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目的:评价腹腔镜微创手术和中药灌肠、针灸在治疗急性继发性弥漫性腹膜炎术后胃肠功能紊乱中的疗效。方法:选择继发于上消化道穿孔或化脓坏疽性阑尾炎的弥漫性腹膜炎病例80例,随机分成4组,每组20例,分别为:单纯开腹手术组、单纯腹腔镜手术组、开腹手术联合中药保留灌肠及针灸组、腹腔镜手术联合中药保留灌肠及针灸组。通过分析各组的数据来评价其疗效。结果:全部病例均治疗成功。与非中西医结合治疗组(单纯开腹手术组、单纯腹腔镜手术组)相比较,中西医结合组(手术结合术后中药灌肠及针灸)的治疗方法的肠鸣音恢复时间和术后首次肛门排气的时间均明显缩短。结论:中西医结合的治疗方法,明显加快了术后胃肠蠕动功能的恢复。
Objective: To evaluate the efficacy of minimally invasive laparoscopic surgery and traditional Chinese medicine enema and acupuncture in the treatment of postoperative gastrointestinal disorders after acute diffuse peritonitis. Methods: A total of 80 cases of diffuse peritonitis secondary to perforation of the upper digestive tract or suppurative gangrenous appendicitis were randomly divided into 4 groups (n = 20 in each group): laparotomy group, simple laparoscopic surgery group, Surgery combined with traditional Chinese medicine retention enema and acupuncture group, laparoscopic surgery combined with traditional Chinese medicine retention enema and acupuncture group. The efficacy of each group was evaluated by analyzing the data. Results: All cases were successfully treated. Compared with non-integrated traditional Chinese and Western medicine treatment group (simple laparotomy group, simple laparoscopic surgery group), Integrative Medicine group (combined with postoperative Chinese medicine enema and acupuncture) treatment of bowel sounds recovery time and postoperative first Anal exhaust time were significantly shorter. Conclusion: The combination of traditional Chinese and Western medicine treatment significantly accelerated the recovery of postoperative gastrointestinal motility.