河南中医2024，Vol.44Issue(1)：71-75,5.DOI:10.16367/j.issn.1003-5028.2024.01.0014
平乐疏肝活血汤防治PLIF术后早期胃肠道并发症临床观察
Clinical Observation of Preventing and Treating Early Gastrointestinal Complications After PLIF Surgery with Pingle Liver-Soothing and Blood-Activating Decoction
摘要
Abstract
Objective:To observe the clinical efficacy of Pingle Liver-Soothing and Blood-Activating Decoctionon preventing and treating early gastrointestinal complications after posterior lumbar interbody fusion(PLIF)surgery.Methods:A total of 60 patients who devel-oped gastrointestinal complications after PLIF surgery were randomly divided into the treatment group and the control group according to the random number table method,with 30 cases in each group.The treatment group received postoperative routine abdominal massage and acupoint application care,as well as Pingle Liver-Soothing and Blood-Activating Decoction.The control group received postoperative routine abdominal massage and acupoint application care,as well as Mosapride citrate for oral administration.Then the clinical efficacy,the differences in the abdominal distension score,abdominal pain score,and constipation symptom score of the two groups before and af-ter treatment were observed.The postoperative first anal discharge,first defecation time,gastrointestinal hormone and inflammatory factor levels between the two groups were compared.Results:The effective rate of the treatment group was 93.3％,while that of the control group was 70.0％.The effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant(P＜0.05).After treatment,the postoperative abdominal distension score,abdominal pain score,and constipation symptom score in the treatment group were lower than those in the control group,and the differences were statistically significant(P＜0.05);the first postoperative defecation time and first defecation time in the treatment group were shorter than those in the control group,and the difference was statistically significant(P＜0.05);the levels of motilin,somatostatin,and cholecystokinin in the treatment group were higher than those in the control group,and the differences were statistically significant(P＜0.05);the white blood cell count,C-reac-tive protein,and procalcitonin levels in the treatment group were lower than those in the control group,and the differences were statisti-cally significant(P＜0.05).Conclusion:Pingle Liver-Soothing and Blood-Activating Decoction can prevent and treat early gastrointesti-nal complications after PLIF surgery,alleviate abdominal pain,bloating,and constipation symptoms,promote postoperative exhaust and defecation,increase levels of motilin,somatostatin,and cholecystokinin,and reduce white blood cell count,C-reactive protein,and pro-calcitonin levels.关键词
后路腰椎椎间融合术/胃肠道并发症/平乐疏肝活血汤/腹胀/腹痛/便秘Key words
posterior lumbar interbody fusion(PLIF)surgery/gastrointestinal complications/Pingle Liver-Soothing and Blood-Activating Decoction/abdominal distension/abdominal pain/constipation分类
医药卫生引用本文复制引用
逯自强,王勇飞,张晓辉..平乐疏肝活血汤防治PLIF术后早期胃肠道并发症临床观察[J].河南中医,2024,44(1):71-75,5.基金项目
河南省中医药科学研究专项课题项目(2018ZY2117) （2018ZY2117）
洛阳市科技计划项目(1930004A) （1930004A）
