六味能消丸在小切口胆囊切除术后应用.docVIP

六味能消丸在小切口胆囊切除术后应用 　　doi：10.3969/j.issn.1007-614x.2014.18.60 　　摘要目的：探讨藏药六味能消丸对小切口胆囊切除术后促进胃肠功能早期恢复的影响。方法：77例患者随机分成两组，藏药治疗组38例，术后12小时藏药六味安消散口服，对照组39例常规治疗。对比观察术后恢复肛门排气排便时间、开始饮食时间，术后第3天B超检查胆囊窝、肝下积液情况。结果：与对照组比较，治疗组术后肛门排气排便时间明显缩短，进食时间提前，P0.05，B超检查肝下积液明显减少。结论：胆囊切除术后用藏药六味能消丸口服能促进胃肠道功能的早期恢复，减轻患者痛苦，提高生活质量。 　　关键词小切口胆囊切除藏药六味能消丸胃肠功能 　　The application of liuweinengxiao pill in small incision cholecystectomy 　　Zhang Qing，Wang Guoqing，An Jiahua 　　Tibet Hospital of Tianzhu Tibetan Autonomous County，Wuwei City，Gansu 733200 　　AbstractObjective：To investigate the influence of Tibetan medicine liuweinengxiao pill on the early recovery of gastrointestinal function after small incision cholecystectomy.Methods：77 cases were randomly divided into two groups.38 cases in the treatment group oral tibetan medicine liuweinengxiao pill 12 hours after operation.39 cases in the control group were given conventional treatment.Observe and compare the postoperative recovery time，anal defecation exhaust started eating time，B ultrasound examination of gallbladder fossa and effusion fluid under liver at third days after surgery.Results：Compared with the control group，postoperative anal exhaust and defecate time in the treatment group was shortened obviously，and feeding time advanced，P0.05.B ultrasound examination of liver effusion was reduced significantly.Conclusion：Using tibetan medicine liuweinengxiao pill after cholecystectomy can promote the early recovery of gastrointestinal function，relieve the pain of patients，and improve the quality of life. 　　Key wordsSmall incision cholecystectomy；Tibetan medicine；Liuweinengxiao pill；Gastrointestinal function 　　小切口胆囊切除术后，由于胃肠受到刺激，蠕动减少，肝脏功能受到抑制，胆汁分泌量降低，会影响整个消化系统的功能，使胃肠功能暂时障碍，出现腹痛、腹胀不适、恶心呕吐等症状[1]。2010年7月-2013年2月随机抽取38例作为治疗组，术后应用六味能消丸口服治疗，胃肠功能早期恢复明显优于对照组，现报告如下。 　　资料与方法 　　2010年7月-2013年2月选取小切口胆囊切除术患者77例，随机分为治疗组和对照组。治疗组38例，男12例，女26例；年龄19～73岁，平均50岁。病程3天～20年，平均195天。其中慢性结石性胆囊炎33例，胆囊息肉样变5例。对照组39例，男25例，女14例。年龄21～73岁，平均54岁。病程5天～15年，平均193天。其中慢性结石性胆囊炎35例，胆囊息肉4例。两