健脾通腑法对阻塞性黄疸患者围手术期肝肾功能保护的探讨-中医外科学专业论文.docxVIP

关键词 关键词 围手术期； 肝功能； 肾功能： 大黄； 黄芪 Perioperative Perioperative Admi ni stration Of Through The Way Of Strengthen The SpIeen And PurgatioD On LjvelAnd RenaI Function In Patients Sufferi ng From Obstructive daundice Abstract Speci aI ity：Surge ry of Traditional Ohinese Medjoi ne Author：Si diguang Tutor：Professor Ca Bingqin Background Jaundice describing a yellow color of the skin and whites of the eyes 1’s caused by the arisen of serum bilirubin(34 u mol／L或2mg／d1)．Obstructive Jaundice is caused by obstruction of the bile ducts，the aetiologies of the obstructive jaundice is such as the gallstone，carcinoma of the head of pancreas，carcinoma of the ampullae．The gallstone and the cancer add up to about the 90％～95％of the reason of obstructive jaudice．The obstruction of the bile duct heighten the pressure within the bile duct，induce some of the capillary bile duct break，then the countercurrent of the bile Occurs，it 1cads to the risen of the serum bilirubin．Pathology change of the obstructive jaudice is various：the failure of the 1iver function，the failure of the renal function， dystrophia of the cruor，dystrophia．Some reports showed that severe obstructibe jaudioe(serum bilirubin171 u mol／L～342 p mol／L or i0～ 20mg／d1)have 40％～60％possibility to have conplications，and the death rate is 15％～20％．The rate of the renal function is 8．82％from the severe obstructibe jaudice patients，and all be dead．So it is important to deal with the perioperative period of the obstructive jaundice patients．But till now，no one has dealed with the OJ in the traditional way systemicly．Astragalus can benefit the Qi and strength the spleen，rhubarb makes diarrhoea．Using the two together to adjust the body，strengthen the spleen at the same time make the Fu—organs unobstruct ire． Objective To examine the effects of administration of the combining of rhubarb and astragalus on liver and renal function in patients suffering from obstructive jaundice． Methods Design Design a randomzed controlled trial．Thirty pati