生大黄粉煎剂联合新斯的明对剖宫产术后腹胀的影响  

Effects of raw rhubarb powder decoction combined with acupoint injection of neostigmine on patients with abdominal distension after cesarean section

作　　者：刘琴 LIU Qin(Ganzhou Maternal and Child Health Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市妇幼保健院,江西赣州341000

出　　处：《华夏医学》2023年第5期104-108,共5页Acta Medicinae Sinica

基　　金：江西省中医药管理局科技计划项目(2022B403)。

摘　　要：目的:探究生大黄粉煎剂保留灌肠联合穴位注射新斯的明对剖宫产术后腹胀的影响。方法:选取行剖宫产术后出现腹胀的120例患者,按照随机数字表法分为对照组和观察组,每组60例。对照组术后即刻肌肉注射新斯的明,观察组术后采用生大黄粉煎剂保留灌肠联合穴位注射新斯的明。比较两组治疗总有效率、术后恢复指标、腹内压、不良反应发生率。结果:观察组治疗总有效率高于对照组,两组比较差异有统计学意义(P<0.05)。观察组腹痛、腹胀消失时间、首次排气/排便时间、住院时间短于对照组(P<0.05)。治疗后,两组腹内压比治疗前低,且观察组低于对照组(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:生大黄粉煎剂保留灌肠联合穴位注射新斯的明治疗剖宫产术后腹胀效果显著,可降低患者腹内压,促进腹胀消失,缩短住院时间,且不良反应较少,安全性较高。Objective:To investigate the effect of raw rhubarb powder decoction retention enema combined with acupoint injection of neostigmine on patients with abdominal distension after cesarean section.Methods:120 patients with abdominal distension after cesarean section were divided into the control group and observation group using a random number table,with 60 patients in each group.The control group were injected neostigmine intramuscularly immediately after operation,while the observation group were treated with raw rhubarb powder decoction retention enema combined with acupoint injection of neostigmine.The total effective rate,postoperative recovery index,intra-abdominal pressure and adverse reaction rate were compared between the patients of the two groups.Results:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The disappearance time of abdominal pain,abdominal distension,the time of first exhaust/defecation,and the length of hospital stay in the observation group were shorter than those in the control group(P<0.05).After treatment,the intra⁃abdominal pressure in the two groups was lower than that before treatment,and the intra⁃abdominal pressure in the observation group was lower than that in the control group(P<0.05).And there was no significant difference in the incidence of adverse reaction between the two groups(P>0.05).Conclusion:The retention enema of raw rhubarb powder decoction combined with acupoint injection of neostigmine is effective in the treatment of patients with abdominal distension after cesarean section,which can reduce the patients′intra⁃abdominal pressure,make abdominal distension disappear and shorten the length of hospital stay.Besides,it has fewer adverse reaction and higher safety.

关 键 词：剖宫产 腹胀 生大黄粉煎剂 新斯的明 腹内压 

分 类 号：R719.8[医药卫生—妇产科学]