CAJ | 학술논문

　　目的：比较我院不同方法煎煮的胃肠复原汤对妇科腹部手术术后胃肠功能恢复的时间差异。方法：选取我院2011~2012年妇科腹部手术患者120例，随机分为治疗组和对照组各60例，治疗组与对照组分别在术后8 h服用不同方法煎煮的胃肠复原汤，治疗组采用“煎药机多剂煎煮法”，对照组采用“传统单剂煎煮法”，观察两组患者肛门首次排气时间。结果：治疗组排气时间为16 h，对照组排气时间为13 h，两组患者的排气时间呈偏态分布，采用中位数和四分位数间距进行描述，非参数检验进行比较，差异具有统计学意义（P<0.05）。结论：不同方法煎煮对胃肠复原汤临床疗效存在一定的影响，“煎药机多剂煎煮法”较“传统单剂煎煮法”推迟3 h，因此，在采用“煎药机多剂煎煮法”的同时，应当改进煎药机的功能，完善煎药程序，更好的提升该法煎煮汤剂的疗效。
　　목적：비교아원불동방법전자적위장복원탕대부과복부수술술후위장공능회복적시간차이。방법：선취아원2011~2012년부과복부수술환자120례，수궤분위치료조화대조조각60례，치료조여대조조분별재술후8 h복용불동방법전자적위장복원탕，치료조채용“전약궤다제전자법”，대조조채용“전통단제전자법”，관찰량조환자항문수차배기시간。결과：치료조배기시간위16 h，대조조배기시간위13 h，량조환자적배기시간정편태분포，채용중위수화사분위수간거진행묘술，비삼수검험진행비교，차이구유통계학의의（P<0.05）。결론：불동방법전자대위장복원탕림상료효존재일정적영향，“전약궤다제전자법”교“전통단제전자법”추지3 h，인차，재채용“전약궤다제전자법”적동시，응당개진전약궤적공능，완선전약정서，경호적제승해법전자탕제적료효。
This study was aimed to compare different preparation methods of Wei-Chang Fu-Yuan (WCFY) De-coction, which is a self-made traditional Chinese medicine (TCM) decoction of our hospital, through the investiga-tion of difference in recovery time of gastrointestinal function after gynecological abdominal surgery. A total of 120 cases after gynecological abdominal surgery in our hospital between 2011 and 2012 were randomly divided into the treatment group and the control group, with 60 cases in each group. The hospital self-made WCFY Decoction was given to patients 8 hours after surgery in the treatment group and control group. Decoctions given to two groups were prepared with different methods. Decoction given to the treatment group was by the decoction ma-chine of multiple decoctions preparation. Decoction given to the control group was prepared as the traditional sin-gle dose decoction. The first anus flatus time was observed in both groups. The results showed that the flatus time of treatment group was 16 h and that of the control group was 13 h. The flatus time of patients from two groups was in skewed distribution, so the distance between the median and quartile was used to describe. The non-para-metric tests (Kolmogorov-Smirnov method) were used in the comparison of flatus time of two groups. There was statistical significance between two groups (P < 0.05). It was concluded that different preparation methods affect the clinical efficacy of WCFY Decoction. Compared with the traditional single dose decoction, the fist flatus time was postponed 3 hours by the decoction machine of multiple decoctions preparation. Therefore, with the widely using of decoction machine of multiple decoctions preparation today, the function of decoction machine should be improved and the program should be perfected in order to increase the clinical efficacy of this preparation method.