作者：肖玉兰，齐科雷，王秀娟，李风茹，吕翠环

单位：河北省胸科医院 胸二科，河北 石家庄 050041

Authors:  XIAO Yulan, QI Kelei, WANG Xiujuan, LI Fenru, LV Cuihuan

Unit: The Second department of Thoracic Surgery center, Hebei chest hospital, Shijiazhuang 050041, Hebei, China

摘要：

目的  探讨体外胃肠多功能治疗对全麻术后患者胃肠功能恢复的影响。方法  选取2015年1月至2018年1月于我院全麻手术的150例患者进行研究,以随机数表法分为观察组(n=80)和对照组(n=70),对照组使用促胃肠动力药治疗,观察组采用体外胃肠多功能治疗联合促胃肠动力药。比较两组的临床疗效、血清胃动素、胃泌素水平、肠鸣音消失、肛门排气、排便、恢复饮食及腹胀缓解时间及不良反应发生情况。结果  治疗后,观察组总有效率93.75%高于对照组的74.29%(P<0.05);治疗前,两组患者血清胃动素、胃泌素水平无显著差异(P>0.05);治疗后,两组血清胃动素、胃泌素水平较治疗前均显著改善(P<0.05),且观察组血清胃动素、胃泌素水平均明显低于对照组(P<0.05);治疗后,观察组患者肠鸣音消失、肛门排气、排便、恢复饮食及腹胀缓解时间均显著低于对照组(P<0.05)。结论  在全麻术后患者中应用体外胃肠多功能治疗效果显著,可有效减少患者胃肠功能恢复时间,值得临床推广应用。

关键词： 体外; 胃肠多功能; 全麻; 胃肠功能恢复

Abstract：

Objective  To study the effects of extracorporeal gastrointestinal multi-function therapy on gastrointestinal function after surgery with general anesthesia. Methods  150 patients who underwent operation with general anesthesia in our hospital from January 2015 to January 2018 were selected for the study. The randomized table method was employed to assign patients into the observation group (n=80) and the control group (n=70). The control group was treated with gastrointestinal motility medicine, and the observation group was treated with extracorporeal gastrointestinal multi-function therapy together with gastrointestinal motility medicine. The serum motilin, gastrin levels, bowel sounds, anal exhaust, defecation, time to resume diet、abdominal distension remission time and post-surgical complications were compared between the two groups. Results  The total effective rate of the observation group was 93.75%, higher than that of the control group (74.29%, P<0.05). There was no significant difference in serum motilin and gastrin levels between the two groups (P>0.05) in baseline. After treatment, the levels of serum motilin and gastrin in both groups were significantly improved compared with those before (P<0.05). And the levels of serum motilin and gastrin in the observation group were significantly lower than those in the control group (P<0.05). The total incidence of nausea, vomiting, abdominal distension and abdominal pain in the two groups during the treatment was 5.00% and 15.71%, respectively, and the difference was statistically significant (P<0.05). Conclusion  For patients with general anesthesia, the application of extracorporeal gastrointestinal multifunctional treatment can effectively improve gastrointestinal function, which is worthy of clinical application.

Key Words:  In vitro; Gastrointestinal function; General anesthesia; Multi-function therapy