西药联合灌肠疗法治疗腹部手术后胃肠功能障碍的效果分析

叶其兴

[摘要] 目的 探讨西药联合灌肠疗法治疗腹部手术后胃肠功能障碍的效果。 方法 选取本院2010年5月～2014年5月收治的80例腹部手术后出现胃肠功能障碍患者为研究对象，随机分成联合组与常规组，各40例，常规组采用常规西药进行治疗，联合组在常规组的基础上采用灌肠疗法进行治疗，比较两组治疗后的排气、排便、肠鸣音恢复时间，进食时间，肠胃功能障碍评分，住院时间等指标。 结果 两组治疗前胃肠功能障碍评分比较差异无统计学意义（P>0.05）；治疗后，常规组的胃肠功能障碍评分明显高于联合组，差异有统计学意义（P<0.05）；常规组胃肠功能恢复时间、进食时间、住院时间均长于联合组，差异有统计学意义（P<0.05）。 结论 对腹部手术后出现胃肠功能障碍的患者行西药联合灌肠疗法，疗效显著，能有效缩短患者术后排气、排便、肠鸣音恢复时间，改善进食效果，缓解胃肠功能障碍症状，对改善患者生活质量、促进其早日回归正常生活等具有积极意义，值得临床推广应用。

[关键词] 腹部手术；胃肠功能障碍；灌肠疗法；临床研究

[中图分类号] R656 [文献标识码] B [文章编号] 1674-4721（2014）08（a）-0168-03

Effect analysis of western medicine combined with enema therapy in the treatment of gastrointestinal dysfunction after abdominal surgery

YE Qi-xing

Central Health Hospital of Anpu Town of Lianjiang City in Guangdong Province，Lianjiang 524444，China

[Abstract] Objective To explore the effects of western medicine combined with enema therapy in the treatment of gastrointestinal dysfunction after abdominal surgery. Methods 80 cases of patients with gastrointestinal dysfunction occurred after abdominal operation from May 2010 to May 2014 in our hospital were selected and randomly divided into combined group and routine group，each group for 40 cases.The routine group were treated by conventional western medicine therapy，the combined group were treated with enema therapy on the basis of the routine group.The recovery time of exhaust，defecate，bowel sound and eating time，gastrointestinal dysfunction score，hospitalization time in two groups was compared respectively. Results Gastrointestinal dysfunction score of the two groups was compared before treatment，with no statistical difference（P>0.05）.After the treatment，gastrointestinal dysfunction score of routine group was higher than that in combined group，with statistical difference（P<0.05）.The recovery time of gastrointestinal function，eating time and hospitalization time in routine group was longer than that in combined group respectively，with statistical difference（P<0.05）. Conclusion There is obvious curative effect of western medicine combined with enema therapy in the treatment of gastrointestinal dysfunction after abdominal surgery，which can effectively shorten the recovery time of exhaust，defecate，bowel sound，improve the feeding effect，relieve the symptom of gastrointestinal dysfunction.There is positive significance to improve the life quality of the patients and promoting its early return to normal life，and it is worthy of clinical promotion and application.endprint

[Key words] Abdominal operation；Gastrointestinal dysfunction；Enema therapy；Clinical study

胃肠功能障碍是腹部手术后最常见的并发症之一[1]，由术中麻醉、牵引或刺激等多种因素引起[2]，部分患者行腹部手术后出现的不同程度胃肠功能障碍症状，对改善患者术后营养物质摄入、提升生活质量、降低术后并发生发生率等不利[3]。本研究以本院收治的80例腹部手术后出现胃肠功能障碍的患者为研究对象，随机分成常规组与联合组，分别给予常规西药与西药联合灌肠疗法进行治疗，探讨并比较效果。

1 资料与方法

1.1 一般资料

选取本院2010年5月～2014年5月收治的80例腹部手术后出现胃肠功能障碍的患者为研究对象，随机分成联合组与常规组两组，各40例。所有患者均于术后96 h内出现胃肠功能障碍症状，包括腹部胀气、嗳气、早饱、食欲减退、恶心、呕吐、排气或排便次数减少等[4]，其中男55例，女25例；年龄……