文章摘要
自拟加味大承气汤在妇科三、四类腹腔镜手术围术期的应用研究
Application study of Zini jiaweidachengqitang in perioperative period of gynecological third and fourth laparoscopic surgery
投稿时间:2019-04-18  修订日期:2019-04-18
DOI:
中文关键词: 快速康复外科 自拟加味大承气汤 围术期 肠道功能
英文关键词: fast track surgery Zini jiaweidachengqitang perioperative period gut function
基金项目:中医药管理局---“加味大承气汤在妇科腹腔镜手术围术期的应用研究”
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中文摘要:
      目的:探讨自拟加味大承气汤在妇科三、四类腹腔镜手术围术期中的优势。方法:纳入60例在我科行妇科三、四类腹腔镜手术患者,将其随机分为自拟加味大承气汤组(治疗组)及复方聚乙二醇电解质散组(对照组)进行术前肠道准备,比较两组患者首次排便时间、排便持续时间、排至水样便次数、适口度、不良反应,术中术者对肠道准备的满意度,术后首次排气时间、术后首次排便时间、肠鸣音恢复时间,由此探讨自拟加味大承气汤对术前肠道准备效果及术后肠道功能恢复的作用。结果:自拟加味大承气汤较复方聚乙二醇电解质散更适合应用于妇科三、四类手术患者的围术期治疗,除能达到后者适于手术的清肠作用外,还有促进术后肠道功能恢复作用,无后者不适于肠梗阻、消化道出血等应用禁忌,适口性好,更易于被患者接受。结论:证实自拟加味大承气汤在妇科三、四类腹腔镜手术阳明腑实证患者的围术期应用,既有较好的清肠作用,又兼具饮用量少、口感好、不良反应少、无明显用药禁忌、易被患者接受的优点,还可促进术后肠道功能恢复。
英文摘要:
      OBJECTIVE: To explore the advantages of Zini jaiweidachengqitang in the perioperative period of gynecological third and fourth laparoscopic surgery. Methods: Sixty patients with gynecological third and fourth laparoscopic surgery were enrolled in our department. They were randomly divided into Zini jaiweidachengqitang group (treatment group) and compound polyethylene glycol electrolyte group (control group). Preoperative bowel preparation, comparing the first defecation time, the duration of defecation, the number of discharges to the water sample, palatability, adverse reactions, the satisfaction of the intraoperative preparation of the intestine, the first exhaust time after surgery, The first defecation time and the recovery time of bowel sounds after operation were used to investigate the effect of self-made Daweiqiqi decoction on preoperative bowel preparation and postoperative intestinal function recovery. RESULTS:Zini jaiweidachengqitang is more suitable for perioperative treatment of patients with gynecological third and fourth types of surgery than compound polyethylene glycol electrolyte, in addition to the latter''s intestinal function suitable for surgery. Promote the recovery of postoperative intestinal function, no latter is not suitable for intestinal obstruction, gastrointestinal bleeding and other application contraindications, good palatability, more easily accepted by patients. Conclusion: It is confirmed that the application of Jiawei Dachengqi Decoction in the gynecological three- and four-class laparoscopic operation of Yangmingzhen patients has better bowel function, less drink, good taste and bad. The advantages of less reaction, no obvious contraindications for medication, and easy acceptance by patients can also promote postoperative intestinal function recovery.
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