不同中医体质行子宫切除术患者术后恢复情况的研究

Study on postoperative recovery of patients undergoing hysterectomy with different TCM constitutions

目的不同中医体质行子宫切除术患者术后恢复情况的研究。方法选取2015年2月-2019年2月间在南方医科大学附属小榄医院妇产科收治的800例行腹腔镜或腹式子宫切除手术的患者为研究对象,因子宫腺肌症、子宫肌瘤等疾病需进行腹腔镜或腹式子宫切除手术的患者共800例,患者年龄在34至60岁间,患者术后行补液、抗生素治疗等,依据中华中医药所编写《中医体质分类和判定》进行中医体质分型,分析不同中医体质患者年龄、手术时间、体质量指数及腹部手术史、排便排气时间、平均住院费用及平均住院时间的差异。结果800例患者中:平和体质417例(52.13%)、气虚质145例(18.13%)、血瘀质103例(12.88%)、气郁质81例(10.13%)、阴虚质33例(4.13%)、痰湿质21例(2.63%)。气郁质、平和质、血瘀质、气虚质、痰湿质和阴虚质患者其年龄、体质量、手术时间和腹部手术史(术后排气、排便时间)间比较,差异无统计学意义(P>0.05)。血瘀质患者住院费用显著高于其他体质患者,痰湿体质和阴虚体质患者住院时间显著高于其他体质患者,差异有统计学意义(P<0.05)。结论子宫切除术患者主要为血瘀质、气虚质和平和质体质,不同中医体质患者术后康复情况有一定的差异。

Objective To explore postoperative recovery of patients undergoing hysterectomy with different TCM constitutions.MethodsFrom February 2015 to February 2019 between the Affiliated Siu Lam Hospital of Southern Medical University 800 admitted patients underwent laparoscopic or abdominal hysterectomies due to adenomyosis,uterine fibroids and other diseases were selected,aged between 34-60 years.According to The Classification and Judgment of Traditional Chinese Medicine Constitution compiled by China Institute of Traditional Chinese Medicine,the differences of age,operation time,body mass index,abdominal surgery history,exhaust time,average hospitalization cost and average hospitalization time were analyzed.ResultsAmong the 800 patients,417(52.13%)cases were healthy constitution,145(18.13%)cases were deficiency of Qi,103(12.88%)cases were blood stasis,81(10.13%)cases were Qi depression,33(4.13%)cases were deficiency of Yin,and 21(2.63%)cases were Phlegm dampness.There were no significant differences in age,body mass,operation time,and history of abdominal surgery(postoperative exhaust and defecation time)between the constitutions(P>0.05).The hospitalization cost of patients with blood stasis was significantly higher than that of patients with other constitutions,and the length of hospital stay of patients with phlegm dampness constitution and Yin deficiency constitution were significantly longer than those of other constitutions,and the differences were statistically significant(P<0.05).ConclusionHysterectomy patients are mainly blood stasis,Qi deficiency and peace physique.There are some differences in the postoperative rehabilitation of patients with different TCM constitutions.