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目的:观察大承气汤保留灌肠对剖宫产术后首次肛门排气时间、首次排便时间和肠鸣音恢复时间的影响,探讨大承气汤对剖宫产术后患者胃肠功能恢复的作用。方法:选择采用硬膜外麻醉行剖宫产术的患者138例,随机分为治疗组和对照组各69例。对照组于剖宫产术后6 h开始采用开塞露20 m L塞肛,治疗组采用大承气汤进行保留灌肠,术后12 h起,每24 h保留灌肠1次,患者排便后停止灌肠。观察两组产妇返回病房至首次排气、首次排便的时间、肠鸣音恢复正常的时间。结果:治疗组首次排气时间、首次排便时间、肠鸣音恢复正常时间均短于对照组,差异均有统计学意义(P<0.01)。治疗组术后18 h、24 h肠鸣音评分优于对照组,差异均有统计学意义(P<0.01)。治疗组治愈率为89.9%,对照组为59.4%,两组比较,差异有统计学意义(P<0.01)。结论:大承气汤保留灌肠可缩短剖宫术后患者肠鸣音恢复时间、术后首次排气时间、首次排便时间,促进胃肠功能的恢复。
Objective: To observe the effect of Dachengqi decoction on the time of the first anal exhaust, the time of first defecation and the recovery of bowel sounds after cesarean section, and to investigate the effect of Dachengqi Decoction on the recovery of gastrointestinal function after cesarean section effect. Methods: A total of 138 patients undergoing epidural anesthesia for cesarean section were randomly divided into treatment group and control group, with 69 cases each. The control group was treated with Kaifenglu 20 m L stuffing 6 hours after cesarean section. The treatment group was treated with Dachengqi Decoction for enema retention. The enema was preserved every 24 hours after operation, and the patient stopped after defecation Enema. Observe the return of the two groups of mothers to the ward for the first time the first defecation time, bowel sounds returned to normal time. Results: The first time of defecation, the time of first defecation and the recovery of bowel sounds in treatment group were shorter than those in control group (P <0.01). The scores of bowel sounds at 18 h and 24 h after operation in the treatment group were better than those in the control group, with significant differences (P <0.01). The cure rate was 89.9% in the treatment group and 59.4% in the control group, the difference was statistically significant (P <0.01). CONCLUSION: Dachengqi decoction can shorten the recovery time of bowel sounds, the first postoperative exhaust time, the first defecation time and the recovery of gastrointestinal function after enema retention.