从瘀论治在腔镜甲状腺术后快速康复中的影响

Influence of Treatment from Blood Stasis for Endoscopic Thyroid after Surgery

目的:探讨从瘀论治在腔镜甲状腺术后快速康复中的影响作用。方法:选择接受腔镜甲状腺手术患者200例作为研究对象,将其随机分为对照组与治疗组,每组100例。其中对照组患者术后接受常规治疗,治疗组患者在常规治疗基础上联合服用血府逐瘀汤。手术后对患者随访1个月,比较两组患者术后症状改善情况。结果:治疗组患者术后前3 d引流量均明显少于对照组患者,拔管时间早于对照组患者(P<0.05);术后两组患者TSH均明显升高,但治疗组患者恢复正常水平的时间明显短于对照组患者(P<0.05);治疗组患者术后恶心呕吐和皮下瘀斑的恢复时间明显短于对照组患者(P<0.05),皮下气肿恢复时间与对照组患者相比无明显差异(P>0.05);术后两组患者中绝大多数有疼痛感、术后躯干部不适感、颈胸皮肤发紧麻木不适感,但治疗组患者消失时间明显短于对照组患者(P<0.05)。结论:从瘀论治的治疗理念对于行腔镜甲状腺外科手术患者的康复效果显著,可有效促进患者围手术期的快速康复。

Objective： To investigate the effect of treatment from blood stasis in the rapid rehabilitation of endoscopic thyroid after surgery. Methods ： A total of 200 patients received endoscopic thyroid surgery were as the research objects and randomly divided into control group and treatment group, 100 cases in each group. The control group＇s patients received routine treatment. The patients in the treatment group on the basis of conventional treatment combined with Xuefu Zhuyu Decoction. After surgery, patients were followed up for 1 month. The improvement of symptoms of the patients was compared between the two groups. Results ： The treatment group ＇ s drainage first 3 d after treatment was significantly less than that of the control group. The extubation time was earlier than that in the control group （ P 〈 0. 05 ）. After treatment, TSH in two groups were significantly increased, but the time returned to normal levels in the treatment group was significantly shorter than that in the control group （ P 〈 0. 05 ）. The treatment group＇ s postoperative recovery time of nau- sea and vomiting and subcutaneous ecchymosis were significantly shorter than those of the control group （ P 〈 0.05 ）. The subcutaneous emphysema and recovery time had no significant difference compared with those of the control group （ P 〉 0. 05 ）. After the operation, vast majority of two groups＇ patients had pain, postoperative cadres discomfort, neck and chest skin hair tight numbness discomfort, but the treatment group＇ s disappeared time was significantly shorter that that in the control group （ P 〈 0. 05 ）. Conclusion ： Treating from blood stasis significantly increases the rehabilitation effect of endoscopic thyroid patients after surgery and effectively promotes the peri operation period of rapid rehabilitation.