三仁汤治疗老年髋部骨折术后胃肠功能紊乱的疗效观察  

Observing the Therapeutic Effects of Sanren Tang on Gastrointestinal Dysfunction after Hip Fracture Surgery in Elderly Patients

作　　者：周飞 苟静 魏翾娣 易松 ZHOU Fei;GOU Jing;WEI Xuandi;YI Song*(Internal Medicine Department,Sichuan Provincial Orthopedic Hospital,Chengdu 610000,China)

机构地区：[1]四川省成都市骨科医院内科,四川成都610041

出　　处：《药物生物技术》2024年第4期425-428,共4页Pharmaceutical Biotechnology

基　　金：四川省中医药管理局项目(No.2021MS141)。

摘　　要：探讨老年髋部骨折术后胃肠功能紊乱,使用三仁汤的治疗效果。文章回顾2019年6月至2022年6月在本院行手术治疗的老年髋部骨折术后发生胃肠功能紊乱的患者120例,随机将其分为观察组(n=63)和对照组(n=57)。其中观察组在对症支持治疗基础上使用三仁汤治疗,对照组口服多潘立酮片治疗,治疗两周后,记录两组胃肠功能恢复情况、治疗有效率及治疗前后实验室指标。经过2周的治疗,观察组的首次排气时间为(7.66±6.34)h,短于对照组的(9.56±7.54)h(P=0.042)。与对照组的首次排便时间(23.65±7.88)h相比,观察组的首次排便时间(18.78±5.87)h更短(P<0.001)。通过监测,观察组的胃肠功能恢复(6.75±3.14)h与对照组(8.57±5.01)h相比也更快(P<0.001)。观察组的术后住院时间为(3.8±0.8)d,小于对照组(4.7±0.7)d(P=0.024)。实验室指标方面,观察组白蛋白(ALB)、血红蛋白(HGB)、红细胞计数(RBC)均高于对照组(P<0.05)。老年髋部骨折患者术后使用三仁汤治疗胃肠功能紊乱,可以缩短首次排气和排便时间,促进胃肠功能恢复,治疗有效率更高,更有利于减少住院时间,改善营养状态,促进患者快速康复。To explore the therapeutic effect of Sanren Tang on gastrointestinal dysfunction after hip fracture surgery in the elderly(Gastrointestinal dysfunction is one of the common complications after hip fracture surgery in the elderly),120 cases of elderly patients with gastrointestinal dysfunction after hip fracture surgery in the hospital from June 2019 to June 2022 were reviewed and randomly divided into an observation group(n=63)and a control group(n=57).In the observation group,Sanren Tang was used in addition to symptomatic supportive treatment,while the control group received oral pantoprazole treatment.After two weeks of treatment,the recovery of gastrointestinal function,treatment effectiveness,and laboratory indicators before and after treatment were recorded in both groups.After two weeks of treatment,the first flatus time in the observation group was(7.66±6.34)h,which was shorter than(9.56±7.54)h in the control group(P=0.042).Compared with the first defecation time of the control group(23.65±7.88)h,the first defecation time of the observation group(18.78±5.87)h was also shorter(P<0.001).Through monitoring,the gastrointestinal function recovery of the observation group(6.75±3.14)h was also faster than that of the control group(8.57±5.01)h(P<0.001).The postoperative hospitalization time of the observation group was(3.8±0.8)d,which was shorter than that of the control group(4.7±0.7)d(P=0.024).In terms of laboratory indicators,the albumin(ALB),hemoglobin(HGB),and red blood cell count(RBC)of the observation group were all higher than those of the control group(P<0.05).Using Sanren Tang to treat gastrointestinal dysfunction in elderly patients with hip fracture after surgery can reduce the time of first flatus and defecation,promote the recovery of gastrointestinal function,and is more effective.It is more conducive to reducing hospitalization time and improving nutritional status to promote rapid recovery of patients.

关 键 词：三仁汤 老年 髋部骨折 骨折术后 胃肠功能紊乱 疗效对照 

分 类 号：R57[医药卫生—消化系统]