首页|小茴香热敷联合大承气汤保留灌肠对化脓性阑尾炎患儿术后恢复的影响

小茴香热敷联合大承气汤保留灌肠对化脓性阑尾炎患儿术后恢复的影响

扫码查看
目的:探讨小茴香热敷联合大承气汤保留灌肠对化脓性阑尾炎患儿术后恢复的影响.方法:将120例行化脓性阑尾炎手术患儿分为两组,每组60例.观察组行小茴香热敷联合大承气汤保留灌肠,对照组行常规治疗及护理,术后护理干预3天.比较两组术后首次排气、排便时间,首次进食时间,首次下床活动时间,术后住院天数,术后疼痛评分,患儿家属满意率及不良反应.结果:观察组术后首次排气、排便时间,首次进食时间,首次下床活动时间及术后住院时间与对照组相比,差异均有统计学意义(P<0.05);两组手术当天和术后24 h时疼痛评分比较,差异无统计学意义(P>0.05);观察组术后48 h及术后96 h时疼痛评分低于对照组(P<0.05);观察组家长满意度[90.0%(54/60)]高于对照组[75.0%(45/60)](P<0.05).两组不良反应比较,差异无统计学意义(P>0.05).结论:小茴香热敷联合大承气汤保留灌肠能加快化脓性阑尾炎患儿术后胃肠功能恢复,缩短住院周期,缓解术后切口疼痛,提升住院患儿家长满意度.
Effects of Fennel Hot Compress Plus Retention Enema with Dachengqi Tang on the Rehabilitation of Children after the Surgery of Purulent Appendicitis
Objective:To explore the influences of fennel hot compress plus retention enema with Dachengqi Tang on postoperative recovery of children after the surgery of purulent appendicitis.Methods:All 120 patients who underwent the operation of purulent appendicitis were allocated to the two groups,60 cases in each group.In the observation group,fennel hot compress plus retention enema with Dachengqi Tang was performed,in the control group,conventional therapy and care was conducted,and postoperative nursing intervention was imp-lemented for three days.To compare the time of first exhaust and defecation,initial ingress time,the time of off-bed mobility,postoperative hospital stay,VAS scores after the surgery,the parents'satisfaction and adverse reaction between both groups.Results:When the observation group was compared with the control group in first defecation time,first exhaust time,initial ingress time,the first time of off-bed mobility and postoperative hospital stay,and the difference had statistical meaning(P<0.05).There was no statistical difference in VAS scores on the day of surgery and 24 hours after the surgery(P>0.05);VAS scores 48 hours after the surgery and 96 hours after the surgery of the observation group were lower than these of the control group(P<0.05).Parents'satisfaction of the observation group was[90.0%(54/60)],higher than[75.0%(45/60)]of the control group(P<0.05).The difference had no statistical meaning in adverse reactions between both groups(P>0.05).Conclusion:Fennel hot compress plus retention enema with Dachengqi Tang could speed up the recovery of gastrointestinal function in children after the operaiton,shorten the duration of hospitalization,alleviate the pain of postoperative wound and improve the parents'satisafaction.

appendicitis,purulentfennel hot compressDachengqi Tanggastrointestinal function

张凤、王芸、范美荣、吴涵、陈璐

展开 >

江苏大学医学院,江苏 苏州 212000

皖南医学院第一附属医院,安徽 芜湖 241001

皖南医学院,安徽 芜湖 241000

鼓楼医院,江苏 南京 210008

展开 >

阑尾炎,化脓性 小茴香热敷 大承气汤 胃肠功能

2024

西部中医药
甘肃中医药研究院

西部中医药

CSTPCD
影响因子:0.98
ISSN:1004-6852
年,卷(期):2024.37(12)