CAJ | 학술논문

[目的]探讨中药热敷包对腹腔镜胆囊切除手术后患者胃肠功能恢复的影响。[方法]选取采用腹腔镜胆囊切除术治疗的160例患者，随机分为对照组（80例）和观察组（80例）。对照组术后常规护理，观察组在对照组的基础上辅以中药热敷包治疗，比较2组患者血浆胃泌素和胃动素水平、肠鸣音恢复时间以及术后肛门排气时间，分析2组患者胃肠功能术后恢复情况。[结果]观察组术后第1、2、3天血浆胃泌素水平分别为（356．15±53．22）、（335．46±43．08）、（381．28±34．59）ng／L ，显著高于对照组[（308．89±40．55）、（261．37±46．71）、（330．68±39．24） ng／L ]，P＜0．05。观察组术后第1、2、3天血浆胃动素水平分别为（80．61±29．41）、（85．57±31．80）、（86．21±32．47）ng／L ，显著高于对照组[（74．63±28．54）、（72．15±27．93）、（77．62±35．72）ng／L ]，P＜0．05。观察组患者术后排气、排便时间分别为（22．45±7．62）h、（33．58±9．12）h ，对照组分别为（31．29±9．88）h、（48．03±12．76）h ，2组比较差异有统计学意义（P＜0．05）。[结论]中药热敷包能有效促进腹腔镜胆囊切除术后胃肠功能的恢复，值得临床推广应用。
[목적]탐토중약열부포대복강경담낭절제수술후환자위장공능회복적영향。[방법]선취채용복강경담낭절제술치료적160례환자，수궤분위대조조（80례）화관찰조（80례）。대조조술후상규호리，관찰조재대조조적기출상보이중약열부포치료，비교2조환자혈장위비소화위동소수평、장명음회복시간이급술후항문배기시간，분석2조환자위장공능술후회복정황。[결과]관찰조술후제1、2、3천혈장위비소수평분별위（356．15±53．22）、（335．46±43．08）、（381．28±34．59）ng／L ，현저고우대조조[（308．89±40．55）、（261．37±46．71）、（330．68±39．24） ng／L ]，P＜0．05。관찰조술후제1、2、3천혈장위동소수평분별위（80．61±29．41）、（85．57±31．80）、（86．21±32．47）ng／L ，현저고우대조조[（74．63±28．54）、（72．15±27．93）、（77．62±35．72）ng／L ]，P＜0．05。관찰조환자술후배기、배편시간분별위（22．45±7．62）h、（33．58±9．12）h ，대조조분별위（31．29±9．88）h、（48．03±12．76）h ，2조비교차이유통계학의의（P＜0．05）。[결론]중약열부포능유효촉진복강경담낭절제술후위장공능적회복，치득림상추엄응용。
Objective] Evaluate the effect of herbal fomentation on gastrointestinal function recovery af‐ter laparoscopic cholecystectomy .[Methods]Selection one hundred and sixty in June 2012 to June 2014 in our hospital treated by laparoscopic cholecystectomy ,were randomly divided into control group and experi‐mental group ,with 80 cases in each group .Control group received conventional nursing .On the basis of the control group ,the experimental group was treated with herbal fomentation ,gastrin and motilin levels , bowel sounds recovery time and postoperative anal exhaust time were observe and recorded in both groups and postoperative gastrointestinal function recovery was analysed .[Results]Plasma gastrin levels 1 ,2 ,3 days after surgery in the experimental group were(356 .15 ± 53 .22) ng / L ,(335 .46 ± 43 .08) ng/L , (381 .28 ± 34 .59) ,with were significantly higher than the control group (308 .89 ± of 40 .55) ng/L , (261 .37 ± 46 .71) ng/L ,(330 .68 ± 39 .24) ng/L (P<0 .05) .Plasma motilin levels 1 ,2 ,3 days after sur‐gery in the experimental group were(80 .61 ± 29 .41) ng/L ,(85 .57 ± 3 .18) ng/L and (86 .21 ± 32 .47) ng/L ,which were significantly higher than that of control group (74 .63 ± 28 .54) ng/L ,(72 .15 ± 27 .93) ng/L and (77 .62 ± 35 .72) ng/L (P<0 .05) .In the experimental group ,the postoperative discharge time was (22 .45 ± 7 .62) h ,and (33 .58 ± 9 .12) h ,which was significantly less than the control group (31 .29 ± 9 .88) h ,and (48 .03 ± 12 .76) h (P<0 .05) .[Conclusion]Herbal fomentation can effectively promote the recovery of gastrointestinal function after laparoscopic cholecystectomy ,which is worthy of clinical popu‐larization and application .