摘要
【目的】探讨真武汤加减在肩关节镜围术期患者中的应用效果。【方法】选取2023年1月至2024年12月在本院行肩关节镜手术的80例患者,按照围术期管理方法不同分为对照组和观察组,每组40例。对照组给予常规围术期管理与标准保温,观察组在对照组基础上加用真武汤加减。比较两组体温情况[低体温发生率、最低核心体温、床边颤抖评估量表(BSAS)评分]、恢复指标[苏醒时间、麻醉后复苏室(PACU)停留时间]、术后并发症发生情况。【结果】观察组低体温发生率低于对照组(P<0.05),最低核心体温高于对照组(P<0.05),BSAS评分低于对照组(P<0.05)。观察组患者术后苏醒时间与PACU停留时间均短于对照组(P<0.05);两组患者术后并发症总发生率比较,差异无统计学意义(P>0.05)。【结论】在标准保温基础上联合真武汤加减应用于肩关节镜围术期中,可降低肩关节镜围术期低体温发生风险,减轻寒战,并促进患者早期恢复,且安全性良好。
【Objective】To investigate the therapeutic effect of modified Zhenwu Decoction in patients undergoing shoulder arthroscopy during the perioperative period.【Methods】A total of 80 patients who underwent shoulder arthroscopy in our hospital from January 2023 to December 2024 were selected and divided into a control group and an observation group according to different perioperative management methods,with 40 cases in each group.The control group received routine perioperative management and standard thermal insulation,while the observation group was additionally treated with modified Zhenwu Decoction on the basis of the control group.Body temperature indicators[incidence of hypothermia,minimum core body temperature,Bedside Shivering Assessment Scale(BSAS)score],recovery indicators[awakening time,length of stay in Post-Anesthesia Care Unit(PACU)]and postoperative complications were compared between the two groups.【Results】The incidence of hypothermia and BSAS score in the observation group were lower than those in the control group(P<0.05),and the minimum core body temperature was higher than that in the control group(P<0.05).The postoperative awakening time and PACU stay in the observation group were shorter than those in the control group(P<0.05).There was no statistically significant difference in the total incidence of postoperative complications between the two groups(P>0.05).【Conclusion】The combination of modified Zhenwu Decoction and standard thermal insulation in the perioperative period of shoulder arthroscopy can reduce the risk of perioperative hypothermia,alleviate shivering,promote early recovery of patients,and shows favorable safety.
作者
段小波
张来福
昌中孝
宁凡友
DUAN Xiaobo;ZHANG Laifu;CHANG Zhongxiao;NING Fanyou(Department of Shoulder and Elbow SurgeryⅠ,Luoyang Orthopedic Hospital of Henan Province(Henan Provincial Orthopedic Hospital),Luoyang Henan 471002)
出处
《医学临床研究》
2026年第3期357-359,363,共4页
Journal of Clinical Research
基金
2025年度河南省中医药科研专项联合共建课题(河南省洛阳正骨医院)项目(2025LHZX5015)。
关键词
肩关节
关节镜检查
中医药疗法
治疗结果
Shoulder Joint
Arthroscopy
Traditional Chinese Medicine Therapy
Treatment Outcome
