通腑清肠合剂对结直肠癌术前肠道准备的临床观察.pdfVIP

CHINESEC0MMUNITY D0CT0RS 论著·社区中医药 通腑清肠合剂对结直肠癌术前肠道准备的临床观察 赵战强 454650河南济源市中医院外科 doi:10.3969/j.issn.1007-614x.2014.22.49 摘 要 目的：探讨中药通腑清肠合剂对结直肠癌手术术前肠道准备的临床观察。方法：收治结直肠癌患者103例， 随机分为观察组52例和对照组51例，观察组给予中药通腑清肠合剂做肠道准备，对照组给予甘露醇250mL做肠道准 备。对比两者肠道洁净度、肠道准备过程中及术后并发症。结果：观察组肠道清洁程度达到优(Ⅰ级)41例，良(Ⅱ级)9 例，一般(Ⅲ级)1例，差(Ⅳ级)1例，优良率96.15%；对照组各级病例数分别为36例、6例、3例和6例，优良率 82.35%，两组优良率差异无统计学意义(P＞0.05)。观察组组肠道准备过程中并发机械性肠梗阻、肠道穿孔、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，对照组分别为3例、1例、0例、1 例、2例。两组并发症发生率比较差异有统计学意义(P＜0.05)。结论：术前应用中药通腑清肠合剂对不完全性肠梗阻 的结直肠肿瘤患者具有很好的临床效果。 关键词 中药；通腑清肠合剂；结直肠癌手术；术前准备 ClinicalobservationofTongFuQingChangmixtureonpreoperativebowelpreparationforpatientswithcolorectal cancer ZhaoZhanqiang SurgicalDepartment,theTraditionalChineseMedicineHospitalofJiyuanCity,Henan454650 Abstract Objective:ToexploretheclinicalobservationofTongFuQingChangmixtureonpreoperativebowelpreparationfor patientswithcolorectalcancer.Methods:103 caseswithcolorectalcancerwereselected.Theywererandomlydividedintothe observationgroupwith 52 casesandthecontrolgroupwith 51 cases.TheobservationgroupweregiventhetraditionalChinese medicineofTongFuQingChangmixtureforbowelpreparation.Thecontrolgroupweregiven 250 mlofmannitolforintestinal preparation.Wecomparedtheintestinalcleanliness,bowelpreparationprocessandpostoperativecomplicationsofthetwogroups. Results:Intheobservationgroup,fortheintestinalcleanness,41 caseswereexcellent(grade Ⅰ);9casesweregood(Ⅱ);1casewas general(Ⅲ);1casewasbad(Ⅳ);theexcellentandgoodratewas 96.15%.Incontrolgroup,thenumberofcaseswere 36 cases,6 cases,3casesand6casesrespectively;theexcellentandgoodratewas82.35%.Therewerenosignificantdifferencesbetweenthe excellentrateoftwogroups(P＞0.05).Intheprocessofpreparingoftheintestine,intestinalobstruction,intestinalperforation, electrolyte