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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

陈佳慧 王城 肖江卫 任明扬 唐锦 王崇树

结直肠肛门外科2012,Vol.18Issue(4):213-216,4.
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

陈佳慧 1王城 2肖江卫 3任明扬 1唐锦 3王崇树3

作者信息

  • 1. 川北医学院第二临床学院、南充市中心医院,四川南充,637000
  • 2. 川北医学院附属医院小儿外科,四川南充,637000
  • 3. 川北医学院肝胆胰肠研究所,四川南充,637000
  • 折叠

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)

结直肠肛门外科

OACSTPCD

1674-0491

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