首页|四磨汤口服液治疗腹部手术后促进胃肠功能恢复的随机、双盲、安慰剂对照、多中心临床试验

四磨汤口服液治疗腹部手术后促进胃肠功能恢复的随机、双盲、安慰剂对照、多中心临床试验

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目的 评价四磨汤口服液治疗腹部手术后促进胃肠功能恢复的有效性和安全性.方法 采用随机、双盲、安慰剂对照、多中心临床试验设计.共纳入患者140例,按3∶1的比例分为试验组105例和对照组35例.试验组口服四磨汤口服液,对照组口服四磨汤口服液模拟剂,疗程3 d.比较两组患者首次肛门排气时间、肠鸣音恢复时间和24、36、48 h排气率及用药安全性.结果 有效性评价采用全分析(FAS)集及符合方案(PPS)集分析,安全性指标以安全性(SS)集进行分析.结果140例患者均进入FAS集和SS集(试验组105例,对照组35例),125例进入FAS集(试验组96例,对照组29例).试验组首次肛门排气中位时间FAS(PPS)为27.5 h(24.0 h),对照组为34.0 h(34.0 h);肠鸣音恢复中位时间FAS(PPS)为8.0 h(8.0 h),对照组为11.0 h(11.0 h),试验组均早于对照组(P<0.05).PPS分析显示,试验组36 h 排气率与 48 h 排气率分别为 72.92%(70/96)、87.50%(84/96),均高于对照组的 51.72%(15/29)和 68.97%(20/29)(P<0.05).试验期间,两组均未出现不良反应.结论 四磨汤口服液可明显促进腹部手术后胃肠功能恢复,且安全性好.
Randomized,Double-Blind,Placebo-Controlled,Multi-Center Clinical Trial of Simo Decoction Oral Liquid(四磨汤口服液)for Recovery of Gastrointestinal Function after Abdominal Surgery
Objective To evaluate the efficacy and safety of Simo Decoction Oral Liquid(四磨汤口服液)for the recovery of gastrointestinal function after abdominal surgery.Methods A randomized,double-blind,placebo-controlled,multi-center clin-ical trial was designed.A total of 140 cases were divided into treatment group(105 cases)and control group(35 cases)at a ratio of 3∶1.The treatment group was treated with Simo Decoction Oral Liquid,while the control group was given Simo Decoction Oral Liquid simulation agent.The treatment course was 3 days.The first anal exhaust median time,bowel sound recovery median time,24,36,48 h exhaust rate and safety were compared.Full analysis set(FAS)and per protocol set(PPS)were used for effec-tiveness analysis,while safety set(SS)was used for safety analysis.Results All 140 cases were included in the FAS and SS(with 105 cases in treatment group and 35 cases in control group),and 125 cases in the PPS(with 96 cases in treatment group and 29 cases in control group).PPS and FAS analyses showed that the first anal exhaust median time of FAS(PPS)in the treatment group was 27.5 h(24.0 h)and 34.0 h(34.0 h)in the control group,bowel sound recovery median time of FAS(PPS)in the treatment group was 8.0 h(8.0 h)and 11.0h(11.0h)in the control group.Both were earlier than those in control group(P<0.05).PPS showed that in the treatment group,36 h and 48 h exhaust rates were 72.92%(70/96)and 87.50%(84/96),re-spectively.Both were higher than those in control group(51.72%,15/29 and 68.97%,15/29)(P<0.05).No adverse reac-tions were occurred in either group during the trial.Conclusion Simo Decoction Oral Liquid is effective and safe in promoting gas-trointestinal function recovery after abdominal surgery.

Simo Decoction Oral Liquid(四磨汤口服液)gastrointestinal function recoveryplacebo-controlledclinical trial

肖羽、程丹桂、刘兴国、高军、李延林、袁增江、刘东文、杨华

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天津中医药大学第一附属医院,天津 300000

长治医学院附属和济医院,山西长治 046000

江门市五邑中医院,广东江门 529000

陕西中医药大学第二附属医院,陕西咸阳 712000

大庆市人民医院,黑龙江大庆 163316

邯郸市中心医院,河北邯郸 056000

湖南汉森制药股份有限公司,湖南益阳 413000

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四磨汤口服液 术后胃肠功能恢复 安慰剂对照 临床试验

国家科技部"十二五"重大新药创制项目湖南省科技厅重大专项

2011ZX09201-201-082015SK1001

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(10)
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