先天性心脏病患儿围手术期的中医辨证施治  

Treating perioperative children with congenital heart disease by TCM syndrome differentiation

作　　者：张雄 Zhang Xiong

机构地区：[1]广州市第一人民医院,广东广州510405

出　　处：《中医临床研究》2019年第5期41-43,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨中医辨证施治在先天性心脏病患儿围术期中的应用效果。方法:选择2017年1月-2018年4月以先天性心脏病收治的患者120例,所有患者均给予手术治疗,根据围术期治疗方法分为对照组(n=60例)和观察组(n=60例)。对照组围术期给予常规方法治疗,观察组采用中医辨证施治,治疗3 d后对治疗效果进行评估。记录并统计两组住院、术后卧床、术后康复时间及住院费用;记录并统计两组术后腹胀腹泻、肠鸣音恢复、排便及排气时间;采用DSO1-A舌脉信息采集体质辨识系统检测两组治疗前、治疗后3 d舌象、脉象情况,比较两组临床治疗效果。结果:观察组住院、术后卧床及术后康复时间、住院费用均短(少)于对照组(P <0.05);观察组中医辨证治疗后3 d后腹胀缓解、肠鸣音消失、排气及排便时间,均短于对照组(P <0.05)。观察组治疗后润燥指数、厚薄指数、裂纹指数、胖瘦指数及腻腐指数评分,均高于对照组(P <0.05);观察组治疗后3 d脉象功率谱能比PSR1、PSR3评分,高于对照组(P <0.05);观察组治疗后3 d脉象功率谱能比PSR2、PSR4评分,低于对照组(P <0.05)。结论:中医辨证施治先天性心脏病患儿围术期效果理想,能减轻手术创伤,促进术后胃肠功能恢复,有助于改善患者舌脉症状,值得推广应用。Objective: To explore the effects of TCM syndrome differentiation on perioperative children with congenital heart disease. Methods: 120 patients were divided into the control group and the observation group according to perioperative treatment, 60 cases in each. The control group was treated by conventional methods during the perioperative period;the observation group was treated by TCM syndrome differentiation. The effect was evaluated after 3 days of treatment. The hospitalization, postoperative bed-rest, postoperative rehabilitation time and hospitalization expenses were recorded and counted in groups. The postoperative abdominal distension diarrhea, bowel sound recovery, defecation and exhaust time were recorded and counted. The tongue and pulse images in groups before and after treatment was collected by DSO1-A tongue and pulse information. Results: The time of inpatient, postoperative bed rest and postoperative recovery, hospitalization expenses in the observation group were less than the control group ( P <0.05). The time of abdominal distension, disappearance of bowel sounds, exhaust and defecation time in the observation group were shorter than the control group ( P <0.05). The post-treatment moisturizing index, thickness index, crack index, fat and thin index and greasy rot index were higher in the observation group ( P <0.05). The pulse power spectrum of PSR1 and PSR3 scores in the observation group was higher than the control group ( P <0.05). The pulse power spectrum of PSR2 and PSR4 in the observation group was lower than the control group. Conclusion: TCM syndrome differentiation is suitable for children with congenital heart disease, can reduce the surgical trauma, promote the recovery of postoperative gastrointestinal function, and improve the symptoms of tongue and pulse, is worthy of popularization and application.

关 键 词：中医辨证施治 先天性心脏病 围术期 应用效果 

分 类 号：R256.2[医药卫生—中医内科学]