通腑泄热法在腹症快速康复中的应用.pdfVIP

提 要 目的:观察通腑泄热法促进急腹症患者术后快速康复的临床疗效并探讨其作用机 制。 方法:将符合纳入标准的60例急腹症术后患者随机分成治疗组与对照组，两组分 别给予快速康复疗法，治疗组在此基础上，应用通腑泄热法中药，每隔半小时听诊肠 鸣音，比较两组患者术后首次肠鸣音出现时间，记录首次排气时间、首次排便时间， 以及住院时间、住院总费用，测定术前及术后第2天的营养状态的数值变化。 结果:1.治疗组患者术后肠鸣音恢复时间、首次排气、排便时间较对照组明显提 前，经统计学处理具有显著差异（P0.05）。2.急腹症术后第2天，治疗组营养状态 变化指标较对照组明显恢复，经统计学处理具有显著差异（P0.05）。3.治疗组患者 住院时间较对照组缩短，治疗组住院总费用较对照组减少， 经统计学处理具有显著 差异（P0.05）。 结论:1.通腑泄热法中药方可有效促进急腹症术后患者胃肠功能的恢复。2.通腑 泄热中药方能够明显改善急腹症术后病人营养状态 3.通腑泄热法能够缩短住院时 间，减少住院总费用，促进其快速康复。 关键词 通腑泄热法 急腹症术后 快速康复 胃肠功能 营养状况 Tong-Fu-Xie-Re Method on the acute abdomenand with the application of rapid rehabilitation Speciality:Surgery of TCM Author:Li Yang Tutor: Associate Professor Zhang Yunjie Abstract Objective:To observe the clinical effect of Tongfuxiere method on acute abdomen postoperational and to explore its mechanism. Methods:60 patients were randomly divided into the treated group （30 cases ） and the controlled group （30 cases ）.The controlled group received FTS therapy, The treatment group, based on the application of FTS treatment Tongfuxiere method treated, compared with the control group,The peristaltic sound recovery timing （PSRT ）, the anorectum exhaust timing （AET ） and the anorectum defecate timing （ADT ） were determined in every 30 min.Compared with hospitalization time and the total hospitalization expenditures,the number of nutritional status were measured before operation and 2 days after operation. Results:1.The peristaltic sound recovery timing （PSRT ）, the anorectum exhaust timing （AET ） and the anorectum defecate timing （ADT ） of the controlled group was obviously earlier than that in control group. There was significant difference between two groups.2.Two days after operation, he number of nutr