Huang Shu, Xie Yong, Huang Zhiyan, Zhang Guimin, Chen Guanyu, Yuan Jun, Wang Jing, Xiangyang Liu, Zhou Yizhao
Department of Orthopedics, Hunan Provincial People's Hospital, The First-Affiliated Hospital of Hunan Normal University, Changsha 410005, China.
Lunan Pharmaceutical Group Co., Ltd., Linyi 276000, China.
Evid Based Complement Alternat Med. 2021 Oct 18;2021:2268464. doi: 10.1155/2021/2268464. eCollection 2021.
To observe the effect of Shou Hui Tong Bian capsule (polygonum multiflorum and aloe-based herbal capsule for cathartic effect) in rapid rehabilitation of joint surgery.
A total of 98 patients undergoing perioperative joint surgery in our hospital from July 2019 to March 2020 were included in the study. According to the situation of arthroscopy and joint replacement therapy, the patients were randomly divided into a control group and an observation group, with 49 cases in each group. The control group was treated with conventional therapy. On the basis of the control group, the patients in the observation group were orally administrated with Shou Hui Tong Bian capsule, 2 capsules/time, 3 times/day. Both groups received continuous treatment for 14 days. The clinical effects, awakening time, postoperative exhaust time, and the number of patients with different degrees of abdominal distension in the four groups before and after treatment were observed and compared.
After treatment, the total effective rate of arthroscopy in the control group was 66.7%, which was significantly lower than 83.3% in the observation group ( < 0.05). The total effective rate of joint replacement in the control group was 64.0%, which was significantly lower than 84.0% in the observation group ( < 0.05). After arthroscopic treatment and joint replacement treatment, the recovery time and postoperative exhaust time of borborygmus in the observation group were significantly lower than those in the control group (both < 0.05). After the treatment, the number of patients with different degrees of abdominal distension in the arthroscopic and joint replacement treatment group and the control group was significantly improved ( < 0.05), and the observation group was significantly better than the control group ( < 0.05).
The curative effect of Shou Hui Tong Bian capsule on patients undergoing arthroscopic joint surgery and joint replacement during perioperative period is obviously superior to that of conventional treatment. It can effectively improve the total effective rate, shorten the first exhaust time, and increase the number of patients without abdominal distension after treatment. It was safe and effective, and worthy of clinical promotion.
观察寿辉通便胶囊（一种以何首乌和芦荟为基础的具有通便作用的草药胶囊）在关节手术快速康复中的效果。
选取2019年7月至2020年3月在我院接受围手术期关节手术的98例患者纳入研究。根据关节镜检查和关节置换治疗情况，将患者随机分为对照组和观察组，每组49例。对照组采用常规治疗。观察组在对照组基础上口服寿辉通便胶囊，2粒/次，3次/天。两组均连续治疗14天。观察并比较两组治疗前后的临床疗效、苏醒时间、术后排气时间以及不同程度腹胀患者数量。
治疗后，对照组关节镜检查总有效率为66.7%，显著低于观察组的83.3%（P<0.05）。对照组关节置换总有效率为64.0%，显著低于观察组的84.0%（P<0.05）。关节镜治疗和关节置换治疗后，观察组肠鸣音恢复时间和术后排气时间均显著低于对照组（均P<0.05）。治疗后，关节镜和关节置换治疗组及对照组不同程度腹胀患者数量均显著改善（P<0.05），且观察组明显优于对照组（P<0.05）。
寿辉通便胶囊对围手术期接受关节镜手术及关节置换的患者疗效明显优于常规治疗。能有效提高总有效率，缩短首次排气时间，增加治疗后无腹胀患者数量。安全有效，值得临床推广。
