摘要
目的:探讨自拟中药方通腑理肠饮对腹腔镜胆囊切除患者在围手术期用药对胃肠功能恢复的影响。方法:60例腹腔镜胆囊切除术患者随机分为中药组30例、西药组和空白组各15例。通过测定口盲肠传输时间、血浆胃动素胃泌素及肛门排气时间等指标进行比较研究。结果:患者术前口盲肠传输时间,中药组较西药组无明显差异性,与空白对照组有显著差异性;术后24h口盲传输时间中药组与西药组和空白组有均显著差异,传输时间明显缩短,西药组与空白组无显著差异性。3组术前胃动素、胃泌素无显著差异性,中药组及西药组术后24h胃泌素浓度较空白组明显升高,术后48h中药组浓度较西药组及空白组有显著差异。术后24h中药组胃动素浓度较西药组、空白组明显升高,48h中药组、西药组浓度较空白组有显著差异性。术后组肛门排气时间中药组较西药组、空白组均显著提前。提示:通腑理肠饮围手术期用药能促进腹腔镜胆囊切除患者胃肠功能的恢复。
Objective ：to discuss the effect that Tongfulichang Yin used in peritoneoscope gallbladder excision patient in using medicine to recover to stomach intestine function phase around operation. Methods ： The peritoneoscope gallbladder resection patient was divided into traditional Chinese medicine forming 30 examples,the Western medicine group and nothing form every 15 examples. The Orocecal Transit Time, blood Motilin, Gastrin and anus aerofluxus time was carried out comparison. Orocecal Transit Time Traditional Chinese medicine forms the difference is more obvious than Western medicine group nothing, check agaiust blank space having the notable difference set. Result ： Operation 24h transfer time traditional Chinese medicine group is blindly and the Western medicine group and the nothing group have equal notable difference, transfer time shortened obviously. The Western medicine group and the blank space group have no the notable difference. Three sets of GAS before operation has no notable difference. The traditional Chinese medicine group and Western medicine group＇s 24h GAS are more obvious than blank space group,operation after 48h traditional Chinese medicine group＇s are comparatively having notable difference. Operation 24h traditional Chinese medicine group＇s MOT is more obvious than Western medicine group, blank space group, 48h traditional Chinese medicine group, Western medicine group are comparatively having the notable difference from nothing group. The aerofluxus time traditional Chinese medicine group is without exception more notable than Western medicine group ,nothing group shift to an earlier date. Conclusion ： Use Tongfulichang Yin in patient around eselective operation can boost the laparoseopic cholecystectomy patient stomach intestine recovering.
出处
《辽宁中医杂志》
CAS
北大核心
2007年第12期1729-1731,共3页
Liaoning Journal of Traditional Chinese Medicine
关键词
腹腔镜胆囊切除术
通腑理肠饮
胃肠功能
胃肠激素
口盲肠传输时间
中医药疗法
laparoscopic cholecystectomy operation
Tongfulichang Yin
gastrointestinal dynamics
gut hormone
orocecal transit time
TCM therapeutics
