柴胡疏肝散对腹部手术后肠道功能恢复的疗效观察

曹明思+陈典升+吴世奎

[摘要]目的 探讨柴胡疏肝散对腹部手术后肠道功能恢复的疗效。方法 选取2016年12月～2017年7月我院手术室收治的120例腹部手术患者的临床资料。根据治疗方法将患者分为对照组和实验组，每组60例。两组患者均接受常规基础治疗，实验组同时接受柴胡疏肝散治疗。比较两组患者术后肠道功能恢复情况。结果 实验组患者术后4 d的胃泌素水平明显优于对照组，两组差异有统计学意义（P<0.05）。实验组患者术后自主排气、排便时间明显短于对照组（P<0.05）。结论 腹部手术患者接受柴胡疏肝散治疗，有助于其术后肠道功能的恢复，临床推广和应用价值较高。

[关键词]柴胡疏肝散；腹部手术；肠道功能

[中图分类号] R289.3 [文献标识码] A [文章编号] 1674-4721（2017）09（b）-0132-03

Curative effect observation of Chaihu Shugan Powder on the recovery of intestinal function after abdominal operation

CAO Ming-si CHEN Dian-sheng WU Shi-kui

Department of Surgery，Hukou Traditional Chinese Medicine Hospital of Jiangxi Province，Hukou 332500，China

[Abstract]Objective To investigate the curative effect of Chaihu Shugan Powder on the recovery of intestinal function after abdominal operation.Methods Clinical data of 120 patients with abdominal operation treated in the operation room of our hospital from December 2016 to July 2017 were selected.Patients were divided into the control group （n=60） and experiment group （n=60） according to the treatment.Patients in two groups were given the routine basic treatment，while the experimental group received the treatment of Chaihu Shugan Powder.The postoperative intestinal function recovery was compared between the two groups.Results The gastrin level of the experimental group 4 d after operation was better than that of the control group，and the difference was statistically significant between the two groups （P<0.05）.The postoperative spontaneous ventilation and defecation time of the experimental group were significantly shorter than those of the control group （P<0.05）.Conclusion Chaihu Shugan Powder applied in patients with abdominal operation is helpful to the recovery of intestinal function after operation，and its clinical promotion and application value is higher.

[Key words]Chaihu Shugan Powder；Abdominal surgery；Intestinal function

腹部手術后胃肠功能障碍的出现，与患者手术治疗期间正气损伤有直接联系。中医学理论提出，气为构成人体的核心元素，食物进入人体后，在脾胃功能的作用下会转化为精微物质，并在全身分布，脾胃为人体运转的根本，因此，在手术过程中预防人体的正气受损，保证脾胃组织调节中焦，更符合中医辨证施治原则，也是中医学治疗腹部手术后胃肠功能恢复的主要原则。腹部手术后患者的中医证候分型以实证中的腑气不通为主，而辨证以虚证的脾虚为主，且术后易导致肝郁、痰湿、瘀血等；中医学认为，“肝主疏泄”“腑以通为顺”，在腹部手术后，要尽快达到疏通气机，调和气血，矢气便通，使体液代谢尽早恢复平衡，机体功能状态得以康复的目的。我院针对腹部手术患者实施中医学辨证施治，从“脾胃学说”的角度出发，采取胃肠功能障碍的预防性治疗措施，符合中医的本质思想。……