CAJ | 학술논문

目的：探索肝胆疾病患者在围手术期的相关处理对患者术后胃肠功能恢复的影响．方法：选取我院2013-02/2014-01收治的80例肝胆疾病患者，将其随机分为观察组与对照组，每组各40例．观察组采用多潘立酮、抗生素以及饮用大承气汤等方法进行胃肠治疗，而对照组按外科常规围手术处理．对两组患者的首次肛门排气的时间、排便时间以及开始进流食的时间进行记录，同时，在手术后的3d进行B超检验，观察患者的胆囊窝和肝下积液的情况．结果：观察组患者首次肛门的排气时间、排便时间、首次进食流食的时间、无积液率明显优于对照组，差异有统计学意义（P＜0．05）．结论：在肝胆疾病患者中，合理的围手术期处理对患者术后胃肠功能恢复具有重要意义．
목적：탐색간담질병환자재위수술기적상관처리대환자술후위장공능회복적영향．방법：선취아원2013-02/2014-01수치적80례간담질병환자，장기수궤분위관찰조여대조조，매조각40례．관찰조채용다반립동、항생소이급음용대승기탕등방법진행위장치료，이대조조안외과상규위수술처리．대량조환자적수차항문배기적시간、배편시간이급개시진류식적시간진행기록，동시，재수술후적3d진행B초검험，관찰환자적담낭와화간하적액적정황．결과：관찰조환자수차항문적배기시간、배편시간、수차진식류식적시간、무적액솔명현우우대조조，차이유통계학의의（P＜0．05）．결론：재간담질병환자중，합리적위수술기처리대환자술후위장공능회복구유중요의의．
AIM:To explore the influence of perioperative treat-ment for gastrointestinal function recovery in patients with hepato-biliary disease.METHODS:80 cases of patients with hepatobil-iary disease,admitted to our hospital from February 2013 to Janu-ary 2014,were randomly divided into observation group and con-trol group,with 40 cases in each group.The control group re-ceived surgical routine perioperative treatment,while the observa-tion group took domperidone tablets, antibiotics and Large Chengqi Decoction for gastrointestinal treatment.First anal exsuf-flation time,defecation time and liquid food taken time of both groups were recorded.At the same time,patients took B ultrason-ic examination in three days after surgery and gallbladder fossae and effusion under liver conditions were observed.RESULTS:First anal exsufflation time,defecation time,liquid food taken time and effusion rate of the observation group were obviously bet-ter than the control group,with statistically significant difference (P<0.05 ).CONCLUSION:Rational perioperative manage-ment has great significance in postoperative gastrointestinal func-tional recovery of patients with hepatobiliary disease.