CAJ | 학술논문

目的：探讨中西医结合治疗腹部术后顽固性胃瘫综合征的可行性和优越性。方法回顾性分析2010年7月至2013年7月4例腹部术后顽固性胃瘫综合征患者的临床资料，所有病例病程均在80 d以上，在常规胃肠减压、营养支持、应用胃肠动力药物及中医针灸的基础上，加强抗抑郁和抗焦虑等治疗。结果所有患者均治愈，胃液引流量减少至100 ml／d以下，治疗时间分别为：84、87、91、102 d，平均91 d，随访3～36个月，饮食正常，无腹痛腹胀，无恶心呕吐，抑郁及焦虑等精神症状消失。结论采用中西医结合治疗腹部术后顽固性胃瘫综合征是可行的，可避免因二次手术造成和带来的种种手术和麻醉风险和并发症，但治疗时间较长，抗抑郁和抗焦虑是其重要的治疗措施。
목적：탐토중서의결합치료복부술후완고성위탄종합정적가행성화우월성。방법회고성분석2010년7월지2013년7월4례복부술후완고성위탄종합정환자적림상자료，소유병례병정균재80 d이상，재상규위장감압、영양지지、응용위장동력약물급중의침구적기출상，가강항억욱화항초필등치료。결과소유환자균치유，위액인류량감소지100 ml／d이하，치료시간분별위：84、87、91、102 d，평균91 d，수방3～36개월，음식정상，무복통복창，무악심구토，억욱급초필등정신증상소실。결론채용중서의결합치료복부술후완고성위탄종합정시가행적，가피면인이차수술조성화대래적충충수술화마취풍험화병발증，단치료시간교장，항억욱화항초필시기중요적치료조시。
Objective To investigate the feasibility and superiority of combined traditional Chinese and western medicine in treating postosugical gastroparesis symdrome ( PGS) . Methods Clinical data of 4 patients with PGS were analyzed retrospectively in our hospital from July 2010 to July 2013.The hospital stay of the 4 patients was over 80 days.Besides conventional therapy of gastrointestinal decompression ,nutritional support,gastrointestinal motility drugs and traditional Chinese medicine and acupuncture were prescribed for anti-depression and anti-anxiety therapy . Results The 4 patients were cured .The draining mount of gastric juice reduced to less than 100 ml per day.The hospital stay of the patients was 84,87,91 and 102 days respectively.Their follow-up ranged from 3 to 36 months,and their diet was normal.There were no complications such as abdominal pain , abdominal distension and vomiting , nor depression and anxiety . Conclusions Combined traditional Chinese and western medicine in treating PGS was feasible , and could avoid reoperation and decrease risk factors of anesthesia .However, the hospital stay was prolonged .The therapy of anti-depression and anti-anxiety played a critical role in treating PGS .