CAJ | 학술논문

目的：观察胃肠复原汤对促进腹部手术后胃肠道功能恢复的疗效。方法：选取自2012年6月-2013年4月间接受腹部手术的住院患者106例，随机分为治疗组和对照组，术后胃肠功能恢复前均接受相同的治疗措施。治疗组患者术后6h开始服用胃肠复原汤20mL，间隔6h 1次，直至肛门排气为止；观察患者术后肠鸣音恢复情况，术后首次肛门排气、排便时间，术后48～72h主要临床症状平均积分和；测定术前、术后24h、术后48h及术后72h的胃动素（MTLilin，MTL）水平。结果：治疗组患者的术后肠鸣音恢复时间、术后首次肛门排气、排便时间、术后48～72h 主要临床症状平均积分和明显短于或低于对照组（P<0.05），差异有统计学意义；术后48h、72h胃动素水平较对照组明显升高（P<0.05），差异有统计学意义。结论：胃肠复原汤能有效改善术后胃肠功能恢复，具有较好的临床应用价值，值得推广。
목적：관찰위장복원탕대촉진복부수술후위장도공능회복적료효。방법：선취자2012년6월-2013년4월간접수복부수술적주원환자106례，수궤분위치료조화대조조，술후위장공능회복전균접수상동적치료조시。치료조환자술후6h개시복용위장복원탕20mL，간격6h 1차，직지항문배기위지；관찰환자술후장명음회복정황，술후수차항문배기、배편시간，술후48～72h주요림상증상평균적분화；측정술전、술후24h、술후48h급술후72h적위동소（MTLilin，MTL）수평。결과：치료조환자적술후장명음회복시간、술후수차항문배기、배편시간、술후48～72h 주요림상증상평균적분화명현단우혹저우대조조（P<0.05），차이유통계학의의；술후48h、72h위동소수평교대조조명현승고（P<0.05），차이유통계학의의。결론：위장복원탕능유효개선술후위장공능회복，구유교호적림상응용개치，치득추엄。
Objective: To observe clinical effects of the Weichang Fuyuan decoction on recovering gastrointestinal function following abdominal surgery. Methods: 106 patients were randomly divided into two groups. All accepted the same treatment before recovery of gastrointestinal function. The treatment group was given the Weichang Fuyuan decoction, 20mL once, 6 hour interval, until flatus up;postoperative recovery of bowel sounds, first flatus, defecation, 48~72 hours average credit of the main clinical symptoms were observed;preoperative and postoperative 24 hour, 48 hour, 72 hour MTL level were tested. Results:Recovery time of bowel sounds, flatus, defecation, 48~72 hours average credit of the main clinical symptoms in the treatment were shorter than those in the control (P<0.05), the difference was statistically significant;postoperative 48 hour and 72 hour MTL level in the treatment were obviously higher (P<0.05), the difference was statistically significant. Conclusion: The Weichang Fuyuan decoction can effectively improve gastrointestinal function following abdominal surgery with better clinical value, and was worthy of promotion.