CAJ | 학술논문

目的：探讨中药外敷治疗肿瘤术后局部寒证型粘连性肠梗阻的临床效果和安全性。方法选择北京中医药大学东方医院肿瘤科2013年1月~2014年1月收治的符合纳入标准的37例患者，给予中药外敷治疗，观察治疗前后症状体征的变化、胃肠功能恢复指标以及不良反应发生情况。结果采用中药外敷治疗2周，痊愈29例，有效6例，无效2例。治愈率为78.4%，有效率(治愈+有效)为94.6%。中医症状评分治疗后[(1.02±0.46)分]较治疗前[(9.12±1.27)分]明显降低，差异有高度统计学意义(P<0.01)。37例患者治疗过程中均未出现局部皮肤过敏反应及其他不良反应。结论中药外敷治疗肿瘤术后局部寒证型粘连性肠梗阻是一种安全有效、操作简便的治疗方法，值得进一步推广和研究。
목적：탐토중약외부치료종류술후국부한증형점련성장경조적림상효과화안전성。방법선택북경중의약대학동방의원종류과2013년1월~2014년1월수치적부합납입표준적37례환자，급여중약외부치료，관찰치료전후증상체정적변화、위장공능회복지표이급불량반응발생정황。결과채용중약외부치료2주，전유29례，유효6례，무효2례。치유솔위78.4%，유효솔(치유+유효)위94.6%。중의증상평분치료후[(1.02±0.46)분]교치료전[(9.12±1.27)분]명현강저，차이유고도통계학의의(P<0.01)。37례환자치료과정중균미출현국부피부과민반응급기타불량반응。결론중약외부치료종류술후국부한증형점련성장경조시일충안전유효、조작간편적치료방법，치득진일보추엄화연구。
Objective To explore the clinical efficacy and safety of herbal penetration therapy on the local cold syn-drome adhesive intestinal obstruction caused by tumor resection. Methods 37 patients were chosen who met the inclu-sion criteria from January 2013 to January 2014 in Department of Oncology of Dongfang Hospital of Beijing University of Chinese Medicine. They were given herbal penetration therapy treatment, to observe the difference of signs and symptoms between before treatment and after treatment, the index of recovery of gastrointestinal function, as well as the occurrence of adverse reactions. Results After 2 weeks of herbal penetration therapy treatment, 29 cases were cured, 6 cases were effective, 2 cases were ineffective. The cure rate was 78.4%, effective rate (cure+effective) was 94.6%. The symptom integral was obviously decreased from before treatment [(9.12±1.27) scores] to after treatment [(1.02±0.46) scores], there were significant differences (P<0.01). 37 cases of patients did not appear local skin allergic reaction in the process of treatment and other adverse reactions. Conclusion The treatment of herbal penetration therapy on the lo-cal cold syndrome adhesive intestinal obstruction caused by tumor resection is safe, effective, and simple operation, which deserves further promotion and research.