[1]易剑锋,叶蓁蓁,蒋文杰,等.大黄牡丹皮汤口服联合复方大承气汤保留灌肠在急性化脓性腹膜炎术后的应用[J].甘肃中医药大学学报,2017,34(04):54-58.[doi:10.16841/j.issn1003-8450.2017.04.15]
 YI Jianfeng,YE Zhenzhen,JIANG Wenjie,et al.Clinical application of Dahuang Mudanpi Tang and Fufang Dachengqi Tang retention enema for postoperative acute suppurative peritonitis[J].Journal of Gansu University of Chinese Medicine,2017,34(04):54-58.[doi:10.16841/j.issn1003-8450.2017.04.15]
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大黄牡丹皮汤口服联合复方大承气汤保留灌肠在急性化脓性腹膜炎术后的应用()
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
34卷
期数:
2017年04期
页码:
54-58
栏目:
临床研究与报道
出版日期:
2017-08-25

文章信息/Info

Title:
Clinical application of Dahuang Mudanpi Tang and Fufang Dachengqi Tang retention enema for postoperative acute suppurative peritonitis
作者:
易剑锋12 叶蓁蓁1 蒋文杰2 易华2 赵春霖2 董小鹏12 潘海邦12
1. 甘肃中医药大学临床医学院, 甘肃 兰州 730000;
2. 甘肃中医药大学附属医院外科, 甘肃 兰州 730020
Author(s):
YI Jianfeng12 YE Zhenzhen1 JIANG Wenjie2 YI Hua2 ZHAO Chunlin2 DONG Xiaopeng12 PAN Haibang12
1. Clinical Medicine College, Gansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China;
2. Surgery Department, Hospital Appiliated to Gansu University of Chinese Medicine, Lanzhou, Gansu, 730020, China
关键词:
急性化脓性腹膜炎快速康复外科大黄牡丹皮汤复方大承气汤临床观察
Keywords:
acute suppurative peritonitisfast track surgeryDahuang Mudanpi TangFufang Dachengqi Tangclinical observation
分类号:
R259.722
DOI:
10.16841/j.issn1003-8450.2017.04.15
摘要:
目的 观察大黄牡丹皮汤口服联合复方大承气汤保留灌肠在急性化脓性腹膜炎(ASP)术后的安全性及临床疗效。方法 回顾性分析在甘肃中医药大学附属医院诊治的212例ASP患者的临床资料,按治疗方法不同分为普通快速康复外科理念(FTS)组(110例)和中医FTS组(102例)2组。普通FTS组采用FTS指导下的围术期处理方法,中医FTS组在普通FTS组处理方法的基础上术后联合大黄牡丹皮汤口服、复方大承气汤保留灌肠治疗。2组均以1周为1个疗程,1个疗程后比较2组患者的肠鸣音恢复时间、首次排气及排便时间、开始进食时间、体温恢复正常时间、白细胞计数恢复正常时间、腹腔引流时间、住院时间及并发症发生情况。结果 中医FTS组可显著缩短术后肠鸣音恢复时间、排气及排便时间、开始进食时间、体温恢复正常时间、白细胞计数恢复正常时间、腹腔引流时间及住院时间,与普通FTS组比较差异均有统计学意义(P<0.05或P<0.01);普通FTS组并发症总发生率为17.27%,中医FTS组为8.82%,2组比较差异有统计学意义(P<0.05);2组患者在治疗过程中均未见明显不良反应。结论 大黄牡丹皮汤口服联合复方大承气汤保留灌肠在ASP患者术后治疗中有利于胃肠功能的恢复、感染及炎症的控制,能加速患者的康复,减少并发症的发生。
Abstract:
Objective To evaluate the clinical effect and safety of Dahuang Mudanpi Tang for oral administration and retention enema with Fufang Dachengqi Tang for the postoperative fast recovery of acute suppurative peritonitis (ASP). Methods Based on the retrospective analysis of clinical data of 212 ASP cases in the hospital Appiliated to Gansu University of Chinese Medicine, the patients were divided into normal fast track surgery (FTS) group (110 cases) and TCM FTS group (102 cases). The normal FTS group was intervened with perioperative period therapy according to FTS. Based on that, the TCM FTS group was treated with Dahuang Mudanpi Tang for oral administration and retention enema with Fufang Dachengqi Tang additionally. One week was as a course. Intestinal sound recovery time, first exhaust and defecation time, eating time, recovery time of body temperature, leukocyte count, intraperitoneal drainage time, hospitalization time and complications were observed and compared between the two groups after one course. Results Intestinal sound recovery time, first exhaust and defecation time, eating time, recovery time of body temperature, leukocyte count recovery time, intraperitoneal drainage time, hospitalization time recorded in TCM FTS group were all shorter than that in normal FTS group, the difference was statistically significant (P<0.05 or P<0.01). The overall incidence of complications of TCM FTS group (8.82%) was much lower than that of normal FTS group (17.27%), the difference was significant (P<0.05). No serious adverse reactions were found in two groups. Conclusion The combined therapy is effective in recovering gastrointestinal function and controlling inflammation as well as infection. It can promote rehabilitation and reduce complications.

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相似文献/References:

[1]武玉蓉.快速康复外科在剖宫产手术中应用的临床观察[J].甘肃中医药大学学报,2014,31(06):49.

备注/Memo

备注/Memo:
收稿日期:2016-11-20。
基金项目:甘肃省科技支撑计划项目(144FKCA073)。
作者简介:易剑锋(1984-),男,主治医师,讲师,医学硕士。研究方向:胃肠道疾病及消化系统肿瘤的中西医结合治疗。
通信作者:潘海邦(1975-),男,副主任医师,副教授,医学硕士。研究方向:胃肠道疾病及消化系统肿瘤。E-mail:phbwbb@126.com
更新日期/Last Update: 1900-01-01