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目的探讨厚朴排气合剂促进妇科腹腔镜术后胃肠功能恢复的治疗效果。方法 180例妇科腹腔镜手术后患者,随机分为治疗组60例(厚朴排气合剂组)和对照组60例(四磨汤对照组),对照组60例(空白对照组),三组均采用腹腔镜术后护理常规,对比3组患者胃肠功能恢复情况。结果治疗组肠鸣音恢复时间、术后肛门排气时间与对照组比较,差异有统计学意义(P<0.05);三组术后腹部胀满消失时间比较,差异有统计学意义(P<0.05)。中医证候疗效方面比较,治疗组临床显效率86.67%,四磨汤对照组为55%,空白对照组为45%,三组患者中医证候临床总疗效比较,差异有统计学意义(P<0.05)。结论在促进妇科腹腔镜术后胃肠功能恢复方面,厚朴排气合剂具有促进胃肠蠕动,消除腹胀,治疗妇科腹腔镜术后早期肠麻痹的作用。
Objective To investigate the therapeutic effect of Magnolia Vetiver Mixture on gastrointestinal function recovery after gynecological laparoscopic surgery. Methods 180 cases of gynecological laparoscopic surgery patients were randomly divided into treatment group 60 cases (Magnolia Veterans Mixture group) and control group of 60 cases (control group), control group 60 cases (blank control group), three groups Laparoscopic nursing routine were used to compare the recovery of gastrointestinal function in the three groups. Results The recovery time of bowel sounds and postoperative anal exhaust time in the treatment group were significantly different from those in the control group (P <0.05). There was significant difference between the three groups in the disappearance time of abdominal fullness (P < 0.05). Compared with traditional Chinese medicine syndromes, clinical effective rate was 86.67% in treatment group, 55% in Sihuangtang control group and 45% in blank control group. The total clinical efficacy of TCM syndrome in three groups was statistically significant (P < 0.05). Conclusions Promote the gastrointestinal function recovery after gynecological laparoscopic surgery, Magnolia Venting Mixture has the role of promoting gastrointestinal motility, eliminating bloating and treating early intestinal paralysis after gynecological laparoscopic surgery.