大承气汤加减在腹腔镜手术后的应用  

The Application of Da Cheng Qi Decoction After Laparoscopic Surgery

作　　者：阮勇 莫伟明 王兵 

机构地区：[1]湖北黄石市第二人民医院普外科,黄石市腹腔镜中心,湖北黄石435002

出　　处：《医学新知》2010年第2期100-102,共3页New Medicine

摘　　要：目的探讨大承气汤加减在腹腔镜手术后应用的可行性和应用价值。方法172例腹腔镜术后患者随机分为治疗组（86例）和对照组（86例）。治疗组术后增服大承气汤加减，对照组术后给予西医常规治疗。观察两组患者术后体温、白细胞计数、排气、腹部体征等情况。结果治疗组体温和白细胞恢复正常时间较对照组早（P〈0．05）。治疗组术后排气、排便和进食时间明显早于对照组（P〈0．01）。治疗组腹部体征改善所需时间较对照组短（P〈0．01）。结论腹腔镜手术后大承气汤加减的应用可减少抗生素应用，缩短进食时间、住院时间，且口服使用方便、价廉、具有临床实用性。Objective Discuss the feasibility and value of Da Cheng Qi Decoction after laparoscopic operation. Methods A total of 172 patients suffered from laparoscopic operation between the period of January,2001 and December, 2008 were randomly divided into therapeutic group （86 cases） and control group（86 cases）. The therapeutic group was treated with additional Da Cheng Qi Decoction while the control group was administered with routine drugs. We observed the temperature, white blood cell count, evacuation, defecation, abdomen signs for both groups. Results The therapeutic group had significantly early recovery of temperature and white blood cell count compared with control group （P 〈 0.05 ）. The duration of evacuation, defecation and food taken were significantly advanced in thetherapeutic group（P 〈 0.01 ）, and the time required for abdomen signs improvement was also significantly shortened （ P 〈 0. 01 ）. Conclusion The application of Da Cheng Qi Decoction after laparoscopic operation can shorten the duration for food taken, decreased the antibiotic usage, result in earlier discharge, as well as easy use, reasonable price.

关 键 词：大承气汤加减 腹腔镜手术 临床应用 

分 类 号：R281[医药卫生—中药学]