小承气汤加减对妇科腹部术后肠道功能恢复的影响  

Effect of Xiaochengqi Decoction on intestinal function recovery after gynecological abdominal operation

作　　者：邢娟 XING Juan(Department of Obstetrics and Gynecology,Nanjing Lishui District Hospital of Traditional Chinese Medicine,Clinical School of Medical College of Yangzhou University,Lishui Branch of Nanjing Maternal and Child Health Care Hospital,Jiangsu Province,Nanjing 211200,China)

机构地区：[1]南京市溧水区中医院、扬州大学医学院临床学院、南京市妇幼保健院溧水分院妇产科,江苏南京211200

出　　处：《妇儿健康导刊》2023年第5期109-111,共3页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨小承气汤加减对妇科腹部术后肠道功能恢复的影响。方法选取2019年1月至2020年12月于南京市溧水区中医院妇科行腹部手术住院治疗的66例患者,按照随机数字表法分为对照组和观察组,每组各33例。对照组采用常规西医治疗,观察组在对照组基础上加用小承气汤加减治疗。对比两组术后排气、排便时间及肠鸣音恢复时间、并发症发生情况及中医症候积分。结果观察组术后排气、排便时间及肠鸣音恢复时间均短于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。两组治疗后中医症候积分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论妇科腹部手术后给予小承气汤加减有助于肠道功能恢复,减少术后并发症的发生风险,值得推广应用。Objective To investigate the effect of Xiaochengqi Decoction on intestinal function recovery after gynecological abdominal operation.Methods A total of 66 patients who were hospitalized for abdominal surgery in the Department of Obstetrics and Gynecology of Lishui District Hosp ital of Traditional Chinese Medicine from January 2019 to December 2020 were selected and divided into the control group and the observation group by the random number table method,with 33 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with Xiaochengqi Decoction on the basis of the control group.Postoperative exhaust time,defecation time,bowel sound recovery time,occurrence of complications and symptom scores of traditional Chinese medicine were compared between the two groups.Results Postoperative exhaust time,defecation time and bowel sound recovery time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The symptom scores of traditional Chinese medicine in both groups were lower after treatment than those before treatment,and those of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion The application of Xiaochengqi Decoction after gynecological abdominal operation can help to restore intestinal function and reduce the risk of postoperative complications,so it is worth popularizin g and applying.

关 键 词：小承气汤 妇科腹部手术 肠道功能 

分 类 号：R271[医药卫生—中医妇科学]