摘要
目的:探讨中药"通腑洁肠汤"对结直肠癌患者术前肠道准备的安全性,有效性及其临床意义。方法:术前随机给予83例不全性肠梗阻的结直肠癌患者口服中药"通腑洁肠汤"或磷酸钠盐电解质液肠道准备,前者为中药组42例,后者为对照组41例。对比两者肠道清洁度,肠道准备过程中及术后并发症。结果:中药组肠道清洁程度达到优者(Ⅰ级)36例,良(Ⅱ级)4例,一般(Ⅲ级)1例,差(4级)1例,优良率达95.24%,对照组各级病例数分别为34例、3例、1例和3例,优良率为90.24%,两组优良率差异无统计学意义,P>0.05。两组肠道准备过程中并发完全性肠梗阻、肠穿孔、水电解质紊乱、术后并发吻合口漏、切口感染的病例数分别为0例、0例、0例、0例、1例和3例1例、0例、1例、2例。两组并发症发生率有显著差异,P<0.05.结论:中药"通腑洁肠汤"对不完全性肠梗阻的结直肠癌患者具有良好的肠道清洁作用,且并发症少,值得推广采用。
Objeelive: To explore the security, availability and significance of 'Tongfu Jiechang Soup' for bowel preparation in Colorectal Cancer patient. Method: 83 patients Colorectal Cancer patients accompany with partial ileus received 'Tongfu Jicchang Soup' or oral liquid of sodium phosphate ran- domly. Then the enteric cleaness and the complication during the intestinalpreparation and postoperation in the two groups were observed and com- pared. Results: InChinese drug group, 36 patients got them enteric cleaness perfect, 4 patients got them enteric cleaness fine, 1 patient got them enteric cleaness middling and 1 patient got them enteric mess. The fineness of Chinese drug group is 95.24%. In control group, 34 patients got them enteric cleaness perfect, 3 patients got them enteric cleaness fine, 1 patient got them enteric cleanessmiddling and 3 patient got them enteric mess. The fineness of control group is 90.24%. There is no difference between the two groups ( P 〉 0.05). In chinese drug group, only 1 patient got inci- sion infection. In control group, 3 patient got ileus, 1 patients got perforation, 1 patient got postoperative stomal leak, 2 patients got incision infec- tion. Conclusion: Chinese drug cleaning bowel of Coloreetal Cancer patient is good. A little complication will happen. It is worth to extend.
出处
《内蒙古中医药》
2013年第4期19-20,共2页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
中药
结直肠癌
不全性肠梗阻
肠道准备
Chinese drug, Colorectal Cancer, partial ileus, Bowel Preparation