首页|柴胡疏肝散合大柴胡汤对胰十二指肠切除术后患者早期胃肠功能恢复的临床研究

柴胡疏肝散合大柴胡汤对胰十二指肠切除术后患者早期胃肠功能恢复的临床研究

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目的 观察柴胡疏肝散合大柴胡汤对胰十二指肠切除术后患者胃肠功能恢复的影响.方法 将2022年7月至2023年6月联勤保障部队第九○○医院肝胆胰外科行根治性胰十二指肠切除术的60例患者按入院时间系统抽样随机分为试验组与对照组,每组各30例.试验组在术后第1天经空肠营养管泵入柴胡疏肝散合大柴胡汤,对照组给予肠内营养.术后两组患者常规治疗方案相同,均不使用其他促进胃肠蠕动功能恢复的方法.结果 试验组首次排气时间、肠鸣音恢复时间、首次排便时间、腹胀持续时间、肠内营养开始时间均短于对照组,呕吐次数低于对照组,住院时间较对照组短,差异均有统计学意义(P<0.05).两组并发症发生情况比较,差异无统计学意义(P>0.05).结论 胰十二指肠切除术后早期经空肠营养管滴注柴胡疏肝散合大柴胡汤可促进胃肠功能恢复,同时并不增加并发症风险,有很好的临床治疗效果.
Clinical study of Chaihu Shugan Powder combined with Dachaihu Decoction on early recovery of gastrointestinal function in patients after pancreaticoduodenectomy
Objective To observe the effect of Chaihu Shugan Powder combined with Dachaihu Decoction on the recovery of gastrointestinal function of patients after pancreaticoduodenectomy.Methods A total of 60 patients who underwent radical pancreaticoduodenectomy in the Department of Hepatobiliary and Pancreatic Surgery of 900th Hospital of Joint Logistics Support Force from July 2022 to June 2023 were randomly divided into the experimental group and the control group by systematic sampling according to the admission time.On the first day after operation,the experimental group was given Chaihu Shugan Powder combined with Dachaihu Decoction by pumping through the jejunal nutrition tube,while the control group was given enteral nutrition.After operation,the routine treatment regimen of the two groups was the same,and no other methods were used to promote the recovery of gastrointestinal peristalsis.Results The first exhaust time,the recovery time of bowel sounds,the first defecation time,the duration of abdominal distension and the start time of enteral nutrition in the experimental group were shorter than those in the control group,the vomiting frequency were lower than that in the control group,and the length of stay was shorter than that in the control group,with statistically significant differences(P<0.05).There was no statistical difference in the incidence of complications between the two groups(P>0.05).Conclusion Early infusion of Chaihu Shugan Powder and Dachaihu Decoction through jejunum nutrition tube after pancreaticoduodenectomy can promote the recovery of gastrointestinal function,without increasing the risk of complications.Therefore,it has a good clinical therapeutic effect.

Chaihu Shugan Powder combined with Dachaihu DecoctionAfter pancreaticoduodenectomyRecovery of gastrointestinal functionComplication

黄兴华、江艺、吕立志、刘建勇、胡还章

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联勤保障部队第九○○医院肝胆胰外科,福建福州 350025

柴胡疏肝散合大柴胡汤 胰十二指肠术后 胃肠功能恢复 并发症

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(18)