腰椎手术麻醉后相关并发症的中医干预体会  

The experience of traditional Chinese medicine intervention for complications related to anesthesia of lumbar spine surgery

作　　者：高卫星 陈思思 曹怀宁 杨欣卓 孙健(指导) GAO Wei-xing;CHEN Si-si;CAO Huai-ning(Lingwu Hospital of Traditional Chinese Medicine,Lingwu 751400,China)

机构地区：[1]宁夏灵武市中医医院,751400 [2]山东省聊城市中医医院,252003 [3]不详

出　　处：《中国实用医药》2024年第23期142-145,共4页China Practical Medicine

基　　金：全国名老中医药专家孙健传承工作室项目(项目编号:2022)。

摘　　要：目的探讨腰椎手术麻醉后相关并发症的中医干预效果。方法选取30例择期行腰椎手术的患者,随机分为治疗组(15例)及对照组(15例)。对照组术后采用常规对症处理,治疗组术后在常规对症处理的基础上采用中医干预。治疗2周后,比较两组治疗效果;随访1个月后,观察两组患者的相关并发症发生情况。结果治疗组中,显效13例,有效2例,无效0例,总有效率为100%。对照组中,显效5例,有效4例,无效6例,总有效率为60%。治疗组总有效率高于对照组,差异有统计学意义(P<0.05)。随访1个月后,治疗组有1例自觉怕风,偶有虚汗。对照组中有5例仍有部分程度的乏力、食欲较术前减退、动则虚汗出,眠差。结论腰椎手术麻醉后给予中医干预,可显著降低麻醉后相关并发症的发生,促进患者早日康复。Objective To explore the effect of traditional Chinese medicine intervention for complications related to anesthesia of lumbar spine surgery.Methods 30 patients who underwent elective lumbar spine surgery were randomly divided into a treatment group(15 cases)and a control group(15 cases).The control group received conventional symptomatic treatment after surgery,and the treatment group received traditional Chinese medicine intervention after surgery on the basis of conventional symptomatic treatment.After 2 weeks of treatment,the therapeutic effect of the two groups was compared.After 1 month of follow-up,the incidence of related complications in the two groups was observed.Results In the treatment group,13 cases were significantly effective,2 cases were effective,0 cases were ineffective,and the total effective rate was 100%;in the control group,5 cases were significantly effective,4 cases were effective,6 cases were ineffective,and the total effective rate was 60%.The total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 1 month of follow-up,there was 1 patient in the treatment group who was afraid of wind and had occasional sweating.In the control group,5 cases still had some degree of fatigue,decreased appetite compared with that before operation,abnormal sweating when moving and poor sleep.Conclusion Traditional Chinese medicine intervention after anesthesia for lumbar spine surgery can significantly reduce the occurrence of related complications after anesthesia and promote the early recovery of patients.

关 键 词：腰椎手术 麻醉 并发症 中医干预 康复 

分 类 号：R269[医药卫生—中西医结合]