通腑行气汤对妇科腹腔镜术后患者胃肠功能恢复的影响  

Effect of Tongfu Xingqi Tang on Recovery of Gastrointestinal Function of Patients After Gynecological Laparoscopy

作　　者：苏卫华 SU Weihua

机构地区：[1]新乡市妇幼保健院,河南新乡453000

出　　处：《新中医》2022年第9期107-111,共5页New Chinese Medicine

摘　　要：目的:观察通腑行气汤对妇科腹腔镜术后患者胃肠功能恢复的影响。方法:选取84例妇科腹腔镜术后胃肠功能障碍患者,按随机数字表法分成治疗组及对照组各42例,对照组给予常规对症处理,治疗组在此基础上加用通腑行气汤治疗。2 d为1个疗程,2组均治疗2个疗程后评估疗效。比较2组临床疗效,比较2组治疗前后胃肠道症状评分(腹痛、腹胀、恶心呕吐、肠鸣音)及血清胃肠道激素[血清胃动素(MTL)、胃泌素(GAS)]水平的变化,观察2组治疗后主要临床指标恢复时间及治疗过程中不良反应情况。结果:治疗后,治疗组临床疗效总有效率为92.9%,对照组为76.2%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组腹痛、腹胀、恶心呕吐、肠鸣音评分均较治疗前下降(P<0.05),治疗组上述4项胃肠道症状评分均小于对照组,差异均有统计学意义(P<0.05)。治疗后,治疗组术后肠鸣音恢复时间、首次排便时间、首次排气时间、住院时间均短于对照组,差异均有统计学意义(P<0.05)。治疗后,2组血清MTL、GAS水平均较治疗前升高(P<0.05),治疗组血清MTL、GAS水平均高于对照组,差异均有统计学意义(P<0.05)。2组治疗期间均未见明显不良反应。结论:通腑行气汤联合常规疗法能够调节妇科腹腔镜术后胃肠激素紊乱状态,改善患者临床症状,促进胃肠功能恢复,用药安全性较高。Objective:To observe the effect of Tongfu Xingqi tang on recovery of gastrointestinal function of patients after gynecological laparoscopy.Methods:A total of 84 cases of patients with gastrointestinal dysfunction after gynecological laparoscopy were selected and divided into the treatment group and the control group according to the random number table method,with 42 cases in each group.The control group was given routine symptomatic treatments,and the treatment group was additionally treated with Tongfu Xingqi tang based on the treatment of the control group.Both groups were treated for two courses,with two days being one course.Clinical effects were evaluated after treatment and were compared between the two groups.The changes of gastrointestinal symptom scores(abdominal pain,abdominal distension,nausea,vomiting and bowel sounds) and levels of gastrointestinal hormones in serum [serum motilin(MTL) and gastrin(GAS)] were compared between the two groups before and after treatment.The recovery time of main clinical indexes and adverse reactions during treatment were observed in the two groups.Results:After treatment,the total effective rate of clinical effect was 92.9% in the treatment group and 76.2% in the control group,the difference being significant(P<0.05).After treatment,scores of abdominal pain,abdominal distension,nausea,vomiting and bowel sounds in the two groups were decreased when compared with those before treatment(P<0.05),and the above four scores in the treatment group were lower than those in the control group,differences being significant(P<0.05).After treatment,the recovery time of bowel sounds,the first defecation time,the first exhaust time after surgery and the hospitalization time in the treatment group were shorter than those in the control group,differences being significant(P<0.05).After treatment,levels of MTL and GAS in serum in the two groups were increased when compared with those before treatment(P<0.05),and the two levels in the treatment group were higher than those in the control

关 键 词：腹腔镜手术 妇科 胃肠功能 通腑行气汤 胃肠激素 

分 类 号：R269[医药卫生—中西医结合]