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目的:探讨承气通腑法对先天性肠闭锁术后胃肠功能恢复中的促进作用，以期为改善先天性肠闭锁预后提供新方法。方法:设计前瞻性随机对照方法研究，纳入2020年6月至2021年9月广东省妇幼保健院收治的先天性小肠闭锁患儿60例，随机数字表法分为观察组和对照组，各30例。两组患儿采用肠闭锁肠切除端端吻合术，对照组在术后常规给予禁食、胃肠减压及静脉营养支持治疗，观察组则在常规治疗的基础上增加承气通腑方组方和四磨汤口服液。观察两组患儿术后伤口愈合时间、肠鸣音恢复时间、完全经口喂养时间、肛门排便时间、住院时间等指标。结果:观察组30例，其中男18例，女12例；对照组30例，其中男16例，女14例；患儿均为出生48 h内的新生儿。两组一般资料比较，差异均无统计学意义（均n P＞0.05）。观察组伤口愈合时间为（6.07±1.14）d，肠鸣音恢复时间为（2.70±0.88）d，完全经口进食时间为（13.23±1.74）d，肛门排便时间为（9.10±1.63）d，住院时间为（28.10±6.49）d；对照组伤口愈合时间为（7.20±1.24）d，肠鸣音恢复时间为（3.20±0.85）d，完全经口进食时间为（14.30±1.54）d，肛门排便时间（10.57±1.60）d，住院时间为（32.23±6.66）d。观察组患儿的伤口愈合时间、肠鸣音恢复时间、完全经口进食时间、肛门排便时间、住院时间均明显低于对照组，差异均有统计学意义（均n P＜0.05）。n 结论:应用承气通腑方联合四磨汤口服液的中医内外兼治通腑法，可促进新生儿的先天性肠闭锁术后的胃肠功能恢复，缩短住院时间，而且治疗中无明显不良反应，是值得推广的新型中医治疗方法。“,”Objective:To explore the method of Chengqi Tongfu in promoting the recovery of gastrointestinal function after congenital intestinal atresia surgery, and to find a new method to improve the prognosis of children with congenital intestinal atresia.Methods:We designed a prospective randomized controlled trial. Sixty children with congenital intestinal atresia treated at Guangdong Women and Children Hospital from June 2020 to September 2021 were included and divided into an observation group and a control group by the random number table method, with 30 cases in each group. Both groups took resection of intestinal atresia and end-to-end anastomosis. After the surgery, the control group were fasted and took gastrointestinal decompression and venous nutrition support; in addition, the observation group took Chengqi Tongfu Fang and Simo decoction. The wound healing times, bowel sound recovery times, complete oral feeding times, anal defecation times, hospitalization times, and other indicators of the two groups were observed.Results:The observation group had 30 cases, including 18 boys and 12 girls. The control group had 30 cases, including 16 boys and 14 girls. All the infants were within 48 h after birth. There were no statistical differences in the general data between these two groups (all n P＞0.05). The wound healing time, bowel sound recovery time, complete oral feeding time, anal defecation time, and hospitalization time in the observation group were obviously shorter than those in the control group [(6.07±1.14) d vs. (7.20±1.24) d, (2.70±0.88) d vs. (3.20±0.85) d, (13.23±1.74) d vs. (14.30±1.54) d, (9.10±1.63) d vs. (10.57±1.60) d, and (28.10±6.49) d vs. (32.23±6.66) d], with statistical differences (all n P＜0.05).n Conclusions:Simo decoction and Chengqi Tongfu Fang, a viscera purging method using traditional Chinese medicine for internal and external treatment, can effectively promote the neonates\' recovery of gastrointestinal function and shorten their hospitalization time after congenital intestinal atresia surgery with no obvious adverse reactions during treatment. Therefore, The method of Chengqi Tongfu is an effective and new type of Chinese medicine treatment.