大黄牡丹汤辅助腹腔镜手术治疗小儿腹股沟斜疝临床研究
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Clinical Study on Dahuang Mudan Tang Assisting Laparoscopic Surgery for Indirect Inguinal Hernia in Children
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    摘要:

    目的:观察大黄牡丹汤辅助腹腔镜手术治疗小儿腹股沟斜疝的临床疗效。方法:选取110 例行手术治疗的腹股沟斜疝患儿,按随机数字表法分为观察组和对照组各55 例。对照组采用腹腔镜手术治疗,观察组在对照组基础上服用大黄牡丹汤。比较2 组治疗前后基质金属蛋白酶抑制剂-1(TIMP-1)、TIMP-2、基质金属蛋白酶-2(MMP-2)、MMP-9 的水平,评价2 组临床疗效及并发症的发生率。结果:观察组总有效率为98.18%,对照组为94.55%,2 组比较,差异无统计学意义(P>0.05)。观察组并发症发生率为1.82%,低于对照组12.73%,差异有统计学意义(P<0.05)。治疗前,2 组TIMP-1、TIMP-2、MMP-2、MMP-9 水平比较,差异无统计学意义(P>0.05)。治疗后,2 组TIMP-1、TIMP-2、MMP-2、MMP-9 水平较治疗前降低(P<0.05);且观察组TIMP-1、TIMP-2、MMP-2、MMP-9 水平低于对照组(P<0.05)。结论:大黄牡丹汤辅助腹腔镜手术治疗小儿腹股沟斜疝疗效较好,可以降低并发症的发生率,改善胶原代谢。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of Dahuang Mudan Tang assisting laparoscopic surgery on indirect inguinal hernia in children. Methods: A total of 110 children with indirect inguinal hernia undergoing laparoscopic surgery were divided into the observation group and the control group according to the random number table method,with 55 cases in each group. The control group was treated with laparoscopic surgery,and the observation group was additionally treated with Dahuang Mudan Tang based on the treatment of the control group. Before and after treatment, the levels of tissue inhibitor of metalloproteinases- 1(TIMP-1),TIMP-2,matrix metalloproteinase- 2(MMP- 2) and MMP-9 were compared between the two groups. The clinical effects and incidence of complications in the two groups were evaluated. Results:The total effective rate was 98.18% in the observation group and 94.55% in the control group,there being no significance in the difference between the two groups(P>0.05). The incidence of complications was 1.82% in the observation group,lower than that of 12.73% in the control group, the difference being significant(P<0.05). Before treatment, there was no significant difference being found in the comparisons of levels of TIMP- 1,TIMP- 2,MMP- 2 and MMP- 9 between the two groups(P>0.05). After treatment, the levels of TIMP- 1, TIMP- 2, MMP- 2 and MMP- 9 in the two groups were decreased when compared with those before treatment(P<0.05);the above four levels in the observation group were lower than those in the control group(P<0.05). Conclusion: The therapy of Dahuang Mudan Tang assisting laparoscopic surgery has a good curative effect on indirect inguinal hernia in children,which can reduce the incidence of complications and improve the collagen metabolism.

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金建荣,马校军,沈锡诚.大黄牡丹汤辅助腹腔镜手术治疗小儿腹股沟斜疝临床研究[J].新中医,2022,54(21):39-42

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  • 在线发布日期: 2022-11-15
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