CN104398985A - 治疗妇科手术麻醉后腹胀的中药 - Google Patents

治疗妇科手术麻醉后腹胀的中药 Download PDF

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CN104398985A
CN104398985A CN201410692107.7A CN201410692107A CN104398985A CN 104398985 A CN104398985 A CN 104398985A CN 201410692107 A CN201410692107 A CN 201410692107A CN 104398985 A CN104398985 A CN 104398985A
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chinese drug
herba
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唐俊霞
冯念海
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Abstract

本发明涉及中药配方领域，具体地说是一种治疗妇科手术麻醉后腹胀的中药，其特征在于由如下重量百分比的原料药制成：三棱3～12％；败酱草3～15％；大腹皮6～10％；莪术3～10％；隔山消3～10％；白蔹3～10％；火麻3～10％；棕榈子5～10％；雪莲花5～20％；蝉翼藤5～15％；橘红10～15％；玉米须10～15％；龙葵10～30％；金樱子6～10％；酸枣仁10～30％；显子草6～10％；紫苏2～10％，将上述原料药用水浸泡煎熬后去渣得滤液。本发明成本低，见效快，痛苦小，使用方便，无明显的副作用。

Description

治疗妇科手术麻醉后腹胀的中药
技术领域
本发明涉及一种中成药制剂，具体地说是一种治疗妇科手术麻醉后腹胀的中药。
背景技术
众所周知，腹胀是妇科手术后常见症状之一，是因原发病、手术和麻醉的影响使胃肠处于麻痹状态，致肠腔内大量气体留滞，严重腹胀可影响腹部切口愈合，限制呼吸运动及影响下肢静脉回流，进而诱发肺部并发症和下肢血栓形成，给病人造成痛苦，延长住院时间。因此，及时有效地治疗术后腹胀有着重要的临床意义。传统治疗术后腹胀，一般是口服增加肠蠕动的药物、肌肉注射新斯的明或者穴位注射新斯的明的方法，口服药物或肌肉注射疗效慢且不稳定，并且口服药物对胃肠有刺激性，穴位注射新斯的明的办法病人痛苦大，患者往往不易接受。
发明内容
本发明的目的就是为了克服上述现有技术的不足，提供一种治疗妇科手术麻醉后腹胀的中药，见效快，痛苦小，使用方便，无明显的副作用。
本发明解决上述技术问题采用的技术方案是：一种治疗妇科手术麻醉后腹胀的中药，其特征在于由如下重量百分比的原料药制成：三棱3～12％；败酱草3～15％；大腹皮6～10％；莪术3～10％；隔山消3～10％；白蔹3～10％；火麻3～10％；棕榈子5～10％；雪莲花5～20％；蝉翼藤5～15％；橘红10～15％；玉米须10～15％；龙葵10～30％；金樱子6～10％；酸枣仁10～30％；显子草6～10％；紫苏2～10％，将上述原料药用水浸泡煎熬后去渣得滤液。
本发明的有益效果是，成本低，见效快，痛苦小，使用方便，无明显的副作用。
具体实施方式
下面结合实施例对本发明作进一步的描述：
实施例1：
采用三棱、败酱草、大腹皮、莪术、隔山消、白蔹、火麻、棕榈子、雪莲花、蝉翼藤、橘红、玉米须、龙葵、金樱子、酸枣仁、显子草、紫苏为原料药制备而成。其组分(重量％)每付为三棱8、败酱草10、大腹皮8、莪术6、隔山消5、白蔹6、火麻8、棕榈子8、雪莲花15、蝉翼藤10、橘红12、玉米须12、龙葵20、金樱子8、酸枣仁20、显子草8、紫苏8。取上述17味原料药总重量为150克，将各原料药放入煎锅内，加水400ml，大火熬开锅，再用小火熬15分钟，取下煎锅，药液用2～3层纱布过滤后取汁冷却(药液量约为150ml～200ml)，待药液温度降至38～39摄氏度时，装入灌肠袋内备用。准备一次性吸痰管一根，一次性输液器一个，输液器过滤器连同头皮针乳头部分保留，剪去头皮针细管和针头，一次性吸痰管打开后直接与输液器连接备用。灌肠时，根据患者手术情况选择左侧或右侧卧位，臀部靠近床边，轻轻分开臀部，显露肛门，挂本发明灌肠液于输液架上，输液器与灌肠袋连接，按静脉输液法排尽空气，润滑吸痰器肛管的前端，排尽管内空气，轻轻插入肛门内25～30cm，打开输液管调节器，调节滴速为40～60滴/分钟，缓慢滴入，待全部药液完全滴入后，再保留20～30分钟，灌肠操作结束。
本发明三棱治症瘕积聚、气血凝滞、心腹疼痛、胁下胀疼、经闭、产后瘀血腹痛、跌打损伤、疮肿坚硬；败酱草味辛、苦，有清热解毒，祛瘀排脓等功效；大腹皮下气宽中，行水。治脘腹痞胀，脚气，水肿，三味共为君药；莪术行气止痛、积散结、破血祛瘀作用；隔山消补肾益肝、乌发生发、养血益精、抗衰老之功效；白蔹清热解毒，散结止痛，生肌敛疮，三味助君，共为臣药；佐以火麻、棕榈子，火麻润肠，主治大便燥结；棕榈子止血，涩肠，固精。主肠同，崩漏，带下，泻痢，遗精；雪莲花具有通经活血、散寒除湿、止血消肿、排体内毒素等功效；蝉翼藤有活血散瘀、消肿止痛、清热利尿的功能；橘红散寒，燥湿，利气，消痰。用于风寒咳嗽，喉痒痰多，食积伤酒，呕恶痞闷；玉米须利尿，泄热，平肝，利胆。治肾炎水肿，脚气，黄疸肝炎，高血压，胆囊炎，胆结石，糖尿病；龙葵清热解毒，利水消肿。用于感冒发烧，牙痛，慢性支气管炎，痢疾，泌尿系感染，乳腺炎，白带，癌症；金樱子治脾泄下痢，止小便利，涩精气；酸枣仁有宁心安神，养肝，敛汗的功效，主治虚烦不眠，惊悸怔忡，体虚自汗、盗汗；显子草治病后体虚、经闭，脾虚腹胀；紫苏既能发汗散寒以解表邪，又能行气宽中、解郁止呕，共为使药。17味中草药巧妙组方，药物相互协调作用，诸药合用，共奏妇科手术麻醉后腹胀之特效。
本发明各原料还可按下表所列比例(重量百分比)混合的实施例来实现，其煎熬程序、口服方法与实施例1相同，其含量如下表所示。
下面结合我院进行的临床试验对本发明作进一步详细地描述：
1、临床资料
选自2012年5月～2014年3月妇产科住院的手术患者170例，术后合并腹胀者100例，发生率为57.3％。其中经腹全子宫切除术30例，次全子宫切除术20例，子宫浆膜下肌瘤及肌壁间肌瘤剔除术26例，良性卵巢肿瘤9例，急性宫外孕15例，年龄22～52岁，平均45.6岁，随机分为治疗组50例，对照组50例。两组患者性别组成、年龄、病程无显著性差异，用卡方检验(p＞0.05)无统计学差异。诊断标准参照国家中医药管理局制定的《中医病症诊断疗效标准》：(1)术后出现腹胀，或伴有腹痛，嗳气、呕吐；(2)肛门无排气；(3)腹部听诊肠鸣音减弱或消失。
2、治疗方法：
治疗组用本发明制作的灌肠剂，每日灌肠两次，对照组予以西药新斯的明口服。
3、统计学方法：
两组临床用卡方检验，两组间疗效比较Ridut检验。
4、疗效标准：
参照国家中医药管理局制定的《中医病症诊断疗效标准》：
(1)显效：用药12小时内腹部胀痛消失，肛门排气或排便，肠鸣音恢复。
(2)有效：用药12～24小时腹部胀痛明显减轻，肛门排气或排便，肠鸣音弱。
3)无效：用药24小时后腹部胀痛无缓解，肛门无排气或排便，肠鸣音未恢复。
5.治疗效果：(见下表)
两组治疗妇科术后腹胀的临床效果
经统计学处理两组疗效有显著性差异(p＜0.001)。说明治疗组的治疗效果优于对照组。
6、副作用及禁忌症：
经过100例患者的临床应用、观察未发现明显毒副作用。
合并肛门、直肠、结肠手术后的患者不宜灌肠。
典型病例：
胡某，女，50岁，卵巢囊肿手术后第一天出现腹胀，叩诊为鼓音，腹部听诊未闻及肠鸣音，病人精神不振，有恶心感，即给予本发明灌肠剂灌肠一次，3小时后病人自觉肠蠕动，又2小时后病人有便意，随后排出粪便积气，腹胀减轻。第二日又灌肠一次，第三日再灌肠一次，腹胀全消，恶心全无，精神好转。
孙某，女，36岁，急性宫外孕手术24小时后出现腹胀，病人有恶心、呕吐，即给予本发明灌肠剂灌肠一次，2小时后病人自觉肠蠕动，又2小时后病人自我感觉肛门有排气，腹胀、恶心减轻。第二日又灌肠一次，病人排出粪便，腹胀、恶心呕吐全消。

Claims (1)

1.一种治疗妇科手术麻醉后腹胀的中药，其特征在于由如下重量百分比的原料药制成：三棱3～12％；败酱草3～15％；大腹皮6～10％；莪术3～10％；隔山消3～10％；白蔹3～10％；火麻3～10％；棕榈子5～10％；雪莲花5～20％；蝉翼藤5～15％；橘红10～15％；玉米须10～15％；龙葵10～30％；金樱子6～10％；酸枣仁10～30％；显子草6～10％；紫苏2～10％，将上述原料药用水浸泡煎熬后去渣得滤液。
CN201410692107.7A 2014-11-18 2014-11-18 治疗妇科手术麻醉后腹胀的中药 Pending CN104398985A (zh)

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Cited By (2)

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Publication number Priority date Publication date Assignee Title
CN105435068A (zh) * 2015-12-14 2016-03-30 迟岳峰 治疗腹部手术后腹胀的中药组合物
CN105749050A (zh) * 2016-05-10 2016-07-13 李勇 用于剖腹产麻醉术后腹胀的中药组合物

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Title
李丽芸等: "《中医妇科临证证治 》", 30 November 1999, 广东人民出版社 *
邢哲斌: "《中医防治医源性疾病 》", 30 June 2006, 中国古籍出版社 *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105435068A (zh) * 2015-12-14 2016-03-30 迟岳峰 治疗腹部手术后腹胀的中药组合物
CN105749050A (zh) * 2016-05-10 2016-07-13 李勇 用于剖腹产麻醉术后腹胀的中药组合物

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