CAJ | 학술논문

　　目的探讨厚朴排气合剂对妇科腹部手术患者术后早期胃肠功能恢复的作用。方法将120例在我科进行腹部开腹及腹腔镜手术患者随机分为治疗组60例和对照组60例。治疗组术后6h开始口服厚朴排气合剂50mL，10h后再次口服50mL；对照组术后不给特殊处理，等待胃肠功能自然恢复。对患者术后排气时间及术后腹痛、腹胀的发生率进行比较。结果按开腹和腹腔镜手术类型进行统计，各治疗组肛门排气时间均较对照组明显缩短（P＜0.01）。腹痛、腹胀的发生率治疗组为11%，对照组为40%。结论厚朴排气合剂可明显促进妇科腹部手术患者术后胃肠功能恢复。
　　목적탐토후박배기합제대부과복부수술환자술후조기위장공능회복적작용。방법장120례재아과진행복부개복급복강경수술환자수궤분위치료조60례화대조조60례。치료조술후6h개시구복후박배기합제50mL，10h후재차구복50mL；대조조술후불급특수처리，등대위장공능자연회복。대환자술후배기시간급술후복통、복창적발생솔진행비교。결과안개복화복강경수술류형진행통계，각치료조항문배기시간균교대조조명현축단（P＜0.01）。복통、복창적발생솔치료조위11%，대조조위40%。결론후박배기합제가명현촉진부과복부수술환자술후위장공능회복。
Objective To discuss the effect of Houpu Paiqi decoction on the early recovery of gastrointestinal function in gynecologic patients after abdominal operation.Method All 120 patients were randomly divided into the treatment group(n=60) and control group(n=60) after open operation and laparoscopic operation.Six hours after the operation, the treatment group began to take Houpu Paiqi decoction(50mL),after ten hours take 50mL again. The control group was given no special treatment,just waited for recuperation of the gastrointestinal function naturally.The start time of postoperative expel lfatus,and incidence rate of postoperative abdominal pain and distention were compared.Result According to the open and laparoscopic operation type statistics,the result showed that the start time of postoperative expel lfatus and defecation was shorter signiifcantly in the treatment group than that in the control group(P<0.01).The incidence rate of postoperative abdominal pain and distention was 11%in the treatment group and 40%in the control group. Conclusion Houpu Paiqi decoction can improve signiifcantly the recovery of gastrointestinal function in gynecologic patients after abdominal operation.