大承气汤联合按摩疗法对胃肠道手术后患者肠功能恢复的疗效

摘要

目的:探讨大承气汤联合按摩疗法对胃肠道手术后患者肠功能恢复的疗效.方法:将180例胃肠道手术患者随机分为对照组、大承气汤组和联合组,对照组给予术后常规治疗及护理,大承气汤组在对照组的基础上给予大承气汤,联合组在大承气汤组的基础上联合按摩疗法;比较3组患者的首次排气排便时间、肠鸣音恢复时间、口-盲肠传递时间、肠胃胀气改善情况及肠梗阻发生率.结果:与大承气汤组和对照组相比,联合组患者的首次排气排便时间、肠鸣音恢复时间、口-盲肠传递时间明显缩短,且肠胃胀气改善率较高(P＜0.05);联合组患者的肠梗阻发生率明显低于对照组,(P＜0.05),略低于大承气汤组,但差异无统计学意义(P＞0.05).结论:大承气汤联合按摩疗法更有利于胃肠手术患者胃肠功能的恢复.%Objective:To explore the efficacy of dachengqi decoction combined with massotherapy on the recovery of intestinal function in patients after gastrointestinal operation.Method:180 patients with gastrointestinal surgery were randomly divided into control group,Dachengqi Decoction group and combined group,and the control group was given routine treatment and nursing;Dachengqi Decoction group was given Dachengqi Decoction on the basis of the control group;the combined group combined massage therapy on the basis of Dachengqi Decoction group.3 groups of patients compared to the first exhaust defecation time,recovery time of bowel sounds,orocecal transit time,improvement in flatulence and the incidence of intestinal obstruction.Results:Compared with Dachengqi Decoction group and control group,the first exhaust defecation time,recovery time of bowel sound,and the orocecal transit time in combined group were shortened,and he improvement rate of flatulence is higher (P ＜0.05).The incidence of intestinal obstruction in the combined group was significantly lower than that in the control group (P ＜ 0.05) and slightly lower than that in Dachengqi Decoction group.But the differences had no statistical significance(P ＞ 0.05).Conclusion:Dachengqi decoction combined with massage therapy is more beneficial to the recovery of gastrointestinal function in patients undergoing gastrointestinal surgery.