CAJ | 학술논문

目的：探讨脉冲中频电疗法对妇科手术后患者胃肠功能恢复的影响，为提高患者的生活质量提供依据。方法以本院妇科2011年7月~2013年3月接收的60例行妇科传统剖腹手术的患者为研究对象，随机分为两组，观察组患者给予脉冲中频电疗，20 min/次，2次/d，对照组患者给予新斯的明肌内注射，0.5 mg/次，1次/d。观察比较两组患者的临床病理生理参数，包括首次排气、排便时间等曰采用症状自评量表，在术后1、5d对两组患者的主要临床症状进行评分。观察比较两组患者的腹胀发生率。结果观察组患者的首次排气时间、首次排便时间、规律肠鸣音出现时间、起床时间、进食时间分别为(34.21±6.37)h、(73.52±13.44)h、(26.43±7.15)h、(1.43±0.72)d、(1.29±0.78)d，均显著低于对照组的(45.98±7.63)h、(86.01±12.56)h、(37.28±8.90)h、(2.57±0.89)d、(2.31±0.65)d，差异有统计学意义(P<0.05)。术后1 d，观察组患者的症状评分与对照组比较，差异无统计学意义[(11.94±1.63)分vs(12.01±1.59)分，t=0.019，P>0.05]，术后5 d，观察组的症状评分显著低于对照组[(3.25±1.28)分vs(8.64±1.70)分，t=9.427，P<0.05]。观察组的腹胀发生率显著低于对照组(3.3% vs 26.7%，χ2=6.405，P<0.05)。结论脉冲中频电疗法对妇科手术后患者胃肠功能紊乱有良好的疗效，对改善患者的预后有正向意义，值得临床推广应用。
목적：탐토맥충중빈전요법대부과수술후환자위장공능회복적영향，위제고환자적생활질량제공의거。방법이본원부과2011년7월~2013년3월접수적60례행부과전통부복수술적환자위연구대상，수궤분위량조，관찰조환자급여맥충중빈전료，20 min/차，2차/d，대조조환자급여신사적명기내주사，0.5 mg/차，1차/d。관찰비교량조환자적림상병리생리삼수，포괄수차배기、배편시간등왈채용증상자평량표，재술후1、5d대량조환자적주요림상증상진행평분。관찰비교량조환자적복창발생솔。결과관찰조환자적수차배기시간、수차배편시간、규률장명음출현시간、기상시간、진식시간분별위(34.21±6.37)h、(73.52±13.44)h、(26.43±7.15)h、(1.43±0.72)d、(1.29±0.78)d，균현저저우대조조적(45.98±7.63)h、(86.01±12.56)h、(37.28±8.90)h、(2.57±0.89)d、(2.31±0.65)d，차이유통계학의의(P<0.05)。술후1 d，관찰조환자적증상평분여대조조비교，차이무통계학의의[(11.94±1.63)분vs(12.01±1.59)분，t=0.019，P>0.05]，술후5 d，관찰조적증상평분현저저우대조조[(3.25±1.28)분vs(8.64±1.70)분，t=9.427，P<0.05]。관찰조적복창발생솔현저저우대조조(3.3% vs 26.7%，χ2=6.405，P<0.05)。결론맥충중빈전요법대부과수술후환자위장공능문란유량호적료효，대개선환자적예후유정향의의，치득림상추엄응용。
Objective To observe the influence of pulse mid-frequency electric therapy on gastrointestinal function recovery of patients after undergoing gynecological operation. Methods 60 cases of patients with gynecological operation from July of 2011 to March of 2013 were randomly divided into the two groups:patients in the observation group were given pulse mid-frequency electric therapy,20 min every time,2 times every day,patients in the control group were given neostigmine for intramuscular injection,0.5mg every time,1 time every day.The clinical pathological physiological parameters (the first exhaust,defecate time and so on).By symptom checklist,the main clinical symptom of patients in the two groups were scored after 1 day,and 5 days operation,and incidence rate of abdominal distension of patients in the two groups were compared. Results The first exhaust time,the first defecation time,regular bowel sounds appear time,wake time,eating time in the observation group [(34.21±6.37)h,(73.52±13.44)h ,(26.43±7.15)h ,(1.43±0.72)d and (1.29±0.78)d respectively] were significantly lower than those in the control group[(45.98±7.63)h, (86.01±12.56)h, (37.28±8.90)h,(2.57±0.89)d,(2.31±0.65)d respectively] (P<0.05).After 1 day operation,there was no statistical difference of symptom score of the two groups [(11.94±1.63)points vs (12.01±1.59)points,t=0.019,P>0.05],after 5 days operation,there was a tatistical difference of symptom score of the two groups [(3.25±1.28)points vs (8.64±1.70)points,t=9.427,P<0.05]. The incidence rate of abdominal distension in the observation group was significant lower than that in the control group(3.3% vs 26.7%,χ2=6.405,P<0.05). Conclusion The pulse mid-frequency electric therapy has a good curative effect on gastrointestinal function recovery of patients after undergoing gynecological operation.There is positive significance to improve the prognosis of the patients,it is worthy of clinical promotion and application.