崔氏术后饮治疗经皮肾镜碎石取石术后胃肠功能障碍临床疗效观察  

Clinical Effect of CUI’s Shuhou Yin on Gastrointestinal Dysfunction After Percutaneous Nephrostolithotomy

作　　者：彭志军 崔学教[2] 谢建兴[2] 王志刚[2] PENG Zhi-Jun;CUI Xue-Jiao;XIE Jian-Xin;WANG Zhi-Gang(The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2021年第4期686-690,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家中医药管理局第六批全国名老中医药专家崔学教学术经验继承项目(国中医药人教发〔2017〕29号)。

摘　　要：【目的】观察崔氏术后饮对经皮肾镜碎石取石术(PCNL)患者术后胃肠功能恢复的影响。【方法】将100例PCNL术后患者随机分为中药组和对照组,每组各50例。对照组术后给予抗感染、补液等基础治疗,中药组在基础治疗的同时给予崔氏术后饮治疗,于术后第1天开始服用,连续治疗1周或至出院前。观察2组患者术后首次肛门排气时间、首次排便时间及术后住院时间,并于术前1天和术后第1天、第3天对2组患者进行疲劳程度视觉模拟量表(VAS)评分,于术后第1天、第2天、第3天对2组患者进行胃肠功能恢复总体疗效评分。【结果】(1)中药组患者的首次排气时间、首次排便时间及术后住院天数均较对照组明显缩短,差异均有统计学意义(P<0.05或P<0.01)。(2)术后第1天,2组患者胃肠功能恢复总体疗效评分比较,差异无统计学意义(P>0.05);术后第2天和第3天,中药组患者的胃肠功能恢复总体疗效评分均较对照组明显提高,差异均有统计学意义(P<0.05或P<0.01)。(3)术后第1天,2组患者的疲劳程度VAS评分均较术前1天明显升高(P<0.05),但组间比较,差异无统计学意义(P>0.05);术后第3天,2组患者的疲劳程度VAS评分均较术后第1天明显降低(P<0.05),且中药组患者的疲劳程度VAS评分明显低于对照组,差异有统计学意义(P<0.05)。【结论】崔氏术后饮能有效促进PCNL术后胃肠功能恢复,显著改善术后疲劳症状,缩短术后住院天数。Objective To observe the clinical effect of CUI’s Shuhou Yin on the recovery of gastrointestinal function after percutaneous nephrostolithotomy(PCNL).Methods One hundred patients after PCNL were randomly divided into Chinese medicine group and control group,with 50 cases in each group.The control group was given basic treatment for anti-infection and rehydration,while Chinese medicine group was given oral use of CUI’s Shuhou Yin together with the basic treatment for the control group.The medication of CUI’s Shuhou Yin began from the first postoperative day,and continued till one week or before the discharge.And then the time for the first postoperative flatus,time for the first postoperative defecation,and postoperative hospitalization time in the two groups were recorded.On the preoperative day one,postoperative day one,and postoperative day 3,the visual analogue scale(VAS)scores for the fatigue were observed,and the scores of overall efficacy for the recovery of gastrointestinal function on the postoperative day one,day 2 and day 3 were also evaluated.Results(1)The time for the first postoperative flatus,time for the first postoperative defecation,and postoperative hospitalization time in Chinese medicine group were obviously shortened in comparison with those in the control group,and the differences between the two groups were statistically significant(P<0.05 or P<0.01).(2)On the postoperative day one,the differences of the scores of overall efficacy for the recovery of gastrointestinal function between the two groups were not statistically significant(P>0.05).On the postoperative day 2 and day 3,the scores of overall efficacy for the recovery of gastrointestinal function in Chinese medicine group were much higher than those in the control group,and the differences between the two groups were statistically significant(P<0.05 or P<0.01).(3)On the postoperative day one,fatigue VAS scores in the two groups were increased in comparison with those on the preoperative day one(P<0.05),but the differences of fat

关 键 词：崔氏术后饮 经皮肾镜碎石取石术 术后胃肠功能 术后住院天数 首次排气时间 首次排便时间 

分 类 号：R574.4[医药卫生—消化系统]