中西医结合治疗胃切除术后胃瘫16例临床分析

Clinical analysis of treating 16 cases gastroparesis after subtotal gastrectomg with traditional Chinese Medicine and Westem Medicine

目的探讨胃大部切除术后胃瘫的发生原因、诊断及治疗。方法对1998年2月至2009年2月胃大部切除术后出现的16例胃瘫惠者的临床资料进行回顾性分析总结。结果本组胃瘫一般发生于术后6～10 d,16例均经非手术治愈,9 d恢复4例,12 d恢复5例,15 d恢复3例,20 d恢复3例。结论胃瘫的发生是由多种因素诱发,上消化道造影及胃镜检查是诊断胃瘫的可靠方法,采用非手术疗法包括心理治疗、营养支持、适当应用胃动力药物及激素等西医治疗,同时结合中医针灸治疗,可取得到良好疗效,进一步缩短治疗时间,应严格把握手术指征。

Objective To investigate the after subtotal gastrectomy gastroparesis causes, diagnosis and treatment. Methods from February 1998 to February 2009 after subtotal gastrectomy in 16 cases occur in patients with gastroparesis clinical data were retrospectively analyzed and summarized. Results The group generally occurs in gastroparesis after 6-10d, 16 cases were cured by non-surgical, 9day the restoration of four cases, 12day to restore five cases, 15day to restore three cases, 20day to restore three cases. Conclusion The incidence of gastroparesis is induced by a variety of factors, upper gastrointestinal endoscopy imaging and diagnosis of gastroparesis is a reliable method, the use of non-surgical therapy, including psychological treatment, nutritional support, the proper use of prokinetic drugs and hormones, such as traditional Chinese and western medicine treatment At the same time, acupuncture combined with Chinese medicine, it is desirable to get a good effect to further shorten the treatment time, surgical indications should be strictly grasp.