李霞 胡娟 毛中英

[摘要] 目的 探讨中医传统疗法促进妇科术后患者快速康复的效果。 方法 方便选取2018年6月—2019年6月于该院妇科手术的患者120例，利用随机数字法分为两组，观察组（共60例）和对照组（共60例）。对照组患者给予常规治疗及护理，观察组患者在常规治疗及护理的基础上给予磁珠压耳穴、中药熏洗和穴位敷贴中医传统疗法。记录两组患者术后出现规律肠鸣音的时间及首次肛门排气、首次排便时间;分别在在术后第1天、第3天和第7天记录患者术后切口和腹部的疼痛程度。结果 观察组患者术后规律肠鸣音出现时间（30.21±6.86）h与对照组（36.27±5.71）h相比明显提前（t=7.264，P<0.001），对照组患者首次肛门排气时间（37.91±7.95）h与观察组（42.57±7.16）h比较明显较长（t=11.381，P<0.001），观察组患者的术后第1次排便的时间（3.10±1.51）d比观察組（4.25±1.37）d明显短（t=7.875，P<0.001），在术后第7天观察组的NRS较对照组（2.04±1.37）明显低于观察组（3.34±1.19）（t=3.181，P=0.013）。结论 中医传统疗法能够明显缩短妇科术后患者规律肠鸣音出现时间、首次肛门排气时间及术后第1次排便的时间，降低患者疼痛感，从而促进妇科术后患者快速康复。

[关键词] 中医传统疗法;妇科术后;康复

[Abstract] Objective To more the effect of traditional Chinese medicine therapy on promoting rapid recovery of patients after gynecological surgery. Methods 120 patients who underwent gynecological surgery in our hospital from June 2018 to June 2019 were convenlent selected and divided into two groups by random number method. The observation group （60 cases） and the control group （60 cases）. Patients in the control group were given routine treatment and nursing， while patients in the observation group were given magnetic beads pressing ear acupoints， traditional Chinese medicine fumigation and acupoint application on the basis of routine treatment and nursing. The time of regular bowel sounds， first anal exhaust and first defecation were recorded in the two groups. The degree of pain in the incision and abdomen was recorded on the first， third and seventh days after operation. Results It can be seen from the comparison that the appearance time of regular bowel sounds in the observation group （30.21±6.86）h was significantly earlier than that in the control group （36.27±5.71）h （t=7.264， P<0.001）. The time of first anal exhaust in the control group （37.91±7.95）h was significantly longer than that in the observation group （42.57±7.16）h （t=11.381， P<0.001）. The time of the first postoperative defecation in the observation group （3.10±1.51）d was significantly shorter than the observation group （4.25±1.37） d（t=7.875， P<0.001）， and the NRS of the observation group on the seventh day after surgery was significantly lower than that of the control group ，（2.04±1.37） vs （3.34±1.19）（t=3.181， P=0.013）. Conclusion Traditional Chinese medicine therapy can significantly shorten the occurrence time of regular bowel sounds， the first time of anal exhaust and the first time of defecation after gynecological surgery， and reduce the pain of patients， so as to promote the rapid recovery of patients after gynecological surgery.

[Key words] Traditional Chinese medicine therapy; Gynecological surgery; Rehabilitation

手术是目前主要的现代医疗技术手段之一，虽然其本身可以切除病变组织，从根本方面祛除病灶。但是，由于手术本身也对患者带来一定损伤，特别是由于接受妇科手术的患者的特殊性，对术后康复也带来较大的挑战[1]。术后康复在传统中医学中并没有专属病名，但是中医传统疗法能够适应多元复杂的临床需求，发挥中医的特色与优势，使中医临床医学形成新的格局，得以发展[2]。方便选取该院妇科2018年6月—2019年6月住院手术的患者120例进行研究。现报道如下。

1  资料与方法

1.1  一般资料

方便选取该院妇科住院手术的患者120例，患者因子宫肌瘤、宫颈肿瘤、卵巢肿瘤等行妇科手術。将患者随机分为观察组（共60例）和对照组（共60例）。两组患者的年龄及文化程度均衡可比，经检验差异无统计学意义（P﹥0.05）。……