Clinical Application of Fast-Track Surgery with Chinese Medicine Treatment in the Devascularization Operation for Cirrhotic Portal Hypertension

ABSTRACT Objective： To investigate the clinical effect of fast-track surgery combined with Chinese medicine treatment in devascularization operation for cirrhotic esophageal varices. Methods： Seventy-two patients with cirrhotic esophageal varices were selected from January 2009 to June 2013, and ran...

Full description

Saved in:
Bibliographic Details
Published in:Chinese journal of integrative medicine 2015-10, Vol.21 (10), p.784-790
Main Author: 韦杨年 李年丰 蔡小勇 卢榜裕 黄飞 莫世发 张洪昌 王明栋 吴发胜
Format: Article
Language:English
Subjects:
Adult
Aged
Anesthesia Recovery Period
Blood Loss, Surgical
Blood Transfusion
Chronic Disease
Clinical Experience
Esophageal and Gastric Varices - surgery
Esophageal and Gastric Varices - therapy
Female
Humans
Length of Stay
Liver Cirrhosis - complications
Male
Medicine
Medicine & Public Health
Medicine, Chinese Traditional
Middle Aged
Operative Time
Postoperative Complications
Postoperative Period
Quality of Life
Splenectomy
中药治疗
临床应用
围手术期
外科手术
康复
断流
肝硬化
门静脉
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c371t-ae121d110321c36baff9582c20bf1fd1a073f4bb7e03991a52295885712bc69b3
cites cdi_FETCH-LOGICAL-c371t-ae121d110321c36baff9582c20bf1fd1a073f4bb7e03991a52295885712bc69b3
container_end_page 790
container_issue 10
container_start_page 784
container_title Chinese journal of integrative medicine
container_volume 21
creator 韦杨年 李年丰 蔡小勇 卢榜裕 黄飞 莫世发 张洪昌 王明栋 吴发胜
description ABSTRACT Objective： To investigate the clinical effect of fast-track surgery combined with Chinese medicine treatment in devascularization operation for cirrhotic esophageal varices. Methods： Seventy-two patients with cirrhotic esophageal varices were selected from January 2009 to June 2013, and randomly assigned to a conventional group and a fast-track group （fast-track surgery combined with Chinese medicine treatment） using a randomized digital table, 36 cases in each group. Operation and anesthesia recovery time, postoperative hospitalization and quality of life were recorded and compared between groups during the perioperative period. Results： Compared with the conventional group, the fast-track group had longer operation time （253.6±46.4 min vs. 220.6±51.0 min） and anesthesia recovery time （50.5 ± 15.9 rain vs. 23.5± 9.6 min; P〈0.01）; less bleeding （311.3±46.8 mL vs. 356.2 ± 57.5 mL; P〈0.01） and less transfusion （1932.3 ± 106.9 mL vs. 2045.6 ± 115.4 mL; P〈0.01）; as well as faster recovery of gastrointestinal function, shorter postoperative hospitalization and higher quality of life. There were no serious postoperative complications and no further bleeding occurred. Conclusion： Fast-track surgery combined with Chinese medicine treatment is a safe and feasible approach to accelerate the recovery of patients with cirrhotic portal hypertension in perioperative period of devascularization operation.
doi_str_mv 10.1007/s11655-015-2317-9
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1730024600</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cqvip_id>666187355</cqvip_id><sourcerecordid>1730024600</sourcerecordid><originalsourceid>FETCH-LOGICAL-c371t-ae121d110321c36baff9582c20bf1fd1a073f4bb7e03991a52295885712bc69b3</originalsourceid><addsrcrecordid>eNp9UU1v1DAQjRCIlsIP4IIsTr0EZuy1vTlWKaVIrYrEcrYcr9O4ZO3UdqiWP8FfxlWWHnuaJ72PsedV1XuETwggPydEwXkNyGvKUNbNi-oYm4bVsAL6smAhacHIj6o3Kd0BcCmAv66OqOCUcw7H1d92dN4ZPZKzaRoLyC54EnpyoVOuN1GbX-THHG9t3JMHlwfSDs7bZMm13TpTINlEq_PO-kycJ3mw5Nz-1snMo47uzxJ3M9m4oD5E0roYh5CdId9DzGXz5b7w2fpUFG-rV70ek313mCfVz4svm_ayvrr5-q09u6oNk5hrbZHiFhEYRcNEp_u-4WtqKHQ99lvUIFm_6jppgTUNak5p4ddcIu2MaDp2Up0uuVMM97NNWe1cMnYctbdhTgolA6ArAVCkuEhNDClF26spup2Oe4WgHntQSw-q9KAee1BN8Xw4xM_dzm6fHP8PXwR0EaRC-XJedRfm6MuXn039eHjJEPztffE9BQshcC0Z5-wf1Mmgdg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1730024600</pqid></control><display><type>article</type><title>Clinical Application of Fast-Track Surgery with Chinese Medicine Treatment in the Devascularization Operation for Cirrhotic Portal Hypertension</title><source>Springer Nature</source><creator>韦杨年 李年丰 蔡小勇 卢榜裕 黄飞 莫世发 张洪昌 王明栋 吴发胜</creator><creatorcontrib>韦杨年 李年丰 蔡小勇 卢榜裕 黄飞 莫世发 张洪昌 王明栋 吴发胜</creatorcontrib><description>ABSTRACT Objective： To investigate the clinical effect of fast-track surgery combined with Chinese medicine treatment in devascularization operation for cirrhotic esophageal varices. Methods： Seventy-two patients with cirrhotic esophageal varices were selected from January 2009 to June 2013, and randomly assigned to a conventional group and a fast-track group （fast-track surgery combined with Chinese medicine treatment） using a randomized digital table, 36 cases in each group. Operation and anesthesia recovery time, postoperative hospitalization and quality of life were recorded and compared between groups during the perioperative period. Results： Compared with the conventional group, the fast-track group had longer operation time （253.6±46.4 min vs. 220.6±51.0 min） and anesthesia recovery time （50.5 ± 15.9 rain vs. 23.5± 9.6 min; P〈0.01）; less bleeding （311.3±46.8 mL vs. 356.2 ± 57.5 mL; P〈0.01） and less transfusion （1932.3 ± 106.9 mL vs. 2045.6 ± 115.4 mL; P〈0.01）; as well as faster recovery of gastrointestinal function, shorter postoperative hospitalization and higher quality of life. There were no serious postoperative complications and no further bleeding occurred. Conclusion： Fast-track surgery combined with Chinese medicine treatment is a safe and feasible approach to accelerate the recovery of patients with cirrhotic portal hypertension in perioperative period of devascularization operation.</description><identifier>ISSN: 1672-0415</identifier><identifier>EISSN: 1993-0402</identifier><identifier>DOI: 10.1007/s11655-015-2317-9</identifier><identifier>PMID: 26525550</identifier><language>eng</language><publisher>Beijing: Chinese Association of Traditional and Western Medicine</publisher><subject>Adult ; Aged ; Anesthesia Recovery Period ; Blood Loss, Surgical ; Blood Transfusion ; Chronic Disease ; Clinical Experience ; Esophageal and Gastric Varices - surgery ; Esophageal and Gastric Varices - therapy ; Female ; Humans ; Length of Stay ; Liver Cirrhosis - complications ; Male ; Medicine ; Medicine &amp; Public Health ; Medicine, Chinese Traditional ; Middle Aged ; Operative Time ; Postoperative Complications ; Postoperative Period ; Quality of Life ; Splenectomy ; 中药治疗 ; 临床应用 ; 围手术期 ; 外科手术 ; 康复 ; 断流 ; 肝硬化 ; 门静脉</subject><ispartof>Chinese journal of integrative medicine, 2015-10, Vol.21 (10), p.784-790</ispartof><rights>Chinese Association of the Integration of Traditional and Western Medicine and Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-ae121d110321c36baff9582c20bf1fd1a073f4bb7e03991a52295885712bc69b3</citedby><cites>FETCH-LOGICAL-c371t-ae121d110321c36baff9582c20bf1fd1a073f4bb7e03991a52295885712bc69b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/86437A/86437A.jpg</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26525550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>韦杨年 李年丰 蔡小勇 卢榜裕 黄飞 莫世发 张洪昌 王明栋 吴发胜</creatorcontrib><title>Clinical Application of Fast-Track Surgery with Chinese Medicine Treatment in the Devascularization Operation for Cirrhotic Portal Hypertension</title><title>Chinese journal of integrative medicine</title><addtitle>Chin. J. Integr. Med</addtitle><addtitle>Chinese Journal of Integrative Medicine</addtitle><description>ABSTRACT Objective： To investigate the clinical effect of fast-track surgery combined with Chinese medicine treatment in devascularization operation for cirrhotic esophageal varices. Methods： Seventy-two patients with cirrhotic esophageal varices were selected from January 2009 to June 2013, and randomly assigned to a conventional group and a fast-track group （fast-track surgery combined with Chinese medicine treatment） using a randomized digital table, 36 cases in each group. Operation and anesthesia recovery time, postoperative hospitalization and quality of life were recorded and compared between groups during the perioperative period. Results： Compared with the conventional group, the fast-track group had longer operation time （253.6±46.4 min vs. 220.6±51.0 min） and anesthesia recovery time （50.5 ± 15.9 rain vs. 23.5± 9.6 min; P〈0.01）; less bleeding （311.3±46.8 mL vs. 356.2 ± 57.5 mL; P〈0.01） and less transfusion （1932.3 ± 106.9 mL vs. 2045.6 ± 115.4 mL; P〈0.01）; as well as faster recovery of gastrointestinal function, shorter postoperative hospitalization and higher quality of life. There were no serious postoperative complications and no further bleeding occurred. Conclusion： Fast-track surgery combined with Chinese medicine treatment is a safe and feasible approach to accelerate the recovery of patients with cirrhotic portal hypertension in perioperative period of devascularization operation.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia Recovery Period</subject><subject>Blood Loss, Surgical</subject><subject>Blood Transfusion</subject><subject>Chronic Disease</subject><subject>Clinical Experience</subject><subject>Esophageal and Gastric Varices - surgery</subject><subject>Esophageal and Gastric Varices - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Liver Cirrhosis - complications</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Medicine, Chinese Traditional</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Postoperative Complications</subject><subject>Postoperative Period</subject><subject>Quality of Life</subject><subject>Splenectomy</subject><subject>中药治疗</subject><subject>临床应用</subject><subject>围手术期</subject><subject>外科手术</subject><subject>康复</subject><subject>断流</subject><subject>肝硬化</subject><subject>门静脉</subject><issn>1672-0415</issn><issn>1993-0402</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp9UU1v1DAQjRCIlsIP4IIsTr0EZuy1vTlWKaVIrYrEcrYcr9O4ZO3UdqiWP8FfxlWWHnuaJ72PsedV1XuETwggPydEwXkNyGvKUNbNi-oYm4bVsAL6smAhacHIj6o3Kd0BcCmAv66OqOCUcw7H1d92dN4ZPZKzaRoLyC54EnpyoVOuN1GbX-THHG9t3JMHlwfSDs7bZMm13TpTINlEq_PO-kycJ3mw5Nz-1snMo47uzxJ3M9m4oD5E0roYh5CdId9DzGXz5b7w2fpUFG-rV70ek313mCfVz4svm_ayvrr5-q09u6oNk5hrbZHiFhEYRcNEp_u-4WtqKHQ99lvUIFm_6jppgTUNak5p4ddcIu2MaDp2Up0uuVMM97NNWe1cMnYctbdhTgolA6ArAVCkuEhNDClF26spup2Oe4WgHntQSw-q9KAee1BN8Xw4xM_dzm6fHP8PXwR0EaRC-XJedRfm6MuXn039eHjJEPztffE9BQshcC0Z5-wf1Mmgdg</recordid><startdate>20151001</startdate><enddate>20151001</enddate><creator>韦杨年 李年丰 蔡小勇 卢榜裕 黄飞 莫世发 张洪昌 王明栋 吴发胜</creator><general>Chinese Association of Traditional and Western Medicine</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151001</creationdate><title>Clinical Application of Fast-Track Surgery with Chinese Medicine Treatment in the Devascularization Operation for Cirrhotic Portal Hypertension</title><author>韦杨年 李年丰 蔡小勇 卢榜裕 黄飞 莫世发 张洪昌 王明栋 吴发胜</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-ae121d110321c36baff9582c20bf1fd1a073f4bb7e03991a52295885712bc69b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia Recovery Period</topic><topic>Blood Loss, Surgical</topic><topic>Blood Transfusion</topic><topic>Chronic Disease</topic><topic>Clinical Experience</topic><topic>Esophageal and Gastric Varices - surgery</topic><topic>Esophageal and Gastric Varices - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Liver Cirrhosis - complications</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Medicine, Chinese Traditional</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Postoperative Complications</topic><topic>Postoperative Period</topic><topic>Quality of Life</topic><topic>Splenectomy</topic><topic>中药治疗</topic><topic>临床应用</topic><topic>围手术期</topic><topic>外科手术</topic><topic>康复</topic><topic>断流</topic><topic>肝硬化</topic><topic>门静脉</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>韦杨年 李年丰 蔡小勇 卢榜裕 黄飞 莫世发 张洪昌 王明栋 吴发胜</creatorcontrib><collection>维普_期刊</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Chinese journal of integrative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>韦杨年 李年丰 蔡小勇 卢榜裕 黄飞 莫世发 张洪昌 王明栋 吴发胜</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Application of Fast-Track Surgery with Chinese Medicine Treatment in the Devascularization Operation for Cirrhotic Portal Hypertension</atitle><jtitle>Chinese journal of integrative medicine</jtitle><stitle>Chin. J. Integr. Med</stitle><addtitle>Chinese Journal of Integrative Medicine</addtitle><date>2015-10-01</date><risdate>2015</risdate><volume>21</volume><issue>10</issue><spage>784</spage><epage>790</epage><pages>784-790</pages><issn>1672-0415</issn><eissn>1993-0402</eissn><abstract>ABSTRACT Objective： To investigate the clinical effect of fast-track surgery combined with Chinese medicine treatment in devascularization operation for cirrhotic esophageal varices. Methods： Seventy-two patients with cirrhotic esophageal varices were selected from January 2009 to June 2013, and randomly assigned to a conventional group and a fast-track group （fast-track surgery combined with Chinese medicine treatment） using a randomized digital table, 36 cases in each group. Operation and anesthesia recovery time, postoperative hospitalization and quality of life were recorded and compared between groups during the perioperative period. Results： Compared with the conventional group, the fast-track group had longer operation time （253.6±46.4 min vs. 220.6±51.0 min） and anesthesia recovery time （50.5 ± 15.9 rain vs. 23.5± 9.6 min; P〈0.01）; less bleeding （311.3±46.8 mL vs. 356.2 ± 57.5 mL; P〈0.01） and less transfusion （1932.3 ± 106.9 mL vs. 2045.6 ± 115.4 mL; P〈0.01）; as well as faster recovery of gastrointestinal function, shorter postoperative hospitalization and higher quality of life. There were no serious postoperative complications and no further bleeding occurred. Conclusion： Fast-track surgery combined with Chinese medicine treatment is a safe and feasible approach to accelerate the recovery of patients with cirrhotic portal hypertension in perioperative period of devascularization operation.</abstract><cop>Beijing</cop><pub>Chinese Association of Traditional and Western Medicine</pub><pmid>26525550</pmid><doi>10.1007/s11655-015-2317-9</doi><tpages>7</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1672-0415
ispartof Chinese journal of integrative medicine, 2015-10, Vol.21 (10), p.784-790
issn 1672-0415
1993-0402
language eng
recordid cdi_proquest_miscellaneous_1730024600
source Springer Nature
subjects Adult
Aged
Anesthesia Recovery Period
Blood Loss, Surgical
Blood Transfusion
Chronic Disease
Clinical Experience
Esophageal and Gastric Varices - surgery
Esophageal and Gastric Varices - therapy
Female
Humans
Length of Stay
Liver Cirrhosis - complications
Male
Medicine
Medicine & Public Health
Medicine, Chinese Traditional
Middle Aged
Operative Time
Postoperative Complications
Postoperative Period
Quality of Life
Splenectomy
中药治疗
临床应用
围手术期
外科手术
康复
断流
肝硬化
门静脉
title Clinical Application of Fast-Track Surgery with Chinese Medicine Treatment in the Devascularization Operation for Cirrhotic Portal Hypertension
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T05%3A23%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Clinical%20Application%20of%20Fast-Track%20Surgery%20with%20Chinese%20Medicine%20Treatment%20in%20the%20Devascularization%20Operation%20for%20Cirrhotic%20Portal%20Hypertension&rft.jtitle=Chinese%20journal%20of%20integrative%20medicine&rft.au=%E9%9F%A6%E6%9D%A8%E5%B9%B4%20%E6%9D%8E%E5%B9%B4%E4%B8%B0%20%E8%94%A1%E5%B0%8F%E5%8B%87%20%E5%8D%A2%E6%A6%9C%E8%A3%95%20%E9%BB%84%E9%A3%9E%20%E8%8E%AB%E4%B8%96%E5%8F%91%20%E5%BC%A0%E6%B4%AA%E6%98%8C%20%E7%8E%8B%E6%98%8E%E6%A0%8B%20%E5%90%B4%E5%8F%91%E8%83%9C&rft.date=2015-10-01&rft.volume=21&rft.issue=10&rft.spage=784&rft.epage=790&rft.pages=784-790&rft.issn=1672-0415&rft.eissn=1993-0402&rft_id=info:doi/10.1007/s11655-015-2317-9&rft_dat=%3Cproquest_cross%3E1730024600%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c371t-ae121d110321c36baff9582c20bf1fd1a073f4bb7e03991a52295885712bc69b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1730024600&rft_id=info:pmid/26525550&rft_cqvip_id=666187355&rfr_iscdi=true