【摘要】 目的 探讨加味小承气汤灌肠配合揿针治疗剖宫产术后肠梗阻患者的效果及对患者胃肠功能的影响，为临床治疗提供参考。方法 选取2023年1月至2024年12月江西省妇幼保健院产科收治的82例剖宫产术后发生肠梗阻的产妇，采用随机数表法分为试验组和对照组，每组各41例。对照组采用西医常规治疗，试验组在西医常规治疗的基础上采用加味小承气汤灌肠配合穴位揿针治疗。治疗后比较两组临床疗效、自主排气排便时间、腹痛腹胀缓解时间、肠鸣音恢复正常时间、术后住院时间等。结果 试验组自主排气排便时间、恶心呕吐和腹痛腹胀缓解时间、肠鸣音出现和恢复正常时间、术后恢复进食时间及住院时间均明显短于对照组，差异有统计学意义（P<0.05）。试验组临床总有效率为95.12%，高于对照组的65.85%，差异有统计学意义（P<0.05）。结论 加味小承气汤灌肠配合揿针治疗剖宫产后肠梗阻效果显著，可以促进肠道蠕动，有效缓解腹痛腹胀，缩短自主排气排便时间及肠鸣音出现和恢复时间，且安全性高，值得推广应用。更多还原

【Abstract】 Objective To explore the effect of modified Xiaochengqi Decoction enema combined with thumbtack needle therapy in the treatment of postpartum intestinal obstruction and its influence on the gastrointestinal function of patients, providing a reference for clinical treatment. Methods A total of 82 parturients with postpartum intestinal obstruction after cesarean section admitted to the Department of Obstetrics of Jiangxi Maternal and Child Health Hospital from January 2023 to December 2024 were selected and randomly divided into the experimental group and the control group by random number table method, with 41 cases in each group. The control group was treated with conventional Western medicine, while the experimental group was treated with modified Xiaochengqi Decoction enema combined with thumb-tack needle therapy on the basis of conventional Western medicine. The clinical efficacy, time to spontaneous passage of gas and stool, time to resolution of abdominal pain and distension, time to restoration of normal bowel sounds, and postoperative hospital stay were compared between the two groups after treatment. Results The experimental group demonstrated significantly shorter times to spontaneous flatus and bowel movement, relief of nausea, vomiting, abdominal pain, and distension, appearance and normalization of bowel sounds, postoperative resumption of oral intake, and hospital stay compared to the control group, with statistically significant differences(P < 0.05). The overall clinical efficacy rate in the experimental group was 95.12%, significantly higher than the 65.85% in the control group(P < 0.05). Conclusion Modified Xiaochengqi Decoction enema combined with thumb-tack needle therapy in the treatment of postpartum intestinal obstruction after cesarean section has a significant effect, can promote intestinal peristalsis, effectively relieve abdominal pain and distension, shorten the time of spontaneous flatus and bowel movement, and shorten the time of appearance and recovery of bowel sounds. Moreover, it is safe and worthy of promotion and application.更多还原