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目的:研究中西医综合干预措施对胃肠外科手术后期胃肠功能康复的影响作用。方法:回顾性分析2015年2月至2016年2月,72例于黔南州中医院接受胃肠手术的患者资料。选用分组法讨论,每组36例,对照组选用常规西医干预措施;观察组患者除了西医综合干预措施外,配合“中药敷贴神阙穴”进行治疗;于术后7 d进行对比分析,主要观察肛门排气时间、排便时间、肠鸣音恢复时间等3项指标,对比两组患者胃肠功能恢复效果。结果:观察组:肠鸣音恢复时间(24.0±10.1)h、肛门排气时间(32.0±10.4)h、排便时间(38.0±7.4)h;对照组:肠鸣音恢复时间(37.0±10.6)h、肛门排气时间(48.0±11.2)h、排便时间(57.0±7.5)h;两组患者对比,观察组术后胃肠功能恢复优于对照组,差异具有统计学意义(P<0.05)。结论:胃肠手术后采用中西医综合措施,可进一步促进胃肠功能恢复。
Objective: To study the effect of integrated traditional Chinese and western medicine on gastrointestinal function recovery after gastrointestinal surgery. Methods: From February 2015 to February 2016, 72 patients undergoing gastrointestinal surgery in Qiannanzhou Hospital of TCM were retrospectively analyzed. Group method was used to discuss 36 cases in each group, the control group used conventional Western interventions; the observation group patients in addition to Western comprehensive interventions, with the “Chinese medicine apply Shenque point” for treatment; at 7 days after the comparison , The main observation of anal exhaust time, defecation time, bowel sounds recovery time and other three indicators, the two groups were compared gastrointestinal function recovery. Results: In the observation group, the recovery time of bowel sounds was (24.0 ± 10.1) h, the exhaust time of anus was (32.0 ± 10.4) h and the defecation time was (38.0 ± 7.4) h. The recovery time of bowel sounds was (37.0 ± 10.6) h, anal exhaust time (48.0 ± 11.2) h, and defecation time (57.0 ± 7.5) h. The recovery of gastrointestinal function in the observation group was better than that in the control group, the difference was statistically significant (P0.05) . Conclusion: The comprehensive measures of integrative medicine after gastrointestinal surgery can further promote the recovery of gastrointestinal function.