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[中医药围手术期治疗的四个案例研究]

[Four case studies of perioperative treatment using traditional Chinese medicine].

作者信息

Kino Atsunari, Mishia Seigo

机构信息

Department of Anesthesia, Otsu Municipal Hospital, Otsu 520-0804.

出版信息

Masui. 2009 Nov;58(11):1447-9.

Abstract

We describe the effectiveness of traditional Chinese medicine in treating minor preoperative and postoperative complaints in four patients. The first was a 54-year-old woman with a preoperative complaint of chapped hands before phylebeurysm evulsion surgery. Hachimiziougan was prescribed, and symptoms were ameliorated by postoperative day two. The second patient was a 77-year-old man with a complaint of cryptogenic palpitation during the preoperative morning for prostate biopsy. Hangekoubokutou was prescribed, and his symptoms were abated. The third patient was a 58-year-old woman with a postoperative complaint of sleeplessness due to cough following cranial laminoplasty. Bakumondoutou was prescribed, and she reported that both coughing and sleeplessness were abated. The fourth patient was a 65-year-old man with a preoperative complaint of constipation and a chill in his leg prior to cranial laminoplasty. Hachimiziougan and Mashiningan were prescribed, and symptoms were abated by postoperative day five. All patients were satisfied with traditional Chinese medicine, even though it was a short-term treatment. Traditional Chinese medicine thus may provide effective treatment for minor perioperative complaints.

摘要

我们描述了中药治疗4例患者术前和术后轻微不适的疗效。第一例是一名54岁女性,在进行静脉曲张剥脱术前有手部皲裂的术前主诉。给予八味地黄丸,术后第二天症状得到改善。第二例患者是一名77岁男性,在前列腺活检术前早晨有不明原因心悸的主诉。给予半夏厚朴汤,其症状减轻。第三例患者是一名58岁女性,在颅骨成形术后因咳嗽出现失眠的术后主诉。给予百忙都头汤,她报告咳嗽和失眠都减轻了。第四例患者是一名65岁男性,在颅骨成形术前有便秘和腿部发冷的术前主诉。给予八味地黄丸和麻子仁丸,术后第五天症状减轻。所有患者对中药都很满意,尽管这是一种短期治疗。因此,中药可能为围手术期的轻微不适提供有效的治疗。

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