中药热疗腹带"康腹帝"对腹部手术后胃肠道功能恢复的促进作用研究

目的探讨中药热疗腹带"康腹帝"对腹部手术后胃肠道功能恢复的促进作用.方法 术后8 h开始将研制的"康腹帝"捆于病人腹部,与同期随机入选的腹部手术病人为对照,观察胃肠道功能恢复情况.结果 187例经观察(治疗组93例,对照组94例),肠鸣恢复时间治疗组为8～112h,中位时间为28 h,对照组为16～124 h,中位时间46 h,有显著统计学意义(P=0.0001);肛门排气时间治疗组为22～116 h,中位时间56 h,对照组为24～147 h,中位时间82 h,有显著统计学意义(P=0.0001);肠电图显示治疗组各检测肠段的电控制活动(ECA)、连续反应电活动波(CERA)、收缩电综合波(CEC)均显著增强.结论本中药热疗腹带有助于促进腹部手术后胃肠道功能的恢复.

The effect of the Heat Traditional Chinese Medicine Abdominal Belt (Comfort) on promoting gastrointestinal function recovery after abdominal operations

Objective To study the promptive effect of heat traditional Chinese medicine abdominal belt (Comfort) on promoting gastrointestinal function recovery after abdominal surgery. Methods The patients admitted by our department from April 2001 to March 2002, who had underwent open abdominal operations, were randomly divided into 2 groups: the experimental group (n=93) employed the heat traditional Chinese medicine abdominal belt in 8 hours after operation, and the control group (n=94) did not use the heat abdominal belt, and the recovery conditions of gastrointestinal function were observed. Results The recovery time of bowel sound was 8-112 h (M=28 h) in the treated group and 16-24 h (M=46 h) in the control group, with a significant difference (P=(0.0001).) The time of anal exsufflation in the treated group was 2-116 h (M=56 h), and 24-147 h (M=82 h) in the control group, with a significant difference (P=0.0001). The electroenterogram revealed that (electrical) control activity (ECA), continuous (electrical) response activity (CERA) and contractive electrical complex (CEC) were significantly stronger in the treated group than in the control group. (Conclusions) The heat traditional Chinese medicine abdominal belt (Comfort) can promote intestinal movement in patients after abdominal operations.