全胃切除术后早期应用中药的临床研究

作者	单位
于庆生	安徽中医学院第一附属医院外科!合肥230031
陈子义	安徽中医学院第一附属医院外科!合肥230031
唐雄荣	安徽中医学院第一附属医院外科!合肥230031
张福忠	安徽中医学院第一附属医院外科!合肥230031

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中文摘要:

目的 :探讨中药对全胃切除术后消化功能、营养状况和免疫功能改善的影响及其对术后并发症防治作用。方法 :给予 2 1例全胃切除术后患者早期小肠内滴注中药治疗 (治疗组 ) ,并和 18例早期滴入生理盐水 (对照组 )比较。分别观察术后消化功能、并发症发生及其术后第 10天营养状况和细胞、体液免疫功能恢复情况。结果 :治疗组术后消化功能恢复明显早于对照组 (P <0 0 1) ;治疗组术后第 10天营养状况和免疫功能较术后第 1天明显改善 (P <0 0 5 ,P <0 0 1) ,对照组无明显改变 ;治疗组并发症发生率也明显低于对照组 (P <0 0 5 )。结论 :全胃切除术后早期给予中药治疗 ,能够促进患者胃肠功能早日恢复、营养状况改善和免疫机能提高 ,并有利于减少术后并发症的发生。

英文摘要:

Objective: To evaluate the effect of Chinese medicinal herbs on digestive function, nutritional status, immune function and complication rate in patients after total gastrectomy. Methods: Thirty nine patients of gastrectomy were divided into two groups and were intubated into small intestine for administering postoperatively. Twenty one of them belonged to the treated group and were dripped with Chinese medicinal herbs intraluminally during the early postoperative stage, while 18 cases of the control group were dripped with 0.9% sodium chloride. Results: The digestive function of the treated group recovered rapidly, and the nutritional status and immune function improved markedly as compared with those of the control group (P<0 001～0.05). Conclusion: Early application of Chinese medicinal herbs after total gastrectomy could promote the digestive function to recover to normal, the nutritional status and immune function to improve. The occurrence of complication was reduced.

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