行气坦尼卡尔片对阑尾术后胃肠道功能恢复的影响

发布时间：2017-12-27 19:22

本文关键词：行气坦尼卡尔片对阑尾术后胃肠道功能恢复的影响　出处：《新疆医科大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:通过观察行气坦尼卡尔片对阑尾切除术后肠鸣音恢复时间、首次排气时间、排便时间及其他相关症状指标的影响,探讨其在促进阑尾切除术后胃肠功能恢复方面的疗效,初步评价行气坦尼卡尔片对阑尾切除术后胃肠道功能恢复的疗效及安全性。方法:收集2015年1月到2016年3月在自治区维吾尔医医院普外科行开腹阑尾切除术的患者,共80例,随机分为行气坦尼卡尔片治疗组和空白对照组,各组有40例,对照组严密观察生命体征、抗炎、补液、纠正酸碱平衡、禁食水、鼓励尽早下床活动。治疗组常规治疗基础下,术后6小时开始口服行气坦尼卡尔片,一日三次,每日3片口服,对照组不服用药物,观察并记录各组患者胃肠道功能恢复时间:首次肠鸣音恢复时间、首次排气时间,首次排便时间及腹胀、恶心、呕吐的发生率和切口并发症,采用SPSS18.0统计软件包进行统计学分析。结果:两组患者均为连续硬膜外麻醉,其术前一般情况年龄、性别、阑尾炎分类、体脂指数等具有可比性。两组患者,平均肠鸣音恢复时间:对照组为(26.99±6.40)h、治疗组为(18.58±4.48)h,术后首次肛门排气时间中:对照组为(34.86±7.57)h、治疗组为(24.73±7.38)h,术后首次排便时间中:对照组为(49.12±10.01)h、治疗组为(34.04±8.64)h。经过统计学分析两组平均肠鸣音恢复时间、首次肛门排气时间、排便时间存在统计学差异P0.05。可知治疗组患者术后肠鸣音恢复时间、首次肛门排气、首次经肛门排便时间明显短于对照组。两组患者术后出现腹胀症状:对照组为21例、治疗组为8例,术后出现恶心症状:对照组为19例,治疗组为7例,经过统计学分析可知行气坦尼卡尔片可降低患者术后腹胀,恶心症状的发生,行气坦尼卡尔片可以降低术后腹胀和恶心的发生率。术后切口愈合等级方面:甲级愈合:治疗组33例,对照组:31例,乙级愈合:治疗组3例,对照组3例,丙级愈合:治疗组4例,对照组6例。经统计学分析可以认为行气坦尼卡尔片在促进腹部切口愈合方面无明显影响。结论:1.行气坦尼卡尔片能促进阑尾切除术后肠鸣音恢复时间、首次排气时间、首次排便时间。2.行气坦尼卡尔片能降低阑尾切除术后腹胀,恶心的发生率。3.行气坦尼卡尔片对阑尾切除术后切口愈合无明显影响。4.阑尾切除术后服用行气坦尼卡尔片是安全有效。
[Abstract]:Objective: To observe the Xingqi Tannikaer effects on the first time, exhaust time, defecation time and other symptoms related indicators of bowel sound recovery after appendectomy, explore the curative effect of appendectomy on gastrointestinal function recovery after resection, preliminary evaluation for gas Tanja Carle tablet on the efficacy and safety of recovery of gastrointestinal tract function after appendectomy. Methods: from January 2015 to March 2016 in the open appendectomy patients in Department of general surgery for the autonomous region of Uygur medicine hospitals, a total of 80 patients were randomly divided into Xingqi Tannikaer tablets in the treatment group and control group, each group had 40 cases of the control group, close observation of vital signs, anti-inflammatory, repair liquid, correction of acid-base balance, fasting water encourage ambulation. The treatment group routine therapy, 6 hours after the start of oral Xingqi Tannikaer tablets, three times a day, 3 tablets a day orally, the control group not taking medication, were observed and recorded in patients with gastrointestinal function recovery time: for the first time, recovery time of bowel sounds, the first exhaust time, first time and the incidence of incision complications time of defecation and abdominal distension, nausea, vomiting, package using the statistical analysis software SPSS18.0. Results: the two groups were all patients with continuous epidural anesthesia. The general age, sex, classification of appendicitis and body fat index were comparable before operation. Two groups of patients, the mean recovery time of bowel sound: the control group (26.99 + 6.40) h, the treatment group (18.58 + 4.48) h for the first time, postoperative anal exhaust time: the control group (34.86 + 7.57) h, the treatment group (24.73 + 7.38) h, after the first defecation time the control group: (49.12 + 10.01) h, the treatment group (34.04 + 8.64) H. Analysis of two groups of the average recovery time of bowel sounds, the first exhaust time, defecation time there were significant differences by statistical P0.05. The treatment group patients with postoperative recovery time of bowel sounds, the first exhaust and defecation time was significantly shorter than the control group. Abdominal symptoms in two groups of patients: 21 cases in the control group, the treatment group of 8 cases, nausea symptoms after surgery: 19 patients in the control group, the treatment group of 7 cases, through statistical analysis of Xingqi Tannikaer tablets can reduce postoperative abdominal distension, nausea symptoms, Qi Tan nikkal tablets can reduce postoperative abdominal distention and the incidence of nausea. The level of postoperative wound healing: Healing: 33 cases in the treatment group and control group: 31 cases, grade B healing: 3 cases in the treatment group, 3 cases in the control group, C healing: 4 cases in the treatment group, 6 cases in the control group. According to statistical analysis, it is considered that there is no obvious effect on promoting the healing of abdominal incision by using Qi tananica. Conclusion: 1. Xingqi Tannikaer tablets can promote appendectomy postoperative recovery time of bowel sounds, the first exhaust time, first defecation time. 2. lines of Qi tananica can reduce the abdominal distention and the incidence of nausea after appendectomy. 3. lines of Qi tanical had no obvious effect on the healing of incision after appendectomy. 4. after appendectomy, taking tananica is safe and effective.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R656.8

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