CAJ | 학술논문

目的探讨腹部手术术后恢复胃肠功能的方法，促进腹部术后胃肠功能的早期恢复。方法按随机数字表法将80例腹部手术患者随机分为排消疡中药内服组和复方莱菔籽散外敷神阙穴组各40例；排消疡中药内服组于术后6~8 h开始口服排消汤；复方莱菔籽散外敷神阙穴组于术后4~6h将自制复方莱菔籽散1份(3~5 g)贴敷于神阙穴上；观察两组患者肠鸣音恢复时间和首次肛门排气及排便时间。结果复方莱菔籽散外敷神阙穴组术后肠鸣音恢复时间和首次肛门排气及排便时间均较排消汤中药内服组提前，差异有统计学意义(<0.05)。结论复方莱菔籽散外敷神阙穴可提前恢复胃肠功能，防治术后腹胀。
목적탐토복부수술술후회복위장공능적방법，촉진복부술후위장공능적조기회복。방법안수궤수자표법장80례복부수술환자수궤분위배소양중약내복조화복방래복자산외부신궐혈조각40례；배소양중약내복조우술후6~8 h개시구복배소탕；복방래복자산외부신궐혈조우술후4~6h장자제복방래복자산1빈(3~5 g)첩부우신궐혈상；관찰량조환자장명음회복시간화수차항문배기급배편시간。결과복방래복자산외부신궐혈조술후장명음회복시간화수차항문배기급배편시간균교배소탕중약내복조제전，차이유통계학의의(<0.05)。결론복방래복자산외부신궐혈가제전회복위장공능，방치술후복창。
Objective To investigate the approach of gastrointestinal function recovery and improvement in the early stage after abdominal surgery. Methods According to random number table, eighty abdominal surgical patients are randomly divided into two groups, one group with the internal use of Paixiao Tang, the other one with lamp il umination and the external use of radish seed compound on Shenque Acupoint. Each group has forty patients respectively. Patients in Paixiao Tang group starts to use Paixiao Tang at six to eight hours after abdominal surgery. For the other group, we start to put a portion (3~5g) of homemade radish seed compound on Shenque Acupoint at four to six hours after abdominal surgery. Then to compare the postoperative recovery time of bowel sounds, the time of first active exhaust and defecation of two groups. Results Comparing with the Paixiao Tang group, the postoperative recovery time of bowel sounds and the time of first active exhaust and defecation of radish seed compound group are al in advance. And the dif erences are statistical y meaningful ( <0.05). Conclusion Lamp il umination in addition to the external use of radish seed compound on Shenque Acupoint can advance the recovery of gastrointestinal function, and prevent the postoperative abdominal distention.