首页|加味补中益气汤应用于腹股沟疝修补术患者术后治疗中的效果观察

加味补中益气汤应用于腹股沟疝修补术患者术后治疗中的效果观察

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目的 探讨加味补中益气汤在腹股沟疝修补术患者术后治疗中的应用效果.方法 选取2021年6月—2023年6月我院收治的 82例腹股沟疝修补术患者为研究对象,按随机数字表法将其分为对照组与观察组,各41例.对照组行无张力疝修补术治疗,观察组术后加用加味补中益气汤治疗.比较两组术后恢复情况、胃肠功能恢复情况、中医证候评分及并发症发生情况.结果 观察组术后拔除引流管、首次离床活动及住院时间分别为(28.96±2.35)h、(8.57±1.12)h、(5.12±1.04)d,均短于对照组的(31.47±3.29)h、(9.78±1.14)h、(7.25±1.13)d,组间差异有统计学意义(P<0.05);观察组肠鸣音恢复、肛门排气、首次排便时间分别为(18.14±1.53)h、(20.36±2.41)h、(40.25±4.39)h,均短于对照组的(24.32±2.49)h、(28.47±2.86)h、(51.63±5.28)h,组间差异有统计学意义(P<0.05);观察组治疗后面色白光白、食少纳差、神疲乏力、胀坠不适评分分别为(0.52±0.11)分、(0.58±0.13)分、(0.49±0.08)分、(0.63±0.12)分,均低于对照组的(0.68±0.13)分、(0.71±0.15)分、(0.61±0.12)分、(0.78±0.14)分,组间差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 加味补中益气汤可加快腹股沟疝修补术患者术后胃肠功能恢复,降低中医证候评分,且可减少并发症发生风险.
Observation on the Effect of Jiawei Buzhong Yiqi Decoction in the Postoperative Treatment of Inguinal Hernia Repair
Objective To explore the application effect of modified Buzhong Yiqi decoction in the postoperative treatment of patients with inguinal hernia repair.Methods 82 patients with inguinal hernia repair admitted to our hospital from June 2021 to June 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 41 cases in each group.The control group was treated with tension-free hernia repair,and the observation group was treated with Jiawei Buzhong Yiqi decoction after operation.The postoperative recovery,gastrointestinal function recovery,TCM syndrome score and complications were compared between the two groups.Results The time of postoperative drainage tube removal,first ambulation and hospital stay were(28.96±2.35)h,(8.57±1.12)h and(5.12±1.04)d in the observation group,which were shorter than(31.47±3.29)h,(9.78±1.14)h and(7.25±1.13)d in the control group,the differences between the two groups were statistically significant(P<0.05),the time of bowel sound recovery,anal exhaust and first defecation in the observation group were(18.14±1.53)h,(20.36±2.41)h and(40.25±4.39)h,respectively,which were shorter than(24.32±2.49)h,(28.47±2.86)h and(51.63±5.28)h in the control group,the difference between the two groups were statistically significant(P<0.05);observation group after treatment was huang-white,eat less poor appetite,fatigue,god fell discomfort ratings were(0.52±0.11)points,(0.58±0.13)points,(0.49±0.08)points,(0.63±0.12)points,respectively,the scores were lower than(0.68±0.13)points,(0.71±0.15)points,(0.61±0.12)points,(0.78±0.14)points of the control group,the differences were statistically significant between the two groups(P<0.05),the incidence of complications in the observation group was lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion Modified Buzhong Yiqi decoction can accelerate the recovery of gastrointestinal function,reduce the TCM syndrome score and reduce the incidence of complications in patients undergoing inguinal hernia repair.

Inguinal herniaModified Buzhong Yiqi decoctionTension-free hernia repairTCM syndrome scoreGastrointestinal function

魏娟、李昌

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济宁市中西医结合医院药剂科,山东济宁 272100

腹股沟疝 加味补中益气汤 无张力疝修补术 中医证候评分 胃肠功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(3)
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