摘要
目的分析腹腔镜术后应用中药热奄包的作用。方法采集中山陈星海中西医结合医院2022年6月至2023年6月收治的腹腔镜手术患者80例,随机数字表分为对照组(n=40,常规西医治疗)和观察组(n=40,对照组基础上增加中药热奄包);收集患者胃肠功能恢复时间、肠道菌群参数、术后胃肠功能障碍评分(POGD)、便秘患者生活质量自评量表(PAC-QOL)评分、胃肠道不良反应。结果观察组患者恢复肠鸣音时间、恢复排气时间、恢复排便时间短于对照组(P<0.05)。治疗后,观察组POGD、PAC-QOL评分低于对照组(P<0.05)。治疗后,观察组双歧杆菌、乳酸杆菌高于对照组,肠杆菌、肠球菌低于对照组(P<0.05)。观察组胃肠道不良反应发生率(5.00%,2/40)低于对照组(20.00%,8/40),差异有统计学意义(χ^(2)=4.114,P=0.043)。结论腹腔镜术后应用中药热奄包可改善患者胃肠功能紊乱,调节其肠道菌群,减少胃肠道不良反应,改善患者生活质量。
Objective:To analyze the effect of Rebao after laparoscopic surgery.Methods:A total of 80 laparoscopic surgery patients admitted to Zhongshan Chenxinghai Hospital of Integrated Chinese and Western Medicine from June 2022 to June 2023 were collected and divided into control group(n=40,conventional Western medicine treatment)and observation group(n=40,traditional Chinese medicine Rebao was added to the control group).Gastrointestinal functional recovery time,intestinal flora parameters,postoperative gastrointestinal dysfunction score(POGD),constipation patient Quality of Life Inventory(PAC-QOL)score,and gastrointestinal adverse reactions were collected.Results:The recovery time of bowel sound,exhaust gas and defecation in observation group was shorter than that in control group(P<0.05).After treatment,POGD and PAC-QOL scores in the observation group were lower than those in the control group(P<0.05).After treatment,bifidobacterium and lactobacillus in observation group were higher than those in control group,while enterobacterium and enterococcus were lower than those in control group(P<0.05).The incidence of gastrointestinal adverse reactions in the observation group(5.00%,2/40)was lower than that in the control group(20.00%,8/40),and the difference was statistically significant(χ^(2)=4.114,P=0.043).Conclusion:The application of Rebao after laparoscopic surgery can improve gastrointestinal dysfunction,regulate intestinal flora,reduce gastrointestinal adverse reactions and improve patients'quality of life.
作者
郭水仙
庞卓超
GUO Shuixian;PANG Zhuochao(The Eighth Clinical School of Guangzhou University of Chinese Medicine,Foshan 528051,China;Department of Gynecology,Zhongshan Chenxinghai Hospital of Integrated Traditional Chinese and Western Medicine,Foshan 528051,China)
出处
《生命科学仪器》
2023年第5期46-49,共4页
Life Science Instruments
关键词
中药热奄包
腹腔镜手术
胃肠功能紊乱
肠道菌群
生活质量
Traditional Chinese medicine hot election bao
Laparoscopic surgery
Gastrointestinal dysfunction
Intestinal flora
Quality of life
作者简介
郭水仙(1994.4-),女,汉族,江西赣州人,本科,住院医师,研究方向:中医妇科;通讯作者:庞卓超(1981.11-),女,汉族,广东佛山人,本科,副主任中医师,研究方向:中西医结合治疗妇科肿瘤、子宫内膜异位症,E-mail:22794618@qq.com。
