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西甲硅油联合康妇消炎栓对子宫肌瘤术后胃肠功能紊乱的治疗效果

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目的 分析西甲硅油联合康妇消炎栓治疗子宫肌瘤术后胃肠功能紊乱患者的效果。方法 选取周口市妇幼保健院2021年1月至2023年1月子宫肌瘤手术胃肠功能紊乱患者100例,根据治疗方案分为对照组(50例)、联合组(50例)。予以西甲硅油者为对照组,予以西甲硅油联合康妇消炎栓者研究组。治疗 7 d后,对比两组疗效、胃肠功能紊乱恢复情况、腹胀再发率、胃肠激素[胃动素(MTL)、瘦素(LEP)、胃泌素(G-17)、胃蛋白酶原比值(PGR)]及炎症指标[C反应蛋白(CRP)、白细胞计数(WBC)、肿瘤坏死因子-α(TNF-α)]。结果 联合组有效率(96。00%)高于对照组(80。00%),差异有统计学意义(P<0。05);联合组上腹部不适消失、肠鸣音恢复、肛门首次排气及排便时间均短于对照组,差异有统计学意义(P<0。05);治疗 7 d后联合组MTL、G-17、LEP均高于对照组,PGR低于对照组,差异有统计学意义(P<0。05);治疗 7 d后联合组WBC、CRP、TNF-α低于对照组,差异有统计学意义(P<0。05);联合组腹胀再发率(4。00%)低于对照组(20。00%),差异有统计学意义(P<0。05)。结论 西甲硅油联合康妇消炎栓治疗子宫肌瘤术后胃肠功能紊乱疗效显著,可减轻炎症反应,改善胃肠激素、胃肠功能紊乱,减少腹胀再发率。
Effect of Simethicone combined with Kangfuxiaoyan Suppository on postoperative gastrointestinal Dysfunction in Patients with Hysteromyoma
Objective To analyze the effect of the combination of simethicone and Kangfuxiaoyan suppository in the treatment of postoperative gastrointestinal dysfunction in patients with hysteromyoma.Methods A total of 100 patients with gastrointestinal dysfunction undergoing uterine fibroid surgery at Zhoukou Maternal and Child Health Hospital from January 2021 to January 2023 were selected and divided into control group(50 cases)and combination group(50 cases)according to the treatment plan.The control group was treated with simethicone,while the combination group was treated with simethicone combined with Kangfuxiaoyan suppository.After 7 days of treatment,the efficacy,recovery of gastrointestinal dysfunction,recurrence rate of bloating,gastrointestinal hormones[motilin(MTL),leptin(LEP),gastrin(G-17),pepsinogen ratio(PGR)]and inflammatory markers[C-reactive protein(CRP),white blood cell count(WBC),tumor necrosis factor-α(TNF-α)]between the two groups were compared.Results The effective rate of the combined group(96.00%)was higher than that of the control group(80.00%),and the difference was statistically significant(P<0.05);The disappearance of discomfort in the upper abdomen,recovery of bowel sounds,first anal exhaust,and defecation time in the combined group were shorter than those in the control group,and the difference was statistically significant(P<0.05);After 7 days of treatment,the MTL,G-17,and LEP in the combination group were higher than those in the control group,and the PGR was lower than that in the control group,with statistical significance(P<0.05);After 7 days of treatment,the level of WBC,CRP,and TNF-α in the combination group were lower than those in the control group,the difference was statistically significant(P<0.05);The recurrence rate of abdominal distension in the combination group(4.00%)was lower than that in the control group(20.00%),and the difference was statistically significant(P<0.05).Conclusion The combination of simethicone and Kangfuxiaoyan suppository has a significant therapeutic effect on postoperative gastrointestinal dysfunction of uterine fibroids.It can reduce inflammatory reactions,improve gastrointestinal hormones and dysfunction,and reduce the recurrence rate of abdominal distension.

simethiconeKangfuxiaoyan suppositorypostoperative uterine fibroidsgastrointestinal dysfunctionabdominal distension

周军艳、范凯歌、张建军

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周口市妇幼保健院 妇产科,河南 周口 466000

西甲硅油 康妇消炎栓 子宫肌瘤术后 胃肠功能紊乱 腹胀

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(4)
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