大黄利胆胶囊在腹腔镜胆囊切除术快速康复中应用的临床观察  

Clinical observation of rhubarb lidan capsule used in ERAS of LC

作　　者：常瑞[1] 潘屹[2] CHANG Rui;PAN Yi(Pharmacy Department,Chongqing TCM Orthopedic Hospital,Chongqing 400012,China;General Surgery Department,The 9th People's Hospital of Chongqing,Chongqing 400700,China)

机构地区：[1]重庆市中医骨科医院,重庆市中医骨科医院全国名老中医药专家曾宪策传承工作室,重庆400012 [2]重庆市第九人民医院,重庆400700

出　　处：《内蒙古中医药》2020年第6期8-10,共3页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:探讨大黄利胆胶囊在腹腔镜胆囊切除术快速康复中应用的可行性及疗效。方法:回顾重庆市第九人民医院普外一科2019年1月1日—10月31日因胆囊结石行腹腔镜胆囊切除术(Laparoscopic Cholecystectomy,LC)并实施快速康复方案的病例152例,根据围手术期是否加用大黄利胆胶囊分为观察组及对照组。分别统计临床指标,进行统计学分析。结果:两组性别、年龄、胆囊炎症情况均无显著差异。术后恶心呕吐发生率:观察组恶心呕吐发生4例(5.71%),对照组恶心呕吐发生11例(13.41%),P=0.113,无显著差异。术后恢复正常低脂饮食时间:观察组(2.11±0.95)d,对照组(2.95±1.03)d,P=0.024,观察组术后恢复正常低脂饮食时间较对照组缩短,有显著差异。术后第1天疼痛评分:观察组(2.42±1.39)分,对照组(3.36±1.92)分,P=0.037,观察组术后第1天疼痛评分较对照组低,有显著差异。住院时间:观察组(4.21±1.26)d,对照组(5.78±1.37)d,P=0.001,两组住院时间有显著差异,观察组住院时间较对照组缩短。住院费用:观察组(10382.6±904.2)元,对照组(10694.5±1035.3)元,P=0.073,观察组住院费用较对照组低,但两组住院费用差异无统计学意义。结论:大黄利胆胶囊可有效促进LC患者快速康复,可推荐作为LC快速康复方案中常规措施之一。Objective:To explore the feasibility and efficacy of rhubarb lidan capsule used in enhanced recovery after surgery(ERAS)of laparoscopic cholecystectomy(LC).Methods:Review a total of 152 casesof the general surgery department 9 th people’s hospital in chongqing city during January 1,2019 to October 31,2019 who was performed LC for gallbladder stone and adoption of ERAS,according to whether used rhubarb cholagogue capsules in perioperative period,the cases will be divided into observation group and control group,counted relevant clinical indicators respectively,statistical analysis.Results:There were no statistical differences in gender,age composition and gallbladder inflammation between the two groups.Postoperative incidence of nausea and vomiting:there were 4 cases of nausea and vomiting in the observation group(5.71%)and 11 cases of nausea and vomiting in the control group(13.41%),P=0.113,showing no statistical difference.Time to resume normal low-fat diet after operation:2.11±0.95(days)in the observation group and 2.95±1.03(days)in the control group,P=0.024.The time to resume normal low-fat diet after operation in the observation group was shorter than that in the control group,with statistical difference.Pain score on the first day after surgery:2.42±1.39 in the observation group and 3.36±1.92 in the control group,P=0.037.Pain score on the first day after surgery in the observation group was lower than that in the control group,showing a statistical difference.Length of hospital stay:4.21±1.26(days)in the observation group and 5.78±1.37(days)in the control group,P=0.001.There was a statistical difference in length of hospital stay between the two groups,and the length of hospital stay in the observation group was shorter than that in the control group.Hospital expenses:10382.6±904.2(yuan)in the observation group and 10694.5±1035.3(yuan)in the control group,P=0.073.The hospital expenses in the observation group were lower than those in the control group,but there was no statistically significant diff

关 键 词：大黄利胆胶囊 腹腔镜胆囊切除术 快速康复 

分 类 号：R269[医药卫生—中西医结合]