目的 探討首薈通便膠囊治療腹腔鏡術(shù)后腹脹的臨床療效。方法 選取成都市郫都區(qū)人民醫(yī)院于2016年8月-2018年8月收治的腹腔鏡術(shù)后腹脹患者98例作為研究對象，按照治療方案將患者隨機分為對照組和觀察組，每組49例。對照組患者進行常規(guī)護理；觀察組在對照組基礎(chǔ)上口服首薈通便膠囊，2粒/次，3次/d。兩組均連續(xù)治療14 d。觀察并比較兩組患者的臨床療效、術(shù)后腸鳴音恢復時間、術(shù)后排氣時間，及治療前后不同腹脹程度人數(shù)的變化。結(jié)果 治療后，對照組總有效率71.4%，顯著低于觀察組的87.8%（P<0.05）。治療后，觀察組腸鳴音恢復時間和術(shù)后排氣時間顯著低于對照組，兩組比較差異有統(tǒng)計學意義（P<0.05）。治療后，兩組不同腹脹程度人數(shù)均有顯著改善（P<0.05），且觀察組顯著優(yōu)于對照組（P<0.05）。結(jié)論 首薈通便膠囊對治療腹腔鏡術(shù)后腹脹療效顯著優(yōu)于常規(guī)護理，可有效提高治療總有效率，縮短首次排氣時間，增加治療后無腹脹人數(shù)，安全高效，值得臨床推廣。

Objective To investigate the clinical effect of Shouhui Tongbian Capsules on abdominal distension after laparoscopy. Methods A total of 98 patients with abdominal distension after laparoscopy admitted in Pidu District People's Hospital, Chengdu from August 2016 to August 2018 were selected as the study subjects, and the patients were randomly divided into control group and observation group according to the treatment regimen, with 49 cases in each group. Patients in the control group were received routine nursing, patients in the observation group were po administered with Shouhui Tongbian Capsules on the basis of control group, 2 capsules/time, three times daily. Both groups were treated continuously for 14 days. Clinical efficacy, postoperative recovery time of intestinal sounds, postoperative exhaust time, and the number of patients with different degrees of abdominal distension before and after treatment in two groups were compared. Results After treatment, the total effective rate of the control group was 71.4%, which was significantly lower than 87.8% of the observation group (P<0.05). After treatment, the recovery time of intestinal sounds and postoperative exhaust time in the observation group were significantly shorter than those in the control group, with statistical significance (P<0.05). After treatment, the number of patients with different degrees of abdominal distension in two groups was significantly improved (P<0.05), and the number in the observation group was significantly better than the control group (P<0.05). Conclusion Shouhui Tongbian Capsules has significantly better efficacy than conventional nursing in treatment of abdominal distension after laparoscopic surgery. It can effectively improve the total effective rate of treatment, shorten the first exhaust time, and increase the number of patients without abdominal distension after treatment. It is safe and efficient, and worthy of clinical promotion.

R975