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通腑逐瘀合剂联合穴位贴敷治疗对腹腔镜阑尾切除术后恢复的影响

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目的:观察中药通腑逐瘀合剂联合中医适宜技术中的穴位贴敷治疗对腹腔镜下阑尾切除手术患者的术后恢复的影响.方法:选取山东省聊城市中医医院外一科收治的进行腹腔镜下阑尾切除手术的患者60例,按随机数字表法分为对照组与观察组,每组30例.对照组采用常规的治疗方式,包括给予术后禁食、常规抗生素抗感染治疗、补液营养等对症支持治疗,观察组在常规治疗基础上加用中药通腑逐瘀合剂口服配合穴位贴敷治疗.治疗3d后,观察两组患者术后相关指标差异情况,包括术后首次肛门排气时间、首次排便时间.住院天数,以及术后并发症的发生情况.结果:观察组患者术后首次肛门排气时间、排便时间均早于对照组,差异具有统计学意义(P<0.05);观察组患者住院天数明显短于对照组,差异具有统计学意义(P<0.05);观察组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05).结论:中药通腑逐瘀合剂联合中医适宜技术穴位贴敷治疗对腹腔镜下阑尾切除患者术后恢复有明显促进作用,可促进肠道功能恢复,缩短住院时间,促进术后康复,有效降低术后并发症发生率,临床疗效和安全性较好,值得临床推广应用.
Effects of Tongfu Zhuyu mixture combined with acupoint application on recovery after laparoscopic appendectomy
Objective:To observe the effect of Tongfu Zhuyu mixture(通腑逐瘀合剂)combined with acupoint application of TCM appro-priate technique on the postoperative recovery of patients undergoing laparoscopic appendectomy.Methods:A total total of 60 patients undergoing lapaaroscopic uappendectomy admitted to the Department of External Medicine,Liaocheng Hospital of Traditional of Chinese Medicine were selected and divided into the control group and the observation group according to random number table method,with 30 cases in each group.The control group received conventional treatment,including postoperative fasting,conventional antibiotic anti-infection treatment,rehydration nutrition and other symptomatic support treatments,the observation group received oral administration of Tongfu Zhuyu mixture combined with acupoint application on the basis of conventional treatment.After 3 days of treatment,the differences of postoperative indicators between the two groups were observed,including the time of first anal exhaust,the time of first defecation,the number of days in hospital after surgery,and the occurrence of postoperative complications.Results:The first anal exhaust time and defecation time in the observation group were earlier than those in the control group,the difference was statisti-cally significant(P<0.05).The days of hospitalization in the observation group was significantly shorter than that in the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was significantly lower than the control group,and the difference was statistically significant(P<0.05).Conclusion:TCM Tongfu Zhuyu mixture combined with TCM appropriate technique acupoint application can significantly promote the recovery after laparoscopic appendectomy,which can promote the recovery of intestinal function,shorten the hospital stay,promote postoperative rehabilitation,and effectively reduce the incidence of postoperative complications.The clinical efficacy and safety are good,and it is worthy of clinical promotion and application.

Tongfu Zhuyu mixtureAcupoint application treatmentLaparoscopeAppendectomyComplication

王玉振、孙风林

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山东省聊城市中医医院,山东 聊城,252000

通腑逐瘀合剂 穴位贴敷治疗 腹腔镜 阑尾切除术 并发症

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(15)