Objective To discuss the different methods of treatment on the occurrence of gastrointestinal dysfunction after abdominal surgery patients. Methods Gastrointestinal dysfunctions after abdominal surgery, 63 patients were divided into the treatment group and the control group randomly. Patients of the treatment group 1 with treatment of traditional Chinese medicine enema, the treatment group 2 with treatment of orally traditional Chinese medicine, and the control group with treatment of glycerin enema. By comparing each groups of efficiency, EGG frequency and amplitude, determine the effects of various methods of the treatment. Results Efficiency of three groups respectively after the treatment as follows: 85.0% of group 1, 55.0% of group 2 and 52.2% of the control group,and there was a statistically significant difference (P<0.05).After the treatment, EGG frequency and amplitude of group 1 showed a significant difference with the control group as well as group 2(P<0.05), whereas there was no significant difference between group 2 and the control group (P>0.05). Conclusion For treatment of gastrointestinal dysfunction after abdominal surgery,clinical efficacy of Chinese medicine was better than glycerin enema,and retention enema was bettter than oral in traditional Chinese medicine application.%目的 探讨不同方法对腹部手术后发生胃肠功能障碍患者的疗效.方法 腹部手术后出现胃肠功能障碍的63例患者,在其自愿的情况下,随机分成治疗组和对照组,治疗组再分为治疗1组和治疗2组,分别将治疗1组和对照组、治疗1组和治疗2组进行对比.治疗1组患者用中药灌肠,治疗2组患者口服中药,对照组用甘油灌肠.通过比较各组的有效率、胃肠排气时间、肠鸣音时间,判定各方法的疗效.结果 3组患者接受治疗后的有效率分别为:治疗1组85.0%,治疗2组55.0%,对照组52.2%,治疗1组与治疗2组、对照组有效率比较差异均有统计学意义(P＜0.05).治疗后,治疗1组的排气时间和肠鸣音时间与对照组、治疗2组比较差异有统计学意义(P＜0.05),而治疗2组与对照组的排气时间和肠鸣音时间比较差异无统计学意义(P＞0.05).结论 对腹部手术后胃肠功能障碍的治疗,中药的临床疗效比甘油好;且在应用方法上,中药用于保留灌肠的效果优于口服.
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