摘要
目的观察加味四逆散治疗肝切除术后汗症的临床疗效。方法将242例肝切除术后患者随机分为2组,各121例。治疗组在常规治疗基础上,予加味四逆散治疗;对照组只给予常规治疗。观察2组患者出汗、汗止及不良反应,比较临床疗效。结果治疗组总有效率（84.3%）显著高于对照组（39.7%）（P〈0.01）。治疗组治愈及好转患者中,治疗第2天即有6例见效（5.9%）,治疗第4~6天有66例见效（64.7%）;对照组于治疗后第1~3天无有效病例,第4~6天仅有14例见效（29.2%）,2组差异显著（P〈0.01）,且均未发生明显不良反应。结论以蔡炳勤教授提出的腹部术后＂应激而汗,论治从肝＂治疗原则为指导,运用加味四逆散治疗肝切除术后汗症疗效显著,安全性高。
Objective To observe the clinical efficacy of supplemented Sini San for hyperhidrosis after liver resection.Methods A total of 242 patients with liver resection were randomly divided into treatment group（n=121） and control group（n=121）.The treatment group received routine therapy combined with supplemented Sini San,while the control group received routine therapy only.The perspiration,cease of perspiration and adverse reactions in the two groups were observed,and the clinical efficacy was compared.Results The total effectiveness rate（84.3%） in the treatment group was significantly higher than that（39.7%）in the control group（P〈0.01）.Of the cured and improved patients in the treatment group,6 cases（5.9%） took effect two days after treatment,66（64.7%） cases took effect 4 to 6 days after treatment,while there was no effective case in the control group 1 to 3 days after treatment,and 14 cases took effect（29.2%） 4 to 6 days after treatment.There were significant differences between the two groups（P〈0.01）.There were no obvious adverse reactions in both groups.Conclusion The supplemented Sini San for hyperhidrosis after liver resection has remarkable efficacy with high safety which is in accordance with the principle proposed by Professor Cai that the treatment focus should be on the liver if hyperhidrosis is to ceased.
出处
《实用临床医药杂志》
CAS
2012年第11期37-39,共3页
Journal of Clinical Medicine in Practice
关键词
四逆散
汗症
肝切除术
术后
supplemented Sini San； hyperhidrosis； liver resection； postoperative
