结直肠肛门外科2012,Vol.18Issue(4):213-216,4.
中药"通腑洁肠汤"对老年不全性肠梗阻结直肠癌术前肠道准备的效果观察
Effect and Clinical Significance of "Tongfu Jiechang Soup" on Intestinal Preperation Preoperation of Elderly Colorectal Cancer Patients Combined with Incomplete Ileus
摘要
Abstract
Objective To explore the safety, effect and clinical significance of "Tongfu Jiechang Soup" on intestinal preperation preoperation of elderly colorectal cancer patients combined with incomplete ileus. Methods Randomized study was carried out in 77 colorectal cancer patients combined with incomplete ileus who were 60 years old or above. 39 and 38 patients were arranged to take "Tongfu Jiechang Soup" or poly-ethylene glycol electrolyte balanced solution to clean intestinal tract preoperation respectively as treatment group or control group. Then the intestinal cleaness and the complications during the intestinal preparation and postoperation in the two groups were observed and compared. Results Intestinal cleaness of 34 patients in treatment group was perfect (grade I ) and 4 was good { II ) , 1 was common (III ) , 0 was bad ( IV ). Meanwhile, the corresponding results were 32, 2, 1 and 3 in control group. The rate of grade I and II in treatment group was 97.44%, higher than control group, 89.47%, but no remarkable difference was found { P >0. 05). There was 0, 0, 0, 0 and 1(2. 56 %) patient in treatment group ran into complete ileus, enterohrosis, disturbance of water or electrolyte, anastomotic leakage and incision infection respectively. The corresponding results in control group were 3(7. 89%) , 1(2. 63%) , 0, 1(2. 63%) and 2(5. 26%). Conclusion "Tongfu Jiechang Soup" on intestinal preperation of elderly colorectal cancer patients combined with incomplete ileus is characterized by well cleaness, high safety, few complications and low cost, thus it is worth of clinical application.关键词
中药/老年/结直肠癌/肠梗阻/肠道准备Key words
Traditonal Chinese medicine/Elderly patients/Colorectal cancer/Lleus/Lntestinal preparation分类
医药卫生引用本文复制引用
陈佳慧,王城,肖江卫,任明扬,唐锦,王崇树..中药"通腑洁肠汤"对老年不全性肠梗阻结直肠癌术前肠道准备的效果观察[J].结直肠肛门外科,2012,18(4):213-216,4.基金项目
四川省卫生厅资助项目(编号050065) (编号050065)