腹部围手术期中医证候分布的临床研究

TCM Syndromes before and after Abdominal Surgery

目的:研究腹部手术围手术期中医证候规律,为深入认识疾病的病因病机,分析疾病和中医证候的演变趋势,为指导临床中医治疗提供客观依据。方法:采用回顾性研究,收集300例妇科、肝胆外科、胃肠外科的三级及以上腹部手术围手术期临床资料,归纳中医证候要素,总结腹部手术围手术期中医证候的分布规律。结果:腹部手术的围手术期共性证候特征表现为:术前多为虚实夹杂,术后早期以气虚气滞致腑气不通为主,术后第3 d左右开始出现以脾胃虚证或虚实夹杂为主的证候表现。且疾病病种与围手术期证候间存在一定的相关性。结论:针对病证结合分布规律的系统深入研究,将为临床诊治与围手术期中医药应用及研究提供参考。

Objective： To analyze the TCM syndrome types distribution and the correlation. To understand the cause of disease pathogen and more accurately predict the evolution of diseases and syndromes for providing the objective basis for guiding clinical treatment of traditional Chinese medicine. Methods： With the method of retrospective survey,collect the clinical data of a total of300 cases with liver and gallbladder surgery or gastrointestinal surgery at level 3 or above. Record the perioperative TCM syndrome elements and summarize the TCM syndrome distribution regularity. Result and Conclusion： This study discovered the common syndrome features of abdominal surgery： the main syndrome is mixed and the main early postoperative syndrome is bowl- qi obstruction and the main syndrome of 3 d after surgery is spleen deficiency syndrome.