补中益气汤联合无张力疝修补术治疗腹股沟疝的效果分析

Effect analysis of Buzhong Yiqi Decoction combined with tension-free hernioplasty in the treatment of inguinal hernia

目的分析对腹股沟疝患者联合施以无张力疝修补术、补中益气汤治疗的有效性。方法分析对象选择70例腹股沟疝患者,采用抽签方法分为对照组及治疗组,每组35例。对照组施以无张力疝修补术治疗,治疗组施以无张力疝修补术、补中益气汤联合治疗。比较两组患者的术后恢复指标(术后引流管拔除时间、术后引流量、肛门排气时间、术后下床活动时间、住院时间),并发症发生率,中医证候积分及生活质量评分。结果治疗组术后引流管拔除时间、肛门排气时间、术后下床活动时间、住院时间分别为(30.36±4.20)h、(28.58±8.76)h、(32.28±8.89)h、(8.18±2.84)d,均短于对照组的(34.60±4.30)h、(36.43±8.23)h、(49.12±9.65)h、(14.08±3.28)d,术后引流量(103.33±7.02)ml少于对照组的(116.50±1.16)ml(P<0.05)。治疗组并发症发生率2.86%低于对照组的22.86%(P<0.05)。治疗后,治疗组腹股沟区或下腹坠胀、纳呆食少、体倦乏力、少气懒言积分分别为(2.03±0.15)、(1.95±0.22)、(1.92±0.25)、(2.15±0.31)分,低于对照组的(2.93±0.35)、(2.86±0.41)、(2.82±0.33)、(2.79±0.21)分(P<0.05)。治疗后,治疗组物质状态功能、心理功能、躯体功能、社会功能评分分别为(82.10±9.46)、(80.31±8.22)、(82.16±10.48)、(83.10±11.24)分,高于对照组的(74.17±9.52)、(73.65±8.28)、(72.78±11.14)、(72.98±12.05)分(P<0.05)。结论对腹股沟疝患者联合施以无张力疝修补术、补中益气汤治疗,效果满意,可促进患者术后恢复,减少并发症,使中医证候积分降低,生活质量改善,建议推广。

Objective To analyze the effectiveness of Buzhong Yiqi Decoction combined with tension-free hernioplasty in the treatment of inguinal hernia.Methods 70 patients with inguinal hernia were selected and divided into a control group and a treatment group by lottery method,with 35 cases in each group.The control group was treated with tension-free hernioplasty,and the treatment group was treated with tension-free hernioplasty and Buzhong Yiqi Decoction.Patients in both groups were compared in terms of postoperative recovery indexes(postoperative drainage tube removal time,postoperative drainage volume,anal exhaust time,postoperative ambulation time,hospital stay),complication rate,traditional Chinese medicine syndrome score and quality of life score.Results In the treatment group,the postoperative drainage tube removal time,anal exhaust time,postoperative ambulation time and hospital stay were(30.36±4.20)h,(28.58±8.76)h,(32.28±8.89)h and(8.18±2.84)d,which were shorter than(34.60±4.30)h,(36.43±8.23)h,(49.12±9.65)h and(14.08±3.28)d in the control group;the treatment group had less postoperative drainage volume of(103.33±7.02)ml than(116.50±1.16)ml in the control group(P<0.05).The complication rate of the treatment group was 2.86%,which was lower than 22.86%of the control group(P<0.05).After treatment,the scores of groin area or lower abdominal distension,indigestion and low food intake,fatigue,and lazy speech in the treatment group were(2.03±0.15),(1.95±0.22),(1.92±0.25)and(2.15±0.31)points,which were lower than(2.93±0.35),(2.86±0.41),(2.82±0.33)and(2.79±0.21)points in the control group(P<0.05).After treatment,the scores of material status function,psychological function,physical function and social function in the treatment group were(82.10±9.46),(80.31±8.22),(82.16±10.48)and(83.10±11.24)points,which were higher than(74.17±9.52),(73.65±8.28),(72.78±11.14)and(72.98±12.05)points in the control group(P<0.05).Conclusion The effect of combined tension-free hernioplasty and Buzhong Yiqi Decoction on patients with inguinal hernia is satisfactory,which can promote postoperative recovery of patients,reduce complications,reduce traditional Chinese medicine syndrome score and improve quality of life,so it is recommended to be popularized.