【摘要】 目的 观察三黄承气膏穴位贴敷治疗儿童先天性心脏病(简称先心病)术后腹胀的临床疗效。方法 选取2021年1—12月在河南省胸科医院心血管外科治疗的先心病术后腹胀患儿80例，采用随机数字表法分为对照组和观察组，每组40例。对照组予布拉氏酵母菌散治疗，每次0.25 g,每日1～2次；观察组在对照组治疗基础上予三黄承气膏穴位贴敷，穴位选取双侧足三里、神阙穴、中脘穴，每天1次，每次贴敷8～12 h(以患儿皮肤耐受为度)。2组均连续治疗3 d。观察并比较2组治疗前及治疗12 h、24 h、48 h、72 h后腹胀综合评分(包括肠鸣音、腹胀程度和伴随症状评分)及首次排气时间，评估2组临床疗效。结果 对照组39例和观察组38例完成研究。2组治疗12 h、24 h、48 h、72 h后腹胀综合评分均较治疗前明显降低(P均<0.05),且同期比较观察组腹胀综合评分均明显低于对照组(P均<0.05);观察组首次排气时间明显短于对照组(P<0.05)。治疗3 d后，对照组总有效率为76.92%(30/39),观察组为89.47%(34/38),观察组明显高于对照组(P<0.05)。结论 三黄承气膏穴位贴敷治疗儿童先心病术后腹胀疗效确切，有助于改善临床症状，患儿可以耐受，安全性高，为儿童先心病术后腹胀的研究与治疗提供了新思路。更多还原

【Abstract】 Objective It is to observe the clinical effect of acupoint application of Sanhuang Chengqi ointment in the treatment of postoperative abdominal distension in children with congenital heart disease. Methods A total of 80 congenital heart disease children with postoperative abdominal distention with who were treated in the cardiovascular surgery department of Henan Provincial Chest Hospital from January to December 2021 were selected and divided into a control group and an observation group by random number table method, with 40 cases in each group. The control group was treated with Saccharomyces boulardii powder, 0.25 g per time, 1-2 times per day; the observation group was treated with acupoint application of Sanhuang Chengqi ointment on the basis of the treatment of the control group. Zusanli, Shenque and Zhongwan acupoints on both sides were selected, once per day, for 8-12 hours per time(according to the skin tolerance of the child). Both groups were continuously treated for 3 days. The comprehensive scores of abdominal distension(including bowel sounds, degree of abdominal distention and complicating symptom scores) before treatment and 12 h, 24 h, 48 h, and 72 h after treatment and the first exhaust time were observed and compared between the two groups, and the clinical efficacy of the two groups were evaluated. Results Thirty-nine cases in the control group and 38 cases in the observation group completed the study. After 12 h, 24 h, 48 h, and 72 h of treatment, the comprehensive scores of abdominal distension in both groups were significantly lower than those before treatment(all P<0.05), and the comprehensive scores of abdominal distention in the observation group were significantly lower than those in the control group during the same period(P<0.05); the first exhaust time in the observation group was significantly shorter than that in the control group(P<0.05). After 3 days of treatment, the total effective rate was 76.92%(30/39) in the control group and 89.47%(34/38) in the observation group, and the observation group was significantly higher than the control group(P<0.05). Conclusion Sanhuang Chengqi ointment acupoint application has a definite curative effect in the treatment of postoperative abdominal distension in children with congenital heart disease, which is helpful to improve clinical symptoms, and can be tolerated by children with high safety, it provides a new idea for the research and treatment of abdominal distension after congenital heart surgery in children.更多还原