首页|自制中药封包降低腰椎全麻术后腹胀发生的临床疗效观察

自制中药封包降低腰椎全麻术后腹胀发生的临床疗效观察

Clinical Efficacy of Self-made Chinese Medicine Encapsulation in Reducing Abdominal Distension after Lumbar General Anesthesia

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目的:探讨对腰椎全麻术患者术后实施自制中药封包治疗的临床疗效及对降低术后腹胀发生率的影响.方法:选取2022年5月—2023年5月我院收治的腰椎全麻术患者120例,随机分为两组,各60例,并纳入观察组、对照组.观察组给予自制中药封包热敷治疗,对照组给予常规治疗.评价及对比两组的疗效、术后恢复指标、胃肠功能指标、应激指标.结果:观察组的总有效率高于对照组(P<0.05);观察组的术后恢复指标时间均短于对照组(P<0.05);观察组的胃泌素、胃动素、胃肠P物质水平均高于对照组(P<0.05);观察组的C反应蛋白(CRP)、皮质醇(Cor)、去甲肾上腺素(NE)水平均低于对照组(P<0.05).结论:对腰椎全麻术患者术后实施自制中药封包治疗,在缓解腹胀、改善胃肠功能及减轻应激反应方面作用明显,疗效良好,具有借鉴与应用价值.
Objective:To investigate the clinical efficacy of self-made Chinese medicine encapsulation in patients with lumbar general anesthesia and its effect on reducing the incidence of postoperative abdominal distension.Methods:120 patients undergoing lumbar spine general anesthesia admitted to our hospital from May 2022 to May 2023 were randomly divided into two groups,each with 60 cases,and included in the observation group and the control group.The observation group received self-made traditional Chinese medicine packaging and hot compress treatment,while the control group received routine treatment.Evaluate and compare the efficacy,postoperative recovery indicators,gastrointestinal function indicators,and stress indicators between the two groups.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05);The postoperative recovery time of the observation group was shorter than that of the control group(P<0.05);The levels of gastrin,motilin,and gastrointestinal substance P in the observation group were higher than those in the control group(P<0.05);The levels of C-reactive protein(CRP),cortisol(Cor),and norepinephrine(NE)in the observation group were lower than those in the control group(P<0.05).Conclusion:The application of self-made Chinese medicine encapsulation therapy in patients with lumbar general anesthesia has obvious effects on relieving abdominal distension,improving gastrointestinal function and alleviating stress reaction,and has good curative effect,which has reference and application value.

Lumbar General AnesthesiaHomemade Chinese Medicine PacketGastrointestinal FunctionAbdominal Bloating

吴金平、黄杏媚、陈炎

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广州市中西医结合医院脊柱外科(广东广州 510800)

腰椎全麻术 自制中药封包 胃肠功能 腹胀

广州市花都区科技计划

22-HDWS-085

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(3)
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