苏合丸联合微波治疗促进术后胃肠功能恢复

目的观察苏合丸外敷脐部（神厥穴）联合微波治疗促进术后胃肠功能恢复的效果。方法将80例胃肠手术后患者随机分为对照组和观察组，各40例。对照组予术后常规治疗护理，手术后12h采用苏合丸敷脐，观察组在此基础上配合微波仪照射脐部。结果观察组与对照组比较，患者术后肠鸣音恢复时间提前（P〈0．01），第一次肛门排气时间、腹胀消失时间、进食时间、伤口愈合时间、住院时间缩短（均P〈0．05）。结论苏合丸敷脐联合微波治疗仪照射脐部能显著促进胃肠术后胃肠功能恢复。     

益气养阴法对术后病人的调治作用

目的了解益气养阴法对胆道术后病人的调治作用.方法随机选取30例胆囊切除手术后病人,除常规治疗外,15例术后早期应用中药(治疗组),15例术后不用中药(对照组).结果治疗组乏力、口干情况少于对照组,血清CRP含量较对照组下降迅速(P＜0.05).结论中药对手术后病人的康复具有一定的调治作用.     

Effect of Postoperative Restrictive Fluid Therapy in the Recovery of Patients with Abdominal Vascular Surgery

ObjectiveTo compare the outcome of the postoperative administration of a restricted or standard intravenous fluid regimen in patients who underwent elective abdominal vascular surgery. The primary end point was postoperative hospital stay.DesignProspective observer-blinded, randomised controlled trial.Material and methodsPatients were considered eligible if they underwent transperitoneal aorto-iliac approach with infrarenal graft repair. During the operation and intensive care unit stay, fluids were prescribed by the anaesthetists who were unaware of the details of the study. In the vascular surgical ward, patients in the standard group (SG) received 2500 ml of fluids per day, whereas patients in the restricted group (RG) received 1500 ml of fluids per day. All the patients were evaluated on an intention-to-treat basis.ResultsForty patients were randomised to the RG (n = 20) or SG (n = 20). No significant differences were observed in the recovery of gastrointestinal function. However, the postoperative hospital stay was shorter in the RG (8 days) than in the SG (12 days) (p = 0.003).ConclusionsThe use of a restrictive postoperative fluid protocol significantly reduces the duration of hospital stay in patients who have undergone major elective abdominal vascular surgery.     

双黄连粉针剂治疗肝病致压疮效果观察

对13例消化道穿孔新生儿术前行胃肠减压，术后给予尽快复温、保持呼吸道通畅、预防感染等护理措施。结果痊愈9例，死亡1例。自动出院3例。提出加强围术期监护及营养支持是保证患儿顺利渡过手术危险期，降低病死率的重要环节。     

新生儿消化道穿孔围术期护理

对13例消化道穿孔新生儿术前行胃肠减压,术后给予尽快复温、保持呼吸道通畅、预防感染等护理措施.结果痊愈9例,死亡1例,自动出院3例.提出加强围术期监护及营养支持是保证患儿顺利渡过手术危险期,降低病死率的重要环节.     

老年胃癌病人术后促进肠功能恢复措施的探讨

目的：探讨老年胃癌病人术后肠功能恢复的措施。方法：将79例病人分为观察Ⅰ组、观察Ⅱ组和对照组，对照组采用常规护理；观察Ⅰ组在常规护基础上注意早期活动；观察Ⅱ组在观察Ⅰ组基础上，施行早期肠内营养。结果：观察Ⅰ、Ⅱ组病人排便时间及观察Ⅱ组排气时间与对照组比较，差异有极显著性意义（P＜0．01），观察Ⅰ组排气时间与对照组比较，差异有显著性意义（P＜0．05）；观察Ⅱ组排气，排便时间均较观察Ⅰ组明显缩短（P＜0．01）。结论：术后早期活动并施行早期肠内营养能有效促进老年胃癌病人肠功能恢复。     

老年消化道肿瘤围手术期的中西医结合处理

目的 :观察老年消化道肿瘤围手术期中西医结合处理的临床效果和应用前景。 方法 :手术方式采用个体化、灵活性的设计方案。术后应用醒肺雾化散 ,预防肺部并发症 ,口服或灌肠通腑汤 ,尽早恢复胃肠道功能。术后采用中、小剂量的化疗药物 ,配合参芪扶正注射液 ,减轻化疗的毒副作用。应用百普素和能全力观察肠内营养支持的效果。 结果 :手术的切除率 86 84 % (6 6 / 76 ) ,根治率 84 16 % (6 4 / 76 ) ,围手术期死亡率 6 5 8% (5 / 76 ) ,术后并发症发生率 2 3 6 8% ,其中通腑汤使术后排气、排便时间提前了 36h和 73h ;肺醒气雾散吸入后 ,仅有 4例轻度肺部感染发生 ;参芪扶正注射液较好的保护了机体的造血功能 ,全组顺利完成了化疗全过程 ,白细胞下降不明显 ;应用肠内营养剂 ,提高了各项白蛋白水平。 结论 :本临床研究说明老年消化道肿瘤患者围手术期中西医结合处理方案是合理的、可行的 ,有广阔的应用前景。     

复方丹参对急性放射性肠炎大鼠消化道保护作用的研究

目的:探讨复方丹参对急性放射性肠炎大鼠消化道的营养作用.方法:采用SD大鼠,给予X线8戈瑞(Gy)剂量的全腹部照射,建成急性放射性肠炎大鼠模型,实验大鼠随机分成模型对照组、复方丹参组和正常对照组(正常组).造模后连续7 d腹腔注射给药治疗后,取相应部位的胃和空、回、结肠,采用生化分析、光镜下观察及图像分析仪测定其相关的形态学指标.结果:模型对照组空、回和结肠出现粘膜坏死、脱落,而复方丹参组粘膜完整,胃粘膜均未发现有明显的坏死症状.复方丹参组空、回肠蛋白质及DNA含量,空、回肠绒毛高度、隐窝深度、粘膜厚度和全层厚度及胃和结肠粘膜和全层厚度均显著大于模型对照组.结论:复方丹参注射液能加速急性放射性肠炎受损胃肠道粘膜的修复,对维持胃肠道粘膜结构和功能的稳定性有良好的作用.     

Effect of Postoperative Extradural Morphine on Lower Urinary Tract Function

The effect of postoperative extradurally administered morphine on lower urinary tract function was studied in female patients undergoing uterine surgery. Urodynamic measurements were made on the day before and on the day after the operation, using a DISA 2-channel carbon dioxide (CO2) cystomictrograph. In ten patients without postoperative urinary retention no changes in cystometry were found during morphine administration, while two patients who developed acute urinary retention had a marked increase in bladder capacity and of detrusor pressure. In contrast, the urethral pressure profile was unchanged in both groups of patients. Intravenously administered naloxone tended to normalize the bladder capacity in the patients with urinary retention. These findings seem to indicate a marked effect in some patients of extradurally administered morphine and the acute urinary retention, following morphine administration, may be treated with naloxone.