馬翠玲 楊瓊

[摘要] 目的 探討芒硝外敷對腹腔鏡闌尾切除術(shù)后患者胃腸功能恢復的效果。 方法 選取2015年1月～2017年2月浙江省立同德醫(yī)院胃腸外科收住的腹腔鏡闌尾切除術(shù)患者201例，利用數(shù)字表隨機分為對照組和治療組，治療組101例，對照組100例，對照組腹腔鏡闌尾切除術(shù)后給予禁食、補液、抗感染、止痛、止血等西醫(yī)常規(guī)治療，治療組除常規(guī)西醫(yī)治療外使用芒硝外敷，對患者各項恢復指標進行對照。 結(jié)果 與對照組相比，治療組腹痛腹脹緩解時間、腸鳴音恢復時間、首次排便時間、禁食時間和住院時間明顯縮短，另外兩組患者術(shù)前白細胞和超敏C反應蛋白之間差異無統(tǒng)計學意義（P>0.05），治療后，治療組白細胞和超敏C反應蛋白恢復到正常時的時間低于對照組，治療組白細胞和超敏C反應蛋白在術(shù)后2 d幾乎恢復正常，而對照組術(shù)后3 d才能幾乎恢復正常，差異有統(tǒng)計學意義（P<0.05）。 結(jié)論 芒硝外敷能有效的改善腹腔鏡闌尾切除術(shù)后患者的胃腸道功能，減少腸道細菌移位和感染的發(fā)生，促進患者術(shù)后的恢復。

[關(guān)鍵詞] 腹腔鏡;闌尾切除術(shù);芒硝;胃腸功能

[中圖分類號] R656.8? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2019）18-0093-04

[Abstract] Objective To investigate the effect of external application of mirabilite on the recovery of gastrointestinal function in patients after laparoscopic appendectomy. Methods A total of 201 patients with laparoscopic appendectomy who were treated with gastrointestinal surgery from Zhejiang Provincial Tongde Hospital from January 2015 to February 2017 were randomly divided into the control group（n=100） and the treatment group（n=101）. The control group was treated with fasting， rehydration， anti-infection， analgesic， hemostasis and other Western medicine treatments after laparoscopic appendectomy.The treatment group was treated with external application of mirabilite in addition to conventional Western medicine treatment. Results Compared with that of the control group， the time to relieve abdominal distension， the recovery time of bowel sounds， the time of first bowel movement， fasting and the length of hospital stay were significantly shorter in the treatment group. There was no significant difference between preoperative leukocytes and high-sensitivity C-reactive protein in two groups（all P>0.05）. After treatment， the time of recovery of leukocytes and high-sensitivity C-reactive protein returning to normal in the treatment group was lower than that in the control group. The white blood cells and high-sensitivity C-reactive protein in the treatment group almost returned to normal at 2 days after surgery. The control group almost returned to normal at 3 days after surgery， and the difference between them was statistically significant（P<0.05）. Conclusion Mirabilite external application can effectively improve the gastrointestinal function of patients after laparoscopic appendectomy， reduce intestinal bacterial translocation and infection， and promote postoperative recovery.

[Key words] Laparoscopy; Appendectomy; Mirabilite; Gastrointestinal function