补中益气汤在腹股沟疝术后康复中的应用

为明确补中益气汤联合生物补片治疗腹股沟疝的疗效及预后，通过临床对照及随访研究，将腹股沟疝患者随机分为聚丙烯补片组、生物补片组和联合组，指标包括围手术期临床指标、术后疼痛视觉模拟量表（VAS）评分，以及1年随访期间的并发症、复发和再手术发生率。结果显示，联合组的术后住院时间，术后1、3和7 d的VAS评分均显著短于其他2组，术后1年随访时联合组及生物补片组的慢性疼痛、异物感、总并发症发生率及复发率均低于聚丙烯组；说明补中益气汤联合生物补片治疗腹股沟疝的安全性好，可促进术后康复，具有缓解术后疼痛、缩短住院天数的优势。

Application of Buzhong Yiqi Decoction combined with biological mesh during rehabilitation after inguinal hernia repairment

In order to estimate the efficacy of Buzhong Yiqi Decoction combined with biological mesh on the treatment of inguinal hernia, a clinical trial and follow-up study was designed with inguinal hernia patients as the subjects, who were randomly divided into the polypropylene mesh group, biological mesh group, and combined group (biological mesh + Buzhong Yiqi Decoction). The indicators included Perioperative indexes, visual analogue scale (VAS) for pain, as well as the incidences of complication, recurrence, and re-operation at 1-year follow-up. The results showed that the hospital stay, post-operative VAS at 1 d, 3 d and 7 d of the combined group were significantly shorter than those of the other two groups; 1-year follow-up showed that the incidences of chronic pain, foreign body sensation, total complication, and recurrence of the biological mesh group and the combined group were significantly lower than those of the polypropylene group. It suggests that Buzhong Yiqi Decoction combined with biological mesh on treatment of inguinal hernia has superior safety and benefit on post-operative rehabilitation, which can decrease the post-operative pain and hospital stay.