妇产科腹部术后大承气汤保留灌肠的疗效观察

本文报告前瞻性对120例妇产科腹部术后患者肠功能恢复情况的临床疗效观察。患者随机分为给药组和对照组,各60例。给药组术后用大承气汤煎剂保留灌肠,肛门出现排气时间平均为25.2h,1例有中度腹胀;对照组平均为47.8h,15例有中度以上腹胀。证实大承气汤煎剂保留灌肠用于妇产科腹部术后,具有防治术后肠功能紊乱,促进肠功能早期恢复的作用。

英文摘要:

A prospective study has been carried out on 120 patients after gyneco-bbstetrical abdominal operation for the recovering of intestinal function since 1984.The patients were randomly divided into the treated and the control group,each with 60 cases.The treated group was administered with the Da Cheng Qi Tang(大承气汤)by retention enema immediately after the operation,one dose of 100 ml for each patient.If it produced no effect,remedication might be taken 6 hours later.The treatment might be repeated again until intestinal gas is expelled from anus within 24 hours.The treatment should not stop until the intestinal motility was recovered completely,while the control group had no immediate gas-expelling effect.It was demonstrated that the time needed for the patients of treated group to expell gas was 25.2 hours in average after operation.Moderate flatulence occurred in 1 among 60 cases,while that of control 47.8 hours in average.Moderate and severe flatulence occurred in 15 among 60 cases.Differences in the recovery of intestinal motility between the two groups were significant statistically.Side-effects and complication such as depletion of body fluid,severe diarrhea and postpartum bleeding,etc.,have not been found in treated group.It has been shown that the Da Cheng Qi Tang retention enema after gyneco-obstetrical abdominal operation yielded remarkable effect for the recovery of intestinal motility.The retention enema not only refrain from the violent action of the drug. but also may stimulate the intestinal smooth muscle.Therefore,this method may promote the recovery of intestinal motility post-operationally.

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