CAJ | 학술논문

目的：探讨中西医结合治疗对急诊阑尾切除术后胃肠道功能恢复的影响。方法选取2010年9月~2013年9月本院80例行急诊阑尾切除术患者为研究对象，将其随机分为对照组和治疗组，对照组40例给予常规西医治疗，治疗组40例给予中西医结合治疗，在常规西医治疗的基础上给予穴位按压加生姜热敷及中药治疗，对比两组患者术后胃肠道功能的恢复情况。结果治疗组患者术后第一次排气、排便时间以及肠鸣音恢复时间分别为(24.07±2.76)、(22.64±3.06)、(15.47±2.88)h、均短于对照组，两组比较差异有统计学意义(P<0.05)。结论采用中西医结合的方法可促进患者急诊阑尾切除术后胃肠道功能早日恢复，意义重大，值得临床推广应用。
목적：탐토중서의결합치료대급진란미절제술후위장도공능회복적영향。방법선취2010년9월~2013년9월본원80례행급진란미절제술환자위연구대상，장기수궤분위대조조화치료조，대조조40례급여상규서의치료，치료조40례급여중서의결합치료，재상규서의치료적기출상급여혈위안압가생강열부급중약치료，대비량조환자술후위장도공능적회복정황。결과치료조환자술후제일차배기、배편시간이급장명음회복시간분별위(24.07±2.76)、(22.64±3.06)、(15.47±2.88)h、균단우대조조，량조비교차이유통계학의의(P<0.05)。결론채용중서의결합적방법가촉진환자급진란미절제술후위장도공능조일회복，의의중대，치득림상추엄응용。
Objective To explore the influence of gastroenteric function recovery by combined treatment of traditional Chinese and western medicine after emergent appendectomy. Methods Eighty patients undergone emergent appendecto-my in our hospital from September 2010 to September 2013 were selected as research objects.They were randomly di-vided into control group and treatment group.In the control group,regular western therapy was provided,while in the treatment group,treatment with combined traditional Chinese and western medicine was adopted.On the basis of regular western therapy,acupressure,hot compress with ginger,and Chinese herbs therapy were added.The postoperative gas-troenteric function recovery in both groups was compared. Results In the treatment group,the first gas exhaustion and defecation time,and recovery time of bowel sound after surgery were (24.07±2.76) h,(22.64±3.06) h,and (15.47±2.88) h respectively.In comparison with those in the control group,they were relatively shorter with statistical differences (P<0.05). Conclusion Application of combined treatment of traditional Chinese and western medicine can promote early recovery of gastroenteric function after emergent appendectomy,which is of great significance and is worthy of expansion in clinic.