香檳方對腰椎融合術(shù)后胃腸功能影響的臨床研究
[Abstract]:Objective: to study the changes of abdominal distension pain, bowel sound, anal exhaust and defecation, nausea and vomiting in patients after lumbar vertebrae operation on the basis of animal experiment of Champagne Fang. To clarify the effect of Champagne recipe on the recovery of gastrointestinal function after lumbar vertebra operation, to give full play to the characteristics and advantages of traditional Chinese medicine in the perioperative period of lumbar vertebrae, and to lay a foundation for the study of rapid rehabilitation of patients after spinal surgery. Methods: sixty patients with single and double segmental lumbar fusion in Guangdong traditional Chinese Medicine Hospital were randomly divided into two groups: experimental group (n = 30) and control group (n = 30). Abdominal pain and abdominal distension were recorded one day before operation. On the first day after operation, the two groups were given drugs. On the basis of routine treatment, the experimental group was treated with Champagne prescription (areca nut 10g, ginseng 9g, black medicine 10g, Amomum villosum 6g, peach kernel 10g). The control group was given placebo until 7 days after operation. Take one dose a day at 9: 00 in the morning and 16:00 in the afternoon. At 6 hours (17: 00-1: 00), on the first day (1: 00-9: 00), on the first day (9: 00-17: 00), on the first day (17: 00-1: 00), on the second day (1: 00-9: 00), The second day (9: 00-17: 00), the second day (17: 00-1: 00), the third day, the fourth day, the fifth day, the sixth day and the seventh day after the operation were recorded. The first exsufflation of anus and the time of first defecation after operation were recorded. The changes of gastrointestinal tract such as abdominal distension, nausea and vomiting were recorded, and the data were established by using the perioperative gastrointestinal function evaluation scale. The data were processed by statistical SPSS13.0 data software. Results: 1. The average recovery time of postoperative bowel sounds was 17.99 h and 25.12 h, respectively, the difference was statistically significant (p0. 000 / p0.01); 2. The mean of the first time after operation was 16.87 h and 20.42 h, respectively. The difference was statistically significant (p0.049, p0.05). The mean of the first defecation time was 60.26 h and 75.7 h, respectively, the difference was statistically significant (p0. 002 / p0.01); 4. According to the evaluation scale of postoperative gastrointestinal function in perioperative period, the average scores of the experimental group were higher than those of the control group from the first day (9: 00: 17: 00) to the 7th day after operation, and the difference was statistically significant. That is, p0.01. In the experimental group, the average score of the experimental group in the first day (9: 00: 00), (17: 00 1: 00) and the second day after operation (1: 00-9: 00) was between 6079 and 6079. The average score of the control group was lower than that of the control group, and the average score of the experimental group was higher than that of the control group, and the difference between the two groups was statistically significant (P0.01). On the second day after operation (9: 00 17: 00), the average score of the experimental group was higher than 80 points, while the average score of the control group was still lower than 60 points. There was a significant difference between the two groups (P0.01). From the second day after operation (17: 00 1: 00) to the fourth day after operation, the average score of the experimental group was higher than that of the control group, and the control group was still lower than 60 points. The difference between the two groups was significant (P0.01). On the 5th day after operation, the average score of the experimental group was higher than that of the control group, the average score of the experimental group was more than 90 points, and the average score of the control group was between 600.79. The difference between the two groups was statistically significant (P0.01). On the 6th day after operation, the average score of the experimental group was higher than that of the control group, the average score of the experimental group was more than 90 points, and the average score of the control group was higher than 80 points, the difference was statistically significant (P0.01). There were no adverse events such as headache, dizziness, rash and so on. Conclusion: Champagne prescription can promote the recovery of bowel sound and the time of anal exhaust and defecation in patients with lumbar fusion. The overall clinical effect is good and worth popularizing.
【學(xué)位授予單位】:廣州中醫(yī)藥大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2016
【分類號】:R274.9
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