大承气汤制剂保留灌肠与超声电导仪透皮给药在妇科腹腔镜术后胃肠道功能恢复中的应用效果比较  

Comparison of application effect of retention enema with Dachengqi Decoction and transdermal administration of ultrasonic conductivity apparatus in the recovery of gastrointestinal function after gynecological laparoscopic surgery

作　　者：王麒麟 唐晓容 梁丽娟 曾爽 连海英 李俊强 WANG Qilin;TANG Xiaorong;LIANG Lijuan;ZENG Shuang;LIAN Haiying;LI Junqiang(Department of Gynecology,West China Longquan Hospital Sichuan University,the First People’s Hospital of Longquanyi District,Chengdu,Sichuan Province,Chengdu 610100,China;Department of Gynecology,Affiliated Hospital of Southwest Jiaotong University,Sichuan Province,Chengdu 610031,China)

机构地区：[1]四川大学华西医院龙泉医院成都市龙泉驿区第一人民医院妇科,四川成都610100 [2]西南交通大学附属医院妇科,四川成都610031

出　　处：《妇儿健康导刊》2023年第17期7-10,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

基　　金：四川省成都市卫生健康委员会科研基金(2021302)。

摘　　要：目的比较大承气汤制剂保留灌肠与超声电导仪透皮给药在妇科腹腔镜术后胃肠道功能恢复中的应用效果。方法选取2021年10月至2022年12月于四川大学华西医院龙泉医院及西南交通大学附属医院行腹腔镜手术治疗的180例患者作为研究对象,按随机数字表法分为对照组和研究组,各90例。对照组采用大承气汤保留灌肠给药,研究组采用大承气汤制剂经超声电导仪透皮给药。比较两组患者术后首次排气、排便时间,腹胀、恶心呕吐发生率,血清白细胞介素-6(IL-6)及胃动素水平,舒适度评分及不良反应发生情况。结果两组首次排气、排便时间及腹胀、恶心呕吐发生率、胃动素水平比较,差异无统计学意义(P>0.05);治疗后,研究组患者舒适度评分高于对照组(P<0.05),血清IL-6水平及不良反应总发生率低于对照组(P<0.05)。结论大承气汤制剂保留灌肠与超声电导仪透皮给药两种方式均可促进妇科腹腔镜手术胃肠道功能恢复,但超声电导仪透皮给药方式舒适度更高,安全性更好,术后炎症反应更轻。Objective To compare the application effect of retention enema(RE)with Dachengqi Decoction(DD)and transdermal administration of ultrasonic conductivity apparatus(UCA)in the recovery of gastrointestinal function after gynecological laparoscopic surgery.Methods A total of 180 patients who underwent gynecological laparoscopic surgery from October 2021 to December 2022 in West China Longquan Hospital Sichuan University and Affiliated Hospital of Southwest Jiaotong University were selected and divided into control group(n=90)and study group(n=90)by the random number table method.The control group were given RE with DD,while the study group were treated with DD though UCA.The first exhaust and defecation time after operation,the rates of abdominal distension,nausea and vomiting,the level of serum interleukin-6(IL-6),motilin level,comfort score and adverse reactions of patients were compared between the two groups.Results There were no significant differences in the first exhaust and defecation time,the rates of abdominal distension,nausea and vomiting,the level of serum motilin between the two groups(P>0.05).After treatment,the comfort score in the study group was higher than that in the control group(P<0.05),and the serum IL-6 level and the total incidence of adverse reactions in the study group were lower than those in the control group(P<0.05).Conclusion Both RE with DD and transdermal administration of UCA can promote the recovery of gastrointestinal function after gynecological laparoscopic surgery.However,the transdermal administration of UCA has higher comfort,better safety and less inflammatory reaction after surgery.

关 键 词：大承气汤 超声电导仪 保留灌肠 胃肠功能 妇科 腹腔镜手术 

分 类 号：R713.1[医药卫生—妇产科学]