Article(id=1305171212288684925, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1305171206701871960, articleNumber=null, orderNo=null, doi=10.19664/j.cnki.1002-2392.260183, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1740585600000, receivedDateStr=2025-02-27, revisedDate=1767715200000, revisedDateStr=2026-01-07, acceptedDate=null, acceptedDateStr=null, onlineDate=1789106665918, onlineDateStr=2026-09-11, pubDate=1789833600000, pubDateStr=2026-09-20, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1789106665918, onlineIssueDateStr=2026-09-11, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1789106665918, creator=13701087609, updateTime=1789106665918, updator=13701087609, issue=Issue{id=1305171206701871960, tenantId=1146029695717560320, journalId=1302318977290174537, year='2026', volume='54', issue='9', pageStart='1', pageEnd='133', issueExtLink='null', onlineDate='null', pubDate='1789833600000', pubDateStr='2026-09-20', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1789106664586, creator='13701087609', updateTime=1789106805687, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1305171798593663109, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1305171206701871960, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1305171798593663110, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1305171206701871960, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=71, endPage=75, ext={EN=ArticleExt(id=1305171212464845694, articleId=1305171212288684925, tenantId=1146029695717560320, journalId=1302318977290174537, language=EN, title=Effects of Xuefu Zhuyu Decoction on the Postoperative Efficacy of Video-Assisted Thoracoscopic Surgery in Traumatic Hemopneumothorax Patients with Qi Stagnation and Blood Stasis Syndrome, columnId=null, journalTitle=Acta Chinese Medicine and Pharmacology, columnName=null, runingTitle=null, highlight=null, articleAbstract=
Objective:

To analyze the therapeutic effect of Xuefu Zhuyu decoction combined with video-assisted thoracoscopic minimally invasive surgery in patients with traumatic hemopneumothorax (TH) of qi stagnation and blood stasis type.

Methods:

A total of 97 patients with qi stagnation and blood stasis type TH admitted to Haian Hospital of Traditional Chinese Medicine from May 2021 to September 2024 were selected and randomly divided into two groups. Both groups were given thoracoscopic minimally invasive surgery. 48 cases in the control group received conventional treatment after the operation, and 49 cases in the observation group were treated with Xuefu Zhuyu decoction in addition after the operation. The therapeutic effects of the two groups were compared.

Result:

The effective rate of treatment in the observation group was higher than that in the control group (P < 0. 05). After 7 days of treatment, the TCM syndrome score, pulmonary function indicators and coagulation indicators of the observation group were better than those of the control group (P < 0. 05). After 7 days of treatment, the observation group had significantly lower VAS scores than the control group (P <0.05). The time of the first expectoration in the observation group was lower than that in the control group, and the sputum output was higher than that in the control group (P <0.05). Comparison of the incidence of complications between the two groups (P > 0.05).

Conclusion:

The treatment of TH patients with Xuefu Zhuyu decoction combined with thoracoscopic minimally invasive surgery has a significant effect. It can reduce the TCM syndrome score, alleviate the degree of pain, shorten the expectoration time, and improve coagulation indicators and lung function indicators.

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目的:

分析气滞血瘀证创伤性血气胸(TH)患者应用血府逐瘀汤联合胸腔镜微创手术的疗效。

方法:

选取海安市中医院2021年5月—2024年9月收治的97例气滞血瘀型TH患者,随机分为对照组和观察组,两组均给予胸腔镜微创手术,对照组48例术后采取常规治疗,观察组 49例术后另加用血府逐瘀汤治疗,比较两组治疗效果,观察两组中医证候积分、肺功能指标、凝血指标、疼痛程度、首次排痰时间、排痰量,并对两组并发症发生率进行比较。

结果:

观察组治疗有效率较对照组高(P < 0.05)。治疗7 d,观察组中医证候积分、肺功能指标、凝血指标优于对照组(P < 0.01)。治疗7 d,观察组视觉模拟疼痛量表(VAS)评分低于对照组(P < 0.01),观察组首次排痰时间低于对照组(P < 0.01),排痰量高于对照组(P < 0.01)。两组并发症发生率比较,差异无统计学意义(P > 0.05)。

结论:

TH患者采取血府逐瘀汤联合胸腔镜微创手术治疗效果显著,可降低中医证候积分,减轻疼痛程度,缩短排痰时间,改善凝血指标、肺功能指标。

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卢丹丹(1985-),女,主治医师,研究方向:中医康复。

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血府逐瘀汤对气滞血瘀证创伤性血气胸患者胸腔镜术后疗效的影响
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卢丹丹 , 包军军 , 刘晓燕
中医药学报 | 临床研究 2026,54(9): 71-75
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中医药学报 |临床研究 2026 , 54 (9) : 71 -75
血府逐瘀汤对气滞血瘀证创伤性血气胸患者胸腔镜术后疗效的影响
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卢丹丹, 包军军, 刘晓燕
作者信息
  • 海安市中医院胸外科,江苏 南通 226699
作者简介:

卢丹丹(1985-),女,主治医师,研究方向:中医康复。

Effects of Xuefu Zhuyu Decoction on the Postoperative Efficacy of Video-Assisted Thoracoscopic Surgery in Traumatic Hemopneumothorax Patients with Qi Stagnation and Blood Stasis Syndrome
Dandan LU, Junjun BAO, Xiaoyan LIU
Affiliations
  • Department of Thoracic Surgery, Haian Hospital of Traditional Chinese Medicine, Nantong 226699, China
出版时间: 2026-09-20 doi: 10.19664/j.cnki.1002-2392.260183
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目的:

分析气滞血瘀证创伤性血气胸(TH)患者应用血府逐瘀汤联合胸腔镜微创手术的疗效。

方法:

选取海安市中医院2021年5月—2024年9月收治的97例气滞血瘀型TH患者,随机分为对照组和观察组,两组均给予胸腔镜微创手术,对照组48例术后采取常规治疗,观察组 49例术后另加用血府逐瘀汤治疗,比较两组治疗效果,观察两组中医证候积分、肺功能指标、凝血指标、疼痛程度、首次排痰时间、排痰量,并对两组并发症发生率进行比较。

结果:

观察组治疗有效率较对照组高(P < 0.05)。治疗7 d,观察组中医证候积分、肺功能指标、凝血指标优于对照组(P < 0.01)。治疗7 d,观察组视觉模拟疼痛量表(VAS)评分低于对照组(P < 0.01),观察组首次排痰时间低于对照组(P < 0.01),排痰量高于对照组(P < 0.01)。两组并发症发生率比较,差异无统计学意义(P > 0.05)。

结论:

TH患者采取血府逐瘀汤联合胸腔镜微创手术治疗效果显著,可降低中医证候积分,减轻疼痛程度,缩短排痰时间,改善凝血指标、肺功能指标。

气滞血瘀  /  创伤性血气胸  /  血府逐瘀汤  /  胸腔镜微创手术
Objective:

To analyze the therapeutic effect of Xuefu Zhuyu decoction combined with video-assisted thoracoscopic minimally invasive surgery in patients with traumatic hemopneumothorax (TH) of qi stagnation and blood stasis type.

Methods:

A total of 97 patients with qi stagnation and blood stasis type TH admitted to Haian Hospital of Traditional Chinese Medicine from May 2021 to September 2024 were selected and randomly divided into two groups. Both groups were given thoracoscopic minimally invasive surgery. 48 cases in the control group received conventional treatment after the operation, and 49 cases in the observation group were treated with Xuefu Zhuyu decoction in addition after the operation. The therapeutic effects of the two groups were compared.

Result:

The effective rate of treatment in the observation group was higher than that in the control group (P < 0. 05). After 7 days of treatment, the TCM syndrome score, pulmonary function indicators and coagulation indicators of the observation group were better than those of the control group (P < 0. 05). After 7 days of treatment, the observation group had significantly lower VAS scores than the control group (P <0.05). The time of the first expectoration in the observation group was lower than that in the control group, and the sputum output was higher than that in the control group (P <0.05). Comparison of the incidence of complications between the two groups (P > 0.05).

Conclusion:

The treatment of TH patients with Xuefu Zhuyu decoction combined with thoracoscopic minimally invasive surgery has a significant effect. It can reduce the TCM syndrome score, alleviate the degree of pain, shorten the expectoration time, and improve coagulation indicators and lung function indicators.

Qi stagnation and blood stasis type  /  Traumatic hemopneumothorax  /  Xuefu Zhuyu Formula  /  Minimally invasive video-assisted thoracoscopic surgery
卢丹丹, 包军军, 刘晓燕. 血府逐瘀汤对气滞血瘀证创伤性血气胸患者胸腔镜术后疗效的影响. 中医药学报, 2026 , 54 (9) : 71 -75 . DOI: 10.19664/j.cnki.1002-2392.260183
Dandan LU, Junjun BAO, Xiaoyan LIU. Effects of Xuefu Zhuyu Decoction on the Postoperative Efficacy of Video-Assisted Thoracoscopic Surgery in Traumatic Hemopneumothorax Patients with Qi Stagnation and Blood Stasis Syndrome[J]. Acta Chinese Medicine and Pharmacology, 2026 , 54 (9) : 71 -75 . DOI: 10.19664/j.cnki.1002-2392.260183
  • 江苏省自然科学基金项目(BK20211011)
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doi: 10.19664/j.cnki.1002-2392.260183
  • 接收时间:2025-02-27
  • 首发时间:2026-09-11
  • 出版时间:2026-09-20
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  • 收稿日期:2025-02-27
  • 修回日期:2026-01-07
基金
江苏省自然科学基金项目(BK20211011)
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    海安市中医院胸外科,江苏 南通 226699
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2种不同金属材料的力学参数

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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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