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Xiaochengqi Decoction Dialectical Jiawei Of Appendicitis TCM Differentiation Is Qi Stagnation And Blood Stasis Syndrome Underwent Appendix Resection And Postoperative Intestinal Function Recovery Promoting Effects

Posted on:2017-05-18Degree:MasterType:Thesis
Country:ChinaCandidate:S YuanFull Text:PDF
GTID:2334330512451792Subject:Integrated Traditional Chinese and Western Medicine
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Objective Acute appendicitis is one of acute abdomen often see. At present, surgical resection is appendicitis were the main treatment measures.Always open appendectomy surgery wound big. slow recovery time. Laparoscopic appendectomy operation although the intraoperative hemorrhage, postoperative exhaust time, wound infection rate, rate of intestinal function are better than open appendectomy resection, but for root gangrenous, retroperitoneal appendicitis, laparoscopic surgery is difficult to and also costs are relatively high, the high demand of doctors surgical techniques and in some hospitals can not fully carried out and is still limiting the application of laparoscopic appendectomy. Open appendectomy and postoperative intestinal peristalsis function attenuation issue is relatively common, prone to bloating, nausea, vomiting, anus exhaust and defecation and intestinal dysfunction, mainly to infection and inflammation, resulting in inflammatory bowel paralysis, autonomic nerve block anesthesia, surgical operation on intestinal stimuli, and other factors. The Chinese medicine preparation of Jiawei Xiaochengqi Decoction oral contrast clinical trials explore Xiaochengqi Decoction dialectical Jiawei of appendicitis underwent appendix resection and postoperative intestinal function recovery promoting effects. To promote the application of traditional Chinese medicine, to provide reference for the development of traditional Chinese medicine clinical medicine.Methods Through access to relevant literature and data, in accordance with the principle of forward-looking by method of randomized controlled trials, selected in july 2015 to december 2015 in Linhai city first people's hospital of general surgery ward selection clinically diagnosed 60 cases of patients with acute appendicitis (TCM differentiation is Qi stagnation and blood stasis syndrome). Research program after Linhai city first people's hospital ethical committee approval to enter clinical trials, according to the random number method,60 cases of patients diagnosed for TCM treatment group and Western medicine control group of drug test, Linhai city first people's hospital ethics committee were follow-up supervision of the entire process. The selected cases are in line with western medicine and traditional Chinese medicine diagnostic criteria (see included in the standard), before treatment for patients with routine inspection and inspection. Traditional Chinese medicine treatment group on the basis of conventional western medicine treatment(? Fasting ? the anti-infection, protecting stomach, hemostatic ? rehydration. maintain water and electrolyte balance),6h after the operation.given the treatment of small Cheng Qi Decoction 50ml oral twice a day three days. The control group on the basis of conventional western medicine treatment,6h after the operation, given warm water 50ml oral twice a day three days. Three days later determine curative effect. Compared with two groups of clinical symptoms and signs, TCM symptoms, postoperative bowel sounds recovery time, first exhaust time, the first defecation time, the blood white blood cell count of third days after the operation,hospitalization days.Results Two groups with symptoms and signs were improved, and the TCM treatment group is superior to western medicine control group with TCM symptoms reduce more, bowel sound recovery time earlier, postoperative exhaust time earlier, white blood cell count of 3 days after surgery reduce more, less hospitalization days. It's prove that the small Cheng Qi Decoction has the effect to pormote recovering of gastrointestinal function after open appendectomy, and to treat appendicitis with long residual action.During the clinical trials,60 cases were not have any symptoms.Among them,40 cases have checked liver and kidney function, no obvious changeing,5 days after operation,indicating that the recipe has no obvious toxic and side effect.Conclusion In this study, in accordance with the forward-looking principle, using method of randomized controlled trials and research of preparation of modified Xiao Cheng Qi Decoction of appendicitis underwent appendix resection of intestinal function recovery of simulative effect. In the analysis of the results of the test, it was found that the traditionalChinese medicine treatment of modified Xiao Cheng Qi Tang. Embodies the unique and long-term advantages of traditional Chinese medicine treatment of disease.
Keywords/Search Tags:acute appendicitis, small Cheng Qi Decoction, intestinal function, curative effect
PDF Full Text Request
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