活血化瘀法对腔镜甲状腺患者术后疲劳情况的影响

发布时间：2018-09-12 19:24

【摘要】：目的探讨活血化瘀法对腔镜甲状腺患者术后疲劳情况的影响。方法行腔镜甲状腺手术的患者200例,随机分为对照组与观察组各100例。对照组患者接受常规补液、营养支持等治疗;观察组在此基础上增加口服血府逐瘀汤。术后对两组患者随访30 d,采用围术期疲劳评测量表(ICFS)记录并比较两组患者术后疲劳恢复情况。结果与手术前相比,对照组手术后第1、3、7、14天ICFS评分均明显升高(P0.05),术后1个月时ICFS评分与手术前相比有所降低;与手术前相比,观察组手术后第1、3、7天ICFS有统计这意义均明显升高(P0.05),第14天时与手术前相比差异无统计学意义(P0.05),术后1个月时与手术前相比有所下降(P0.05),且与对照组相比差异有统计学意义(P0.05)。结论术后疲劳是腔镜甲状腺手术患者术后常见的临床表现,而活血化瘀的中医治疗方法可有效减轻患者术后疲劳程度,促进患者的术后恢复。
[Abstract]:Objective To explore the effect of activating blood circulation and removing blood stasis on postoperative fatigue of patients undergoing endoscopic thyroidectomy.Methods 200 patients undergoing endoscopic thyroidectomy were randomly divided into control group and observation group,100 cases in each group. Results Compared with the control group, the ICFS scores were significantly higher on the 1st, 3rd, 7th and 14th day after operation (P 0.05), and the ICFS scores were lower at the 1st, 3rd and 7th day after operation than before. FS had statistical significance increased significantly (P 0.05), there was no significant difference between 14 days and pre-operation (P 0.05), 1 month after surgery compared with pre-operation decreased (P 0.05), and the difference was statistically significant (P 0.05). TCM treatment of stasis can effectively reduce postoperative fatigue and promote postoperative recovery.
【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课题(No.20131187)
【分类号】：R653

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