益肠汤对腹腔镜胆囊切除术后患者胃肠功能的影响-《西部中医药》

文章信息/Info

Title:: The Effects of YiChang Decoction on Gastrointestinal Function of the Patients after Laparoscopic Cholecystectomy

Author(s):: ZHANG Zhengang; Qingyang Municipality Xifeng District People′s Hospital, Qingyang 745000, China

Keywords:: gallbladder disease; laparoscopic cholecystectomy; YiChang decoction; gastrointestinal function

摘要:: 目的：观察益肠汤对腹腔镜胆囊切除术后患者胃肠功能的影响。方法：将120例腹腔镜胆囊切除术后患者随机分为观察组、对照组各60例。对照组采用对症支持治疗及抗感染干预治疗，观察组于术后第1天即服用益肠汤，1剂/d，连服14天。观察2组术后恢复时间、术后胃泌素水平和不良反应发生情况。结果：进食时间、肠鸣音恢复时间、肛门排气时间及首次排便时间观察组均明显短于对照组，2组比较差异有统计学意义（P＜0.05)。术后24、48及72小时，2组胃泌素水平均显著升高，差异有统计学意义（P＜0.05)，且相同时间点观察组高于对照组，2组比较差异有统计学意义（P＜0.05)。不良反应发生率观察组为10.00%，对照组为26.67%，2组比较差异有统计学意义（P＜0.05)。结论：益肠汤有助于改善腹腔镜胆囊切除术后患者的胃肠功能。

Abstract:: Objective: To observe the effects of YiChang decoction on gastrointestinal function of the patients after laparoscopic cholecystectomy(LC). Methods: All 120 patients who underwent LC were randomized into the observation group and the control group, 60 cases each group. The control group adopted symptomatic supportive treatment and anti-infective intervention therapy while the observation group began to take YiChang decoction since the first day after LC, one dose each day, for 14 days consecutively. The incidence of adverse reaction, the levels of gastrin after the surgery and recovery time after the operation of both groups were observed. Results: The observation group was shorter than the control group obviously in eating time, recovery time of intestinal gurgling sound, anal exhaust time and first defecating time, and the difference had statistical meaning (P＜0.05). The levels of gastrin in both groups raised significantly in 24, 48 and 72 hours after the operation, and the difference had statistical meaning (P＜0.05), and the observation group was higher than the control group at the same time point, the difference had statistical meaning (P＜0.05). The incidence of adverse reaction in the observation group was 10.00%, lower than 26.67% of the control group, and the difference indicated statistical meaning (P＜0.05). Conclusion: YiChang decoction is helpful to improve gastrointestinal function of the patients after LC.