加减四磨汤结合加速康复外科在肝胆外科手术中应用临床观察  

Clinical Observation of Jiajian Simo Tang Combined with Fast Track Surgery in Hepatobiliary Surgery Patients

作　　者：柳东杨[1] 王百林[1] 郭建业[2] 

机构地区：[1]广州中医药大学第一附属医院肝胆外科,广东广州510405 [2]广州中医药大学,广东广州510405

出　　处：《辽宁中医药大学学报》2010年第11期161-163,共3页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:观察加减四磨汤结合加速康复外科治疗在肝胆外科手术患者中的安全性和有效性及优势性。方法:60例肝胆外科手术患者随机分成加减四磨汤组、加速康复外科(FST)组、加减四磨汤结合加速康复外科治疗组各20例。观察比较3组手术后肠道恢复功能、住院时间、住院费用、并发症、血常规、凝血功能、肝功能的变化。结果:加减四磨汤配合加速康复组与前两组相比,术后肠道排气时间提前,住院时间缩短,治疗费用减少,以上指标差异有统计学意义。血常规、凝血功能及肝功能指标无显著差异。并发症发生率并未增加。结论:肝胆外科手术患者使用加减四磨汤结合加速康复外科治疗技术安全、有效、经济,显著加速患者术后的康复。Objective：To observe Jiajian Simo Tang Combined with fast track surgery in hepatobiliary surgery patients in the safety and effectiveness and dominance.Methods：60 cases of hepatobiliary surgery patients were randomly divided into three groups：Jiajian Simo Tang group,Fast Track Surgery（FST） group,Jiajian Simo Tang combined with fast track surgery group.Each group had 20 cases.Observed and compared three groups of gastrointestinal recovery after surgery,hospital stay,hospital costs,complications,blood,blood coagulation,liver function changes.Results：The group of Jiajian Simo Tang combined with fast track surgery compared with the first two groups,was advancer in gastrointestinal recovery after surgery,shorter hospital stays,reduced cost of treatment,had significantly statistically significant.Blood,blood coagulation and liver function showed no significant difference.Complication rate was not increased.Conclusion：Jiajian Simo Tang combined with fast truck surgery was safe,effective,and economic and significantly speed up the rehabilitation of hepatobiliary surgery patients.

关 键 词：肝胆外科手术 加减四磨汤 加速康复外科 围术期 

分 类 号：R659[医药卫生—外科学]