新加黄龙汤加减保留灌肠对食管、贲门癌术后肺功能影响临床探究.docVIP

新加黄龙汤加减保留灌肠对食管、贲门癌术后肺功能影响临床探究 　 作者;薛涛，周奇峰，潘立群，薛建辉，陈德轩，施义，邹浩生，闵锋 ［摘要］ 目的 初步研究新加黄龙汤加减保留灌肠对食管、贲门癌术后肺功能恢复的影响。方法 选择南京中医药大学附属医院胸外科食管、贲门癌手术患者27例，随机分为试验组和对照组两组。试验组术后给予新加黄龙汤加减保留灌肠，对照组常规治疗，将两组用药后动脉血气、体温、痰量、胸腔引流量及胸管拔除时间进行统计并对照分析，探讨新加黄龙汤对食管、贲门癌术后肺功能的影响。结果 试验组术后发热天数减少（P=0.000）、胸腔引流管拔除时间比对照组提前（P=0.028），术后第3天胸腔引流量减少比对照组加快，两组比较，差异有显著性（P=0.009），术后第5天胸腔引流量减少两组差异无显著性（P=0.719）；术后咳痰量第2、3、4天试验组较对照组增多（P2=0.032、P3=0.000、P4=0.003），第5天较对照组减少（P5=0.008），差异有显著性；术后第1、5天动脉血气分析两组均正常，差异无显著性，试验组用药后较用药前改善（PSaO2=0.009、PPO2=0.012、PPCO2=0.028），差异有显著性。结论 新加黄龙汤加减保留灌肠，能减少食管、贲门癌患者术后发热天数、减少胸腔引流量及拔管时间，促进排痰，加快肺功能的恢复，从而减少肺炎、肺不张等并发症的发生率，节省医疗资源、减轻患者经济负担。 ［关键词］ 新加黄龙汤;食管、贲门癌术后;肺与大肠相表里;肺功能;灌肠 Clinical study of the impact of pulmonary function by enteroclystering with Xinjiahuanglong decoction after resection of esophageal carcinoma or cardiac carcinoma XUE Tao，ZHOU Qi-feng，PAN Li-qun，et al.Department of Cardiothoracic Surgery，Affiliated Hospital of Nanjing University of Traditional Chinese Medicine，Nanjing 210029，China ［Abstract］ Objective The paper deals on the impact of pulmonary function by enteroclystering with Xinjiahuanglong decoction after resection of esophageal carcinoma or cardiac carcinoma.Methods Patients after resection of esophageal carcinoma or cardiac carcinoma were separated randomly into two groups:experimental group and comparative group.The experimental group enteroclystered with Xinjiahuanglong decoction，besides the comparative group treatment.After wards observe the arterial oxygen gas analysis，body temperature，the capacity of hydrothorax，the time of removing the thoracic close drainage were measured.Results The experimental group has fewer days of fever than the comparative group(P=0.000)，the experimental group spent less time than the comparative group in removing the thoracic close drainage(P=0.028)，the amount of hydrothorax in the experimental group reduce faster than those of the comparative group in the 3rd day after resection(P=0.009)，whereas in the 5th day no differences are