文章摘要
中医三联法防治腹腔镜疝气修补术后并发症的临床研究
Clinical Study on the Prevention and Treatment of Postoperative Complications Following Laparoscopic Hernia Repair Using Traditional Chinese Medicine Triple Therapy
DOI:
中文关键词: 腹腔镜疝气修补术  补中益气汤  中药包外敷  腕踝针  并发症
英文关键词: ‌ Laparoscopic hernia repair  Buzhong Yiqi Decoction  Herbal compress  Wrist-ankle acupuncture  Complications
基金项目:江西省中医药管理局科技计划,[2024B0579]
作者单位邮编
廖毅平* 赣州市中医院外科、江西赣州、 341000
夏来阳 赣州市中医院外科、江西赣州、 
余传华 赣州市中医院外科、江西赣州、 
冯伟 赣州市中医院外科、江西赣州、 
钟武 赣州市人民医院胃肠疝外科、江西赣州、 
何仙平 赣州市人民医院胃肠疝外科、江西赣州、 
摘要点击次数:
全文下载次数:
中文摘要:
      目的 观察中医三联法防治腹腔镜疝气修补术后并发症的临床疗效。方法 选择2024年1月-2024年12月期间于医院行腹腔镜疝气修补术患者80例,根据随机数字表法将其分为2组,各40例。对照组实施常规干预,在此基础上,中医三联法组实施中医三联法。比较两组临床疗效、腹胀、疼痛、临床康复指标、术后并发症、T淋巴细胞亚群、炎症因子水平。结果 中医三联法组总有效率较对照组高(P<0.05);术后3d、1周两组腹胀评分、NRS评分减低,且中医三联法组较对照组低 (P<0.05);较对照组术后肛门排气、进食、住院时间,中医三联法组短(P<0.05);治疗后,两组CD3+、CD4+、CD4+/CD8+提高,CD8+降低,且中医三联法组改善更佳(P<0.05);治疗后,两组血清CRP、IL-6水平降低,且中医三联法组较对照组低(P<0.05)。结论 中医三联法治疗可促进腹腔镜疝气修补术患者术后胃肠功能恢复,缓解腹胀及疼痛状况,减低术后炎症反应,提高机体免疫力,避免术后并发症发生,缩短患者康复进程。
英文摘要:
      ??Objective? To evaluate the clinical efficacy of Traditional Chinese Medicine (TCM) triple therapy in preventing and treating complications after laparoscopic hernia repair. ?Methods? Eighty patients undergoing laparoscopic hernia repair between January 2024 and December 2024 were randomly divided into two groups (40 cases each) using a random number table. The control group received routine care, while the TCM triple therapy group received additional interventions, including?Buzhong Yiqi Decoction, external herbal compress, and wrist-ankle acupuncture. Outcome measures included clinical efficacy, abdominal distension, pain scores, recovery indicators postoperative complications, T-lymphocyte subsets (CD3+, CD4+, CD8+, CD4+/CD8+), and inflammatory markers (CRP, IL-6). ?Results? The TCM triple therapy group demonstrated:A higher total effective rate compared to the control group (P<0.05).Lower abdominal distension and Numeric Rating Scale (NRS) pain scores at postoperative day 3 and week 1 (P<0.05).Shorter time to first flatus, oral intake, and hospitalization (P<0.05).Improved T-cell immunity (increased CD3+, CD4+, and CD4+/CD8+; decreased CD8+) and reduced CRP and IL-6 levels compared to the control group (P<0.05).Conclusion? TCM triple therapy promotes gastrointestinal recovery, alleviates postoperative pain and distension, reduces inflammatory responses, enhances immune function, and minimizes complications, thereby accelerating postoperative rehabilitation.
View Fulltext   查看/发表评论  下载PDF阅读器
关闭