胃大部切除术后中西医结合治疗255例疗效观察

本文通过对255例胃大部切除术后患者,采用中西医结合方法治疗与同期160例胃大部切除术后常规使用胃肠减压、静脉输液、禁饮食方法治疗进行了比较,结果中西医结合组术后平均排气时间提前18.44小时(P<0.05),人均补液减少9908ml(P<0.001),并发症减少9.75%(P<0.001)。提示中西医结合方法优于常规方法。

Observation on the Therapeutic Effect of 255 Cases of Subtotal Gastrectomy with Postoperative TCM-WM Therapy

255 cases of subtotal gastrectomy patients were treated postoperatively with TCM-WM therapy in the past 14 years.The therapy caused:The decompression of GI tract and intravenous infusion were reduced,the prohibi- tion of food intake was abolished.Six hours after operation,the patients began to take Chinese drugs and could accept liquid diet fourteen hours later.In comparison with this,a control group(160 cases)with routine method of"inserting gastric and infusion tubes and prohibiting the food intake"postoperatively was set up. The average time for gas-dispelling of the TCM-WM group started 18.44 hours earlier(P<0.05),the replenishing fluid was reduced for 9908 ml(P<0.001),the febrile period was shortened for 0.50 day (P<0.001)and the complications were decreased by 9.75%(P<0.001).Furthermore,the combined therapy made the patients free from the sufferings caused by inserting tubes and other restrictions,which conduced to better recovery.All the 255 patients were discharged from the hospital recently,which implied that the combined therapy was superior to the routine method of inserting two tubes and prohibition of food intake.