Font Size: a A A

"stomach" To Promote Clinical Research, Biliary Postoperative Recovery Of Gastrointestinal Function

Posted on:2006-02-09Degree:MasterType:Thesis
Country:ChinaCandidate:B YeFull Text:PDF
GTID:2204360185492116Subject:Medicine surgery
Abstract/Summary:PDF Full Text Request
Objective After cholecystectomy, because of anaesthesia , operation and application of the ease pain pump etc, the gastrointestinal function of patients will be restrained, presenting the series of the syndrome as intestinal gurgling sound disappeared, abdominal distention, no exhaust and defecation etc. Severely, it can leads to the run-up of diaphragm muscles and impacts the breathing function. At the same time, if the restoration of gastrointestinal function after operation is slowly, it can leads to the turbulence of inner circumstance and induces to a variety of complication. So how to promote the restoration of gastrointestinal function as soon as possible is very important to improve the patient's nutrition state and resistibility, speed the cut healing and reduce the complications after operation.We use the "Chang Wei Tong" decoction to treat the patients after laparoscopy cholecystectomy and open cholecystectomy respectively. The research observe the clinical effect of the decoction by comparing the restoration intestinal gurgling sound, first exhaust and defecation, plasma motilin value before and after operation.Methods 46 patients with cholecystectomy operation are randomly divided into laparoscopy cholecystectomy (LC) group and open cholecystectomy (OC) group, while each group is randomly divided into experimental group and control group according to the operation sequence. The patients of experimental group take the "Chang Wei Tong" decoction six hours after operation, one formula and twice a day, 5 day is a course of treatment. Other medicine are the same as control group's. The patients of control group take routine medicine, including fluid replacement and anti-infective agent, excluding other treatment to promote gastrointestinal function. Monitor the intestinal gurgling sound per 2 hours from 6 hours after operation till the the intestinal gurgling sound restored, note first time of exhaust and defecation, and draw 2 ml blood from patients at before operation, 0 hours , 24 hours , 48 hours, 72 hours after operation for analysis.Results The patients of experimental group spent less time than control group in restoring intestinal gurgling sound and first exhaust, there exists extremely evident...
Keywords/Search Tags:"Chang Wei Tong" decoction, restoration the gastrointestinal function, plasma motilin, post-operation of biliary tract
PDF Full Text Request
Related items