大柴胡汤联合电针疗法对腹腔镜胆囊切除术后患者血清炎症因子、胃肠功能的影响
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Effect of Dachaihu Tang Combined with Electroacupuncture Therapy on Serum Inflammatory Factors and Gastrointestinal Function in Patients After Laparoscopic Cholecystectomy
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    摘要:

    目的:观察大柴胡汤联合电针疗法对腹腔镜胆囊切除术后患者血清炎症因子、胃肠功能的影响。方法:将接受腹腔镜胆囊切除手术的患者92 例,根据随机数字表法分为对照组和观察组各46 例。2 组术后均给予常规抗感染等治疗,对照组在术后4 h 开始使用电针治疗,观察组在对照组的基础上加用大柴胡汤。观察比较2 组术后的首次排气时间、首次排便时间、术后下床时间、恢复正常进食时间;2 组术前、术后5 d 血清炎症因子水平;2 组术后并发症情况及胃肠功能康复疗效。结果:观察组术后的胃肠功能康复疗效优于对照组,经秩和检验,差异有统计学意义(P<0.05)。观察组首次排气时间、首次排便时间、术后下床时间、恢复正常进食时间均短于对照组(P<0.05)。术前,2 组血清肿瘤坏死因子-α(TNF-α)、C-反应蛋白(CRP)、白细胞介素-6(IL-6) 水平比较,差异无统计学意义(P>0.05);术后5 d,2 组血清TNF-α、CRP、IL-6 水平均较治疗前升高(P<0.05),但观察组各项指标均低于对照组(P<0.05)。观察组术后并发症发生率为4.35%,对照组为17.39%,2 组比较,差异有统计学意义(P<0.05)。结论:大柴胡汤联合电针治疗腹腔镜胆囊切除术后患者,可促进患者胃肠功能恢复,缩短术后康复的时间,降低血清炎症因子水平及并发症发生率。

    Abstract:

    Abstract: Objective: To observe the effects of Dachaihu tang combined with electroacupuncture therapy on serum inflammatory factors and gastrointestinal function in patients after laparoscopic cholecystectomy. Methods : A total of 92 cases of patients undergoing laparoscopic cholecystectomy were divided into the control group and the observation group according to the random number table method, 46 cases in each group. Both groups were given routine anti- infection treatment after operation,the control group was additionally treated with electroacupuncture in four hours after operation, and the observation group was additionally given Dachaihu tang based on the treatment of the control group. The first exhaust time,the first defecation time,the time to get out of bed and the time to return to normal eating after operation,the levels of serum inflammatory factors before operation and in five days after operation as well as postoperative complications and rehabilitation effect of gastrointestinal function in the two groups were observed and compared. Results: After operation, the rehabilitation effect of gastrointestinal function in the observation group was better than that in the control group, the difference being significant(P<0.05). The first exhaust time, the first defecation time, the time to get out of bed after operation and the time to return to normal eating in the observation group were shorter than those in the control group(P< 0.05). Before operation, there was no significant difference being found in the comparison of the levels of tumor necrosis factor-α(TNF-α),C-reactive protein(CRP) and interleukin-6(IL-6) in serum between the two groups(P>0.05). In five days after operation,the levels of TNF-α,CRP and IL-6 in serum in the two groups were increased when compared with those before treatment(P<0.05),and all the indexes above in the observation group were lower than those in the control group(P< 0.05). The incidence of postoperative complications was 4.35% in the observation group and 17.39% in the control group,the difference being significant(P<0.05). Conclusion: The therapy of Dachaihu tang combined with electroacupuncture for patients after laparoscopic cholecystectomy can promote the recovery of gastrointestinal function,shorten the postoperative rehabilitation time,and reduce the levels of serum inflammatory factors and the incidence of complications.

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马艺通,左敏毅.大柴胡汤联合电针疗法对腹腔镜胆囊切除术后患者血清炎症因子、胃肠功能的影响[J].新中医,2021,53(22):10-13

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  • 在线发布日期: 2021-11-26
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