本文關鍵詞：圍手術期術后胃腸功能障礙的辨證論治策略，由筆耕文化傳播整理發(fā)布。

陳志強.圍手術期術后胃腸功能障礙的辨證論治策略[J].,2013,33(2):149-154

圍手術期術后胃腸功能障礙的辨證論治策略

Syndrome Typing Based Strategies for Postoperative Gastrointestinal Dysfunction in the Perioperative Phase

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DOI：

中文關鍵詞:  手術期  胃腸功能障礙  辨證論治

英文關鍵詞:Sperioperative phase  gastrointestinal dysfunction  treatment based on syndrome typing

基金項目:“十一五”國家科技支撐計劃（No.2008BAI53B031）；廣東省科技計劃（No.粵科社字［2011］106－7）；廣東省財政廳項目（No.粵財工［2011］381號－2）

作者單位E-mail

陳志強 廣東省中醫(yī)院（廣州510120） zhi57@163.com 

摘要點擊次數(shù): 597

全文下載次數(shù): 346

中文摘要:

      筆者通過總結(jié)文獻和臨床經(jīng)驗，分析術后胃腸功能的發(fā)病機制和中西醫(yī)診療進展，提出術后胃腸動力障礙的主要原因是腸麻痹（動力不足），其病機主要為虛證，，或者以虛證為主、虛實夾雜。根據(jù)中醫(yī)“異病同治”的原則，圍手術期術后胃腸功能障礙的辨證論治策略應以扶正補虛或者扶正祛邪為主要治法。而大承氣湯等通里攻下方藥盡管具有促進胃腸動力的作用，主要適用于以熱結(jié)腑實為主癥的急腹癥或個別里熱實證的術后患者，并不適用于擇期手術導致胃腸功能障礙的絕大多數(shù)患者。

英文摘要:

      By summarizing the literature and clinical experiences， the author analyzed the pathogenesis of gastrointestinal functions and the diagnosis and treatment progress of Chinese medicine and Western medicine. The author addressed the main reason for gastrointestinal dysfunction was enteroparalysis （lack of motive power）. Its pathogenesis was mainly due to deficiency syndrome， or to dominant deficiency syndrome with mingled deficiency and excess. According to the principle of treating different diseases by the same method， syndrome typing based strategies for treating postoperative gastrointestinal dysfunction in the perioperative phase should strengthen body resistance and supplement deficiency， or strengthen body resistance and dispel evil pathogens as the main principal method. Although pugations such as Dachengqi Decoction played a role in promoting gastrointestinal motive power， they were not suitable for major patients with selective surgeries induced gastrointestinal dysfunction. They were mainly suitable for acute abdomen patients with heat accumulation in Fu organs as main symptoms， or for individual patients with interior heat induced excess syndrome.

  本文關鍵詞：圍手術期術后胃腸功能障礙的辨證論治策略，由筆耕文化傳播整理發(fā)布。