0.05);治疗后观察组患者的治疗总有效率为95.56%,明显高于对照组的82.22%,差异具有统计学意义(P<0.05)。结论:加味小承气汤可有效促进妇产科手术后胃肠功能恢复,提升治疗效率。Objective To study the application value of modified Xiaochengqi Decoction in promoting the recovery of gastrointestinal function after obstetrics and gynecology.Methods 90 patients with gynecological and obstetric surgery treated in Zhumadian Hospital of traditional Chinese medicine from November 2018 to November 2019 were randomly divided into observation group and control group,with 45 cases in each group.The control group was treated with conventional western medicine after operation,and the observation group was treated with modified Xiaochengqi Decoction on the basis of the control group.The anal exhaust time,postoperative defecation time,bowel sound return to normal time,intestinal dysfunction score and curative effect of the two groups were compared and analyzed.Results After treatment,the anal exhaust time and bowel sound recovery were lower than the control group,but there was no significant difference(P>0.05);the observation group was lower than the control group,which was significant(P<0.05).After treatment,bowel dysfunction scores decreased in both groups and significantly lower than the control group,statistically significant(P<0.05);overall treatment efficiency in the observation group was 95.56%,significantly higher than 82.22%,and statistically significant(P<0.05).Conclusion The soup can effectively promote the recovery of gastrointestinal function and improve the treatment efficiency.

关 键 词：妇产科手术 胃肠功能 小承气汤 

分 类 号：R57[医药卫生—消化系统]