CN105749050A - 用于剖腹产麻醉术后腹胀的中药组合物 - Google Patents
用于剖腹产麻醉术后腹胀的中药组合物 Download PDFInfo
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Abstract
本发明涉及中药配方领域,具体地说是一种用于剖腹产麻醉术后腹胀的中药组合物,其特征在于由如下重量百分比的原料药制成:川栋子3~12%、巴戟天3~15%、夏枯草6~10%、连钱草3~10%、茯苓3~10%、黄柏3~10%、鸡血藤3~10%、白芨5~10%、覆盆子5~20%、红景天5~15%、火索麻10~15、补骨脂10~15%、薏苡仁10~30%、伸筋草6~10%、柴胡10~30%、芡实6~10%、相思藤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
技术领域
本发明涉及一种中成药制剂,具体地说是一种用于剖腹产麻醉术后腹胀的中药组合物。
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,提供一种用于剖腹产麻醉术后腹胀的中药组合物,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:一种用于剖腹产麻醉术后腹胀的中药组合物,其特征在于由如下重量百分比的原料药制成:川栋子3~12%、巴戟天3~15%、夏枯草6~10%、连钱草3~10%、茯苓3~10%、黄柏3~10%、鸡血藤3~10%、白芨5~10%、覆盆子5~20%、红景天5~15%、火索麻10~15、补骨脂10~15%、薏苡仁10~30%、伸筋草6~10%、柴胡10~30%、芡实6~10%、相思藤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:
采用川栋子、巴戟天、夏枯草、连钱草、茯苓、黄柏、鸡血藤、白芨、覆盆子、红景天、火索麻、补骨脂、薏苡仁、伸筋草、柴胡、芡实、相思藤为原料药制备而成。其组分(重量%)每付为川栋子8、巴戟天10、夏枯草8、连钱草6、茯苓5、黄柏6、鸡血藤8、白芨8、覆盆子15、红景天10、火索麻12、补骨脂12、薏苡仁20、伸筋草8、柴胡20、芡实8、相思藤8。取上述17味原料药总重量为200克,将各原料药放入煎锅内,加水至1100~1200ml,浸泡3~4小时,然后用武火煮沸文火煎熬至60~70分钟,去渣得滤液150ml左右药汁,药渣再加水300~400ml,煎熬30~40分钟,去渣得滤液50ml,共得200ml左右药汁,即制得本发明汤剂。灌肠时药液温度在38~39摄氏度,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。
本发明川栋子舒肝行气止痛,除湿热,驱虫。用于胸胁、脘腹胀痛,疝痛,虫积腹痛;巴戟天主治阳痿遗精、宫冷不孕、月经不调、少腹冷痛、风湿痹痛、筋骨痿软;夏枯草清热泻火,明目,散结消肿;连钱草利湿通淋,清热解毒,散瘀消肿;茯苓用于水肿尿少,痰饮眩悸,脾虚食少,便溏泄泻,心神不安,惊悸失眠;黄柏有清热燥湿,泻火除蒸,解毒疗疮的功效;鸡血藤具有活血舒筋,养血调经的功效;白芨用于收敛止血,消肿生肌;覆盆子用于遗精滑精,遗尿尿频,阳痿早泄,目暗昏花;红景天有补气清肺、益智养心、收涩止血、散瘀消肿的功效;火索麻理气止痛。主慢性胃炎,胃溃疡,肠梗阻,肠炎腹泻;补骨脂补肾壮阳,固精缩尿,肾虚腰痛,小便频数;薏苡仁有利水渗透湿,健脾止泻,除痹,排脓,解毒散结的作用;伸筋草祛风散寒,除湿消肿,舒筋活络;柴胡有和解表里,疏肝升阳之功效。用于感冒发热、寒热往来、疟疾、肝郁气滞、胸肋胀痛;芡实具有益肾固精,补脾止泻,除湿止带之功效;相思藤有清热解毒、生津,润肺,利尿等功效。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。
实施例 | 川栋子 | 巴戟天 | 夏枯草 | 连钱草 | 茯苓 | 黄柏 | 鸡血藤 | 白芨 | 覆盆子 | 红景天 | 火索麻 | 补骨脂 | 薏苡仁 | 伸筋草 | 柴胡 | 芡实 | 相思藤 |
二 | 3 | 15 | 6 | 10 | 3 | 10 | 3 | 10 | 5 | 15 | 10 | 15 | 10 | 10 | 10 | 10 | 2 |
三 | 12 | 3 | 10 | 3 | 10 | 3 | 10 | 5 | 20 | 5 | 15 | 10 | 30 | 6 | 30 | 6 | 10 |
四 | 11 | 6 | 9 | 4 | 5 | 6 | 7 | 7 | 12 | 11 | 13 | 12 | 21 | 7 | 22 | 7 | 4 |
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2013年3月~2015年7月妇产科住院的术后合并腹胀者80例。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药剂,每日灌肠两次,对照组予以西药新斯的明口服。
3、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。
4.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。
典型病例:
常某某,女,46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。
马某某,女,32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)
1.一种用于剖腹产麻醉术后腹胀的中药组合物,其特征在于由如下重量百分比的原料药制成:川栋子3~12%、巴戟天3~15%、夏枯草6~10%、连钱草3~10%、茯苓3~10%、黄柏3~10%、鸡血藤3~10%、白芨5~10%、覆盆子5~20%、红景天5~15%、火索麻10~15、补骨脂10~15%、薏苡仁10~30%、伸筋草6~10%、柴胡10~30%、芡实6~10%、相思藤2~10%,将上述原料药用水浸泡煎熬后去渣得滤液。
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CN104398985A (zh) * | 2014-11-18 | 2015-03-11 | 唐俊霞 | 治疗妇科手术麻醉后腹胀的中药 |
CN104547631A (zh) * | 2014-11-11 | 2015-04-29 | 王桂荣 | 治疗剖腹产后尿潴留的中药汤剂 |
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