摘要
目的:观察厚朴三物汤空肠给药对胃、十二指肠术后胃肠功能恢复的促进作用。方法:胃、十二指肠术后患者68例,随机分为两组。治疗组38例,术后6h开始将厚朴三物汤(厚朴12～18g、大黄9～12g、枳实9～12g,剂量大小依据患者性别、年龄、体重而定)颗粒剂冲溶200ml,分两次经硅胶管缓慢注入空肠,每次100ml,6h1次。对照组术后不给特殊治疗,等待胃肠功能自然恢复。比较两组肛门排气情况、术后5d体重下降情况及平均住院时间。结果:治疗组平均排气时间为(36.8±17.1)h,术后体重下降(2.2±0.5)kg,术后住院时间为(9.2±1.2)d;对照组分别为(57.4±14.2)h、(3.2±0.9)kg和(11.8±2.8)d;两组比较差异均有显著性(P均<0.01)。结论:厚朴三物汤确有促进胃、十二指肠术后胃肠功能恢复、缩短排气时间的作用,从而减少患者术后消耗并缩短住院时间。
Objective: To observe the effects of Houpo Sanwu decoction(厚朴三物汤) administrated via jejunum to recuperate the gastrointestinal function after gastroduodenal operation. Methods: Sixtyeight cases after gastroduodenal operation were randomly divided into a treatment group (38 cases) and a control group(30 cases). Houpo Sanwu decoction 〔Magnolia bark (厚朴) 1218 g, rhubarb(大黄) 912 g, citrus aurantium(枳实) 912 g〕 was dissolved into 200 ml water, administrated twice (once 100 ml) and the dosage was given in accord to the patients's sex, age and constitution. The treatment group was treated with Houpo Sanwu decoction perfused slowly into the jejunum via a silica gel tube in 6 hours after gastroduodenal operation, once 100 ml per 6 hours. The control group was given no special treatment, just waited for recuperation of the gastrointestinal function naturally. The exsufflation, the lost weight within 5 days and the average hospitalization time of the two groups were compared. Results: In the treatment group, the exsufflation time was (36.8±17.1)hours, the lost weight within 5 days was (2.2±0.5)kg, the average hospitalization time was (9.2±1.2)days. In the control group, they were(57.4±14.2)hours, (3.2±0.9)kg and (11.8±2.8)days respectively. The differences of above parameters were all significant(all P<0.01). Conclusion: Houpo Sanwu decoction can promote the recuperation of the gastrointestinal function of patients after gastroduodenal operation and shorten the exsufflation time. Moreover, it can decrease the consumption of body after operation and shorten the hospitalization time.
出处
《中国中西医结合急救杂志》
CAS
2005年第3期162-164,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
关键词
厚朴三物汤
胃
十二指肠术后
胃肠功能
Houpo Sanwu decoction
postoperation of gastroduodenum
gastrointestinal function
