本文選題：腔鏡甲狀腺術(shù) + 活血化瘀法　； 參考：《中華中醫(yī)藥學(xué)刊》2017年03期

【摘要】：目的:探討從瘀論治在腔鏡甲狀腺術(shù)后快速康復(fù)中的影響作用。方法:選擇接受腔鏡甲狀腺手術(shù)患者200例作為研究對(duì)象,將其隨機(jī)分為對(duì)照組與治療組,每組100例。其中對(duì)照組患者術(shù)后接受常規(guī)治療,治療組患者在常規(guī)治療基礎(chǔ)上聯(lián)合服用血府逐瘀湯。手術(shù)后對(duì)患者隨訪1個(gè)月,比較兩組患者術(shù)后癥狀改善情況。結(jié)果:治療組患者術(shù)后前3 d引流量均明顯少于對(duì)照組患者,拔管時(shí)間早于對(duì)照組患者(P0.05);術(shù)后兩組患者TSH均明顯升高,但治療組患者恢復(fù)正常水平的時(shí)間明顯短于對(duì)照組患者(P0.05);治療組患者術(shù)后惡心嘔吐和皮下瘀斑的恢復(fù)時(shí)間明顯短于對(duì)照組患者(P0.05),皮下氣腫恢復(fù)時(shí)間與對(duì)照組患者相比無(wú)明顯差異(P0.05);術(shù)后兩組患者中絕大多數(shù)有疼痛感、術(shù)后軀干部不適感、頸胸皮膚發(fā)緊麻木不適感,但治療組患者消失時(shí)間明顯短于對(duì)照組患者(P0.05)。結(jié)論:從瘀論治的治療理念對(duì)于行腔鏡甲狀腺外科手術(shù)患者的康復(fù)效果顯著,可有效促進(jìn)患者圍手術(shù)期的快速康復(fù)。
[Abstract]:Objective: to investigate the effect of blood stasis treatment on rapid recovery after endoscopic thyroidectomy. Methods: 200 patients undergoing endoscopic thyroidectomy were randomly divided into control group (n = 100) and treatment group (n = 100). The patients in the control group received routine treatment after operation, and the patients in the treatment group were treated with Xuefu Zhuyu decoction on the basis of routine treatment. The patients were followed up for 1 month after operation to compare the improvement of postoperative symptoms between the two groups. Results: the drainage flow in the first 3 days after operation in the treatment group was significantly lower than that in the control group, and the extubation time was earlier than that in the control group (P 0.05), and the TSH in both groups was significantly higher than that in the control group. However, the recovery time of the patients in the treatment group was significantly shorter than that in the control group (P 0.05), the recovery time of nausea and vomiting and subcutaneous ecchymosis in the treatment group was significantly shorter than that in the control group, and the recovery time of subcutaneous emphysema was significantly shorter than that of the control group. There was no significant difference between the two groups (P 0.05). The patients in the treatment group had less time to disappear than those in the control group (P 0.05). Conclusion: the idea of treating blood stasis is effective in the rehabilitation of patients undergoing endoscopic thyroidectomy, and can effectively promote the rapid recovery of patients during perioperative period.
【作者單位】： 廣州中醫(yī)藥大學(xué)第二附屬醫(yī)院外科;
【基金】：廣東省中醫(yī)藥局科研項(xiàng)目(20131187)
【分類號(hào)】：R653

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