[1]刘瑛 霍黎生 韩珊珊 臧亮 孙龙.围术期疏肝法联合TST改良术治疗出口梗阻型便秘临床研究[J].陕西中医药大学学报,2020,(03):073-76,95.[doi:10.13424/j.cnki.jsctcm.2020.03.019]
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围术期疏肝法联合TST改良术治疗出口梗阻型便秘临床研究()
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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2020年03期
页码:
073-76,95
栏目:
出版日期:
2020-05-10

文章信息/Info

文章编号:
2096-1340(2020)03-0073-05
作者:
刘瑛 霍黎生 韩珊珊 臧亮 孙龙
陕西省中医医院,陕西西安710003
关键词:
疏肝法围手术期改良TST术出口梗阻型便秘
分类号:
R542.2+1
DOI:
10.13424/j.cnki.jsctcm.2020.03.019
文献标志码:
A
摘要:
目的旨在评价改良TST术联合疏肝法治疗出口梗阻性便秘的疗效及对患者术后心理状态的影响?方法将90例符合肝脾不调症型的出口梗阻型便秘患者随机分为对照组和治疗组,治疗组采用围术期疏肝法联合改良TST术进行治疗,45例对照组给予改良TST术和安慰剂(红糖水)治疗?观察两组患者Longo便秘评分?Wexner便秘评分?初始感觉阈值和初始排便阈值变化,比较对照组和治疗组的临床疗效和两组患者治疗前后HAMA评分?HAMD评分情况?结果术后20天治疗组治疗总有效率显著高于对照组(P<0.05);治疗组疼痛时间?愈合时间与对照组比较,差异有统计学意义,P<0.05;治疗组疼痛时间?愈合时间显著低于对照组,P<0.05;治疗组患者在术后20天Longo评分?Wexner评分较术前及对照组显著降低,P<0.05;治疗组患者的肛门直肠测压在术后20天较术前和对照组显著降低,P<0.05;对照组?治疗组术后20天HAMA评分?HAMD评分均显著低于治疗前,P<0.05,其中治疗组术后20天HAMA评分?HAMD评分低于对照组,差异有统计学意义,P<0.05?结论疏肝法联合TST改良术治疗出口梗阻型便秘具有较好的短期疗效,可能与帮助改善患者焦虑?心理状态有关?

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备注/Memo

备注/Memo:
基金项目:陕西省科技厅项目(2016SF-393)通讯作者:霍黎生,主任医师,E-mail:406705604@qq.com
更新日期/Last Update: 2020-05-22