芒硝外敷在腹腔镜阑尾切除术后患者中的临床应用

马翠玲 杨琼

[摘要] 目的 探討芒硝外敷对腹腔镜阑尾切除术后患者胃肠功能恢复的效果。 方法 选取2015年1月～2017年2月浙江省立同德医院胃肠外科收住的腹腔镜阑尾切除术患者201例，利用数字表随机分为对照组和治疗组，治疗组101例，对照组100例，对照组腹腔镜阑尾切除术后给予禁食、补液、抗感染、止痛、止血等西医常规治疗，治疗组除常规西医治疗外使用芒硝外敷，对患者各项恢复指标进行对照。 结果 与对照组相比，治疗组腹痛腹胀缓解时间、肠鸣音恢复时间、首次排便时间、禁食时间和住院时间明显缩短，另外两组患者术前白细胞和超敏C反应蛋白之间差异无统计学意义（P>0.05），治疗后，治疗组白细胞和超敏C反应蛋白恢复到正常时的时间低于对照组，治疗组白细胞和超敏C反应蛋白在术后2 d几乎恢复正常，而对照组术后3 d才能几乎恢复正常，差异有统计学意义（P<0.05）。 结论 芒硝外敷能有效的改善腹腔镜阑尾切除术后患者的胃肠道功能，减少肠道细菌移位和感染的发生，促进患者术后的恢复。

[关键词] 腹腔镜;阑尾切除术;芒硝;胃肠功能

[中图分类号] R656.8          [文献标识码] B          [文章编号] 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