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目的:观察利胃护肠汤对行胆囊手术患者术后肠胃功能的恢复效果。方法:选择我院于2015年4月~2016年4月间收治的94例行胆囊手术患者,采用随机数表法将94例行胆囊手术患者分为实验组以及常规组各47例,术后给予常规组患者常规治疗,实验组在常规组的基础上加用我院自拟的利胃护肠汤进行治疗。比较两组患者手术相关指标,包括手术时间、术中出血量及住院时间。检测比较第1小时、1天、第3天、第6天胃泌素(GAS)水平,统计两组患者并发症情况。结果:实验组患者住院时间、肠鸣音恢复时间、肛门排气时间均低于常规组,差异均有统计学意义(P<0.05);实验组患者第1d、第3d、第6d的GAS水平均高于常规组,差异均有统计学意义(P<0.05);两组患者第1小时的GAS水平比较差异无统计学意义(P>0.05)。实验组并发症发生率4.26%明显低于常规组21.28%,差异有统计学意义(P<0.05)。结论:利胃护肠汤可有效的缩短胆囊手术患者肠鸣音恢复时间、肛门排气时间及住院时间,促进患者术后胃肠动力的恢复,值得推广。
Objective: To observe the effect of Liwei Decoction on the recovery of gastrointestinal function in patients undergoing gallbladder surgery. Methods: A total of 94 patients undergoing gallbladder surgery admitted from April 2015 to April 2016 in our hospital were divided into experimental group (n = 94) and conventional group (n = 47) by random number table method. After operation The patients in the conventional group were given routine treatment. The experimental group was treated with our own Liwei Decoction in our hospital on the basis of the conventional group. Surgical related indicators were compared between the two groups, including operation time, intraoperative blood loss and hospital stay. The level of gastrin (GAS) at the first hour, the first day, the third day and the sixth day were detected and compared. The complication of the two groups was statistically analyzed. Results: The hospitalization time, the recovery time of bowel sounds and the time of anus venting in the experimental group were all lower than those in the conventional group (P <0.05). The levels of GAS in the experimental group on the 1st, 3rd and 6th day (P <0.05). There was no significant difference in GAS level between the two groups at the first hour (P> 0.05). The incidence of complications in the experimental group was significantly lower than that of the control group (4.26% vs 21.28%, P <0.05). Conclusion: Lee stomach sausage soup can effectively shorten the recovery time of bowel sounds in patients with gallbladder surgery, anal exhaust time and hospital stay, and promote postoperative gastrointestinal motility recovery, it is worth promoting.