目的:探讨补中益气汤对开放腹股沟疝修补术(李金斯坦修补术)后伤口并发症及胃肠功能恢复的干预效果。方法:回顾性纳入2018年9月—2024年9月天津市南开医院收治的240例气虚下陷型腹股沟疝患者，对照组(n=120)接受术后常规治疗，观察组(n=120)在常规治疗基础上加用补中益气汤口服3 d。比较两组术后3 d疼痛(VAS评分)、术后48 h液体引流量、术后3 d切口感染、血清肿、首次排气时间、尿潴留及静脉血栓栓塞(VET)发生率。结果:观察组术后48 h液体引流量[(37.88±17.7)mL vs (45.88±21.3)mL]、排气时间[(23.87±18.4)h vs (32.57±22.4) h]、切口感染率(4.2% vs 15.0%)及血清肿发生率(4.2% vs 15.8%)均显著低于对照组，差异有统计学意义(P <0.05)；但两组的疼痛评分、尿潴留及VET发生率差异无统计学意义(P >0.05)。结论:补中益气汤可加速气虚下陷型腹股沟疝患者术后胃肠功能恢复，减少局部并发症风险。
Clinical efficiency of Buzhong Yiqi decoction after inguinal hernia repair of Qi deficiency depression patients
ZHANG Xing-zhou,ZHONG Gang,ZHANG Nan
Abstract:
Objective To explore the intervention effect of Buzhong Yiqi decoction on wound complications and gastrointestinal function recovery after open inguinal hernia repair (Lichtenstein operation). Methods A total of 240 patients with Qi deficiency and subsiding inguinal hernia admitted to Tianjin Nankai Hospital from September 2018 to September 2023 were retrospectively enrolled. The control group (n=120) received routine postoperative treatment, and the observation group (n=120) received Buzhong Yiqi decoction for 3 days on the basis of routine treatment. The postoperative pain (VAS score), fluid drainage volume, incision infection, seroma, exhaust time, urinary retention and venous thromboembolism (VET) incidence were compared between the two groups. Results In the observation group[(37.88±17.7)mL vs (45.88±21.3)mL], exhaust time[(23.87±18.4)h vs (32.57±22.4) h], incision infection rate (4.2% vs 15.0%) and seroma rate (4.2% vs 15.8%) in the experimental group were significantly lower than those in the control group, the difference is statistically significant(P <0.05). However, there were no significant differences in pain score, urinary retention and VET incidence between the two groups (P >0.05). Conclusion Buzhong Yiqi decoction can accelerate the recovery of gastrointestinal function and reduce the risk of local complications in patients with inguinal hernia of Qi deficiency.
