大承气颗粒、针刺足三里对腹部手术后胃肠功能影响效果的比较

Effect of dachengqi granules and acupuncture on postoperative function of gastrointestinal tract

关键词:  腹部手术  大承气颗粒  针刺疗法  胃肠功能

Key words:  abdominal operation  Dachengqi granules  acupuncture therapy  gastrointestinal function

摘要:

[目的]探讨腹部手术后促进胃肠功能恢复的有效方法,比较大承气颗粒及针刺疗法对腹部手术之后胃肠道功能恢复效果。[方法]119例患者随机分为大承气治疗组(62例),针刺治疗组(57例),大承气治疗组从术后第1天起,给予大承气冲剂冲服或灌肠;针刺治疗组于术后第1天开始给予针刺足三里。[结果]两组相比较,大承气治疗组术后肠鸣音恢复时间时间明显少于针刺治疗组,且差异显著(P<0.05);肛门排气时间大承气治疗组少于针刺治疗组,且差异显著(P<0.05);大承气治疗组组住院时间及住院费用也少于针刺治疗组组,且差异显著(P<0.05)。[结论]大承气颗粒对于促进腹部手术后胃肠功能恢复效果要优于针刺足三里疗法,且可以使住院时间缩短,住院费用降低。

Abstract:

[Objective] To explore the effective method of promoting the functional restoration of gastrointestinal tract after the abdominaloperation and compare the effect on postoperative function of gastrointestinal tract between Dachengqi granules and acupuncture-therapy.[Methods] One hundred and nineteen patients were randomly divided into two groups: Group A (Dachengqi granules treatment group, 62cases) and Group B (acupuncture-therapy group, 57 cases).The patients of Group B was given Dachengqi granules at the 1st day after theoperation.The patients of Group B was acupunctured at the Zusanli points at the same time.[Results] The recovery time of the bowelsound in Group A was statistically earlier than that of Group B (P<0.05).The time needed for gas passing owned the same result as that of bowel sound.The recovery time for passes of gas in Group A was less than that in Group B (P<0.05).Meanwhile, Group A was lessexpensive and hospitalized days (P<0.05).[Conclusion] The effect of Dachengqi granules treatment was superior to acupuncture-therapy.It can greatly reduce the patient’s cost and hospitalized days.