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目的探讨肠孺医用胶贴联合中药厚朴排气合剂对食管贲门癌手术患者硬膜外镇痛后肠蠕动恢复影响。方法选取105例采用硬膜外镇痛方法的食管贲门癌手术后患者,按随机数字表法将患者分为肠蠕组和常规组。常规组术后给予体位、活动指导等常规护理,肠蠕组在常规护理基础上给予肠孺医用胶贴联合中药厚朴排气合剂处理。结果肠蠕组肠蠕动恢复时间和肛门排气时间明显低于常规组,两组肠蠕动恢复时间和肛门排气时间比较差异均具有统计学意义(均P<0.05)。结论肠孺医用胶贴联合中药厚朴排气合剂可有效促进食管贲门癌硬膜外镇痛手术患者术后肠蠕动恢复。
Objective To investigate the effects of Hupi medical adhesive plaster combined with Chinese herbal medicine Houpuxiaoqi on the recovery of intestinal peristalsis after epidural analgesia in patients with esophageal and cardiac cancer. Methods A total of 105 patients with esophageal and cardiac cancer undergoing epidural analgesia were enrolled in this study. Patients were divided into two groups according to the random number table method. Conventional group was given postoperative postoperative physical activity guidance and other routine care, bowel group on the basis of routine care given gutta-perfumed medical adhesive combined with Chinese medicine Magnolia exhaust mixture. Results The recovery time of intestinal peristalsis and the time of anus evacuation were significantly lower than those of the conventional group. There was significant difference between the two groups in the recovery time of intestinal peristalsis and the anal exhaust time (both P <0.05). CONCLUSIONS: Gutta-percha medical adhesive tape combined with Chinese herbal medicine Hou-Pu exhaust mixture can effectively promote the recovery of peristalsis after operation of epidural analgesia for patients with esophageal and cardiac cancer.