首页|大黄牡丹汤加减治疗对腹腔镜阑尾切除术患者胃肠功能的影响

大黄牡丹汤加减治疗对腹腔镜阑尾切除术患者胃肠功能的影响

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目的:研究大黄牡丹汤加减对腹腔镜阑尾切除术后胃肠功能、炎症因子水平等的影响.方法:选择2021年5月~2022年9月期间于我院接受腹腔镜阑尾切除术的患者86例,按随机数字表法分成对照组和治疗组,每组43例,前者采用术后常规支持治疗,后者基于对照组增加大黄牡丹汤加减治疗.观察两组患者术后肠鸣音恢复、排气、首次排便时间、胃肠激素水平、治疗疗效、炎症因子水平及术后并发症情况.结果:术后治疗组肠鸣音恢复、排气、首次排便时间均短于对照组(P<0.05);两组术后胃泌素(GAS)、胃动素(MTL)水平均降低,但治疗组术后均显著高于对照组(P<0.05);两组的临床疗效无显著差异(P>0.05);术后两组的C反应蛋白(CRP)、白介素(IL)-6水平均有所提高,但治疗组较对照组更低(P<0.05);术后对照组并发症发生率明显高于治疗组(P<0.05).结论:大黄牡丹汤加减能促进腹腔镜阑尾切除术后胃肠功能恢复,调节胃肠激素,减轻炎症反应,降低并发症风险,具有应用价值.
Effect of modified Dahuang Mudan decoction on gastrointestinal function recovery in patients undergoing laparo-scopic appendectomy
Objective:To study the effect of modified Dahuang Mudan decoction on gastrointestinal function recovery in pa-tients undergoing laparoscopic appendectomy.Methods:86patients who underwent laparoscopic appendectomy in our hospital from May 2021to September 2022were selected and randomly divided into a control group and a treatment group using a random number table method,with 43patients in each group.The former received postoperative routine supportive treatment,while the latter re-ceived additional treatment with modified Dahuang Mudan Tang based on the control group.Observe the postoperative recovery of bowel sounds,exhaust gas,first bowel movement time,gastrointestinal hormone levels,treatment efficacy,levels of inflammatory factors,and postoperative complications in two groups of patients..Results:The postoperative recovery time of bowel sounds,ex-haust time and first defecation time in the treatment group were shorter than those in the control group(P<0.05).After surgery,the levels of gastrin(GAS)and motilin(MTL)in both groups decreased,but the levels in treatment group were significantly higher than those in the control group(P<0.05).Clinical efficacy in the two groups was comparable(P>0.05).After surgery,the levels of inflammatory factors(CRP and IL-6)in both groups increased,but the levels in treatment group were significantly lower than those in the control group(P<0.05).The incidence of complications in the treatment group was significantly lower than that in the control group(P<0.05).Conclusion:Modified Dahuang Mudan decoction can effectively accelerate the recovery of gastrointestinal function in patients undergoing laparoscopic appendectomy,regulate gastrointestinal hormones,control inflam-matory reactions,and reduce the risk of complications.

Dahuang Mudan decoctionLaparoscopic appendectomyGastrointestinal functionInflammatory factorCom-plication

吕光艳、易允岭、乔红

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怀远县中医院,安徽怀远 233400

宿州市立医院中医科,安徽宿州 234000

大黄牡丹汤 腹腔镜阑尾切除术 胃肠功能 炎症因子 并发症

安徽省中医药传承创新科研项目(2020)

2020ccyb23

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(5)
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