从瘀论治在腔镜甲状腺术后快速康复中的影响

发布时间：2018-06-07 00:15

本文选题：腔镜甲状腺术 + 活血化瘀法　；参考：《中华中医药学刊》2017年03期

【摘要】：目的:探讨从瘀论治在腔镜甲状腺术后快速康复中的影响作用。方法:选择接受腔镜甲状腺手术患者200例作为研究对象,将其随机分为对照组与治疗组,每组100例。其中对照组患者术后接受常规治疗,治疗组患者在常规治疗基础上联合服用血府逐瘀汤。手术后对患者随访1个月,比较两组患者术后症状改善情况。结果:治疗组患者术后前3 d引流量均明显少于对照组患者,拔管时间早于对照组患者(P0.05);术后两组患者TSH均明显升高,但治疗组患者恢复正常水平的时间明显短于对照组患者(P0.05);治疗组患者术后恶心呕吐和皮下瘀斑的恢复时间明显短于对照组患者(P0.05),皮下气肿恢复时间与对照组患者相比无明显差异(P0.05);术后两组患者中绝大多数有疼痛感、术后躯干部不适感、颈胸皮肤发紧麻木不适感,但治疗组患者消失时间明显短于对照组患者(P0.05)。结论:从瘀论治的治疗理念对于行腔镜甲状腺外科手术患者的康复效果显著,可有效促进患者围手术期的快速康复。
[Abstract]:Objective: to investigate the effect of blood stasis treatment on rapid recovery after endoscopic thyroidectomy. Methods: 200 patients undergoing endoscopic thyroidectomy were randomly divided into control group (n = 100) and treatment group (n = 100). The patients in the control group received routine treatment after operation, and the patients in the treatment group were treated with Xuefu Zhuyu decoction on the basis of routine treatment. The patients were followed up for 1 month after operation to compare the improvement of postoperative symptoms between the two groups. Results: the drainage flow in the first 3 days after operation in the treatment group was significantly lower than that in the control group, and the extubation time was earlier than that in the control group (P 0.05), and the TSH in both groups was significantly higher than that in the control group. However, the recovery time of the patients in the treatment group was significantly shorter than that in the control group (P 0.05), the recovery time of nausea and vomiting and subcutaneous ecchymosis in the treatment group was significantly shorter than that in the control group, and the recovery time of subcutaneous emphysema was significantly shorter than that of the control group. There was no significant difference between the two groups (P 0.05). The patients in the treatment group had less time to disappear than those in the control group (P 0.05). Conclusion: the idea of treating blood stasis is effective in the rehabilitation of patients undergoing endoscopic thyroidectomy, and can effectively promote the rapid recovery of patients during perioperative period.
【作者单位】：广州中医药大学第二附属医院外科;
【基金】：广东省中医药局科研项目(20131187)
【分类号】：R653

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