中西医结合加速康复外科理念在经乳晕通道甲状腺外科领域的临床应用*

Clinical application of the concept of enhanced recovery after surgery by integrated traditional Chinese and western medicine in thyroid surgery through the areola channel*

摘要:

摘要：目的??初步探讨中西医结合加速康复外科理念在经乳晕通道甲状腺外科手术应用中的安全性及有效性，进一步优化甲状腺外科康复方案。方法 收集2015年1月－2018年12月符合入组标准的甲状腺手术患者117例的临床资料，随机分为对照组（n?=?58）与治疗组（n?=?59）。对照组患者术后接受常规治疗，治疗组患者在常规治疗基础上联合服用桃红四物汤加外敷如意金黄膏。比较两组患者术后临床相关指标。结果 治疗组术后前3 d引流总量较对照组明显减少，引流管留置时间较对照组明显缩短（P??0.05），但治疗组疼痛持续时间较对照组明显缩短（P??0.05），但皮下气肿消失时间治疗组短于对照组（P??0.05），但治疗组皮下瘀斑消失时间明显短于对照组（P?

Abstract:

Abstract: Objective?To explore the safety and efficacy of applied the concept of enhanced recovery after surgery by integrated traditional Chinese and Western medicine in thyroid surgery through the areola channel, then refine and tailor the program to optimize the thyroid surgery rehabilitation.?Methods?117 patients treated with thyroid surgery from January 2015 to December 2018 were divided into control group (n?=?58) and treatment group (n?=?59) according to the random method. The control group received routine treatment after operation, the treatment group were treated by Taohong Siwu Decoction and external application of Ruyi Jinhuang Plaster on the basis of routine treatment. The clinical indexes of the two groups were compared.?Results?The drainage volume of the treatment group was significantly lower than control group in the first 3 days after operation, and the drainage tube indwelling time was shorter than that in control group (P??0.05), but the duration of pain in the experimental group was significantly shorter than that in control group (P?