实用癌症杂志
實用癌癥雜誌
실용암증잡지
THE PRACTICAL JOURNAL OF CANCER
2015年
2期
245-248
,共4页
自拟保留灌肠汤%术后肠麻痹%直肠癌%完全胃肠外营养支持
自擬保留灌腸湯%術後腸痳痺%直腸癌%完全胃腸外營養支持
자의보류관장탕%술후장마비%직장암%완전위장외영양지지
Self-made retention enema Decoction%Postoperative intestinal paralysis%Rectal cancer%Total parenteral nu-trition support
目的：探讨中西医结合治疗直肠癌术后肠麻痹的临床效果。方法选取经切除术治疗后出现肠麻痹的直肠癌患者60例，按照完全随机法1∶1分成2组，30例对照组患者行西医常规治疗，30例研究组患者在对照组基础上加用针灸、敷脐联合自拟保留灌肠汤，比较2组患者治疗后的疗效性指标与生化指标情况。结果研究组的肠鸣音、排便和排气恢复时间、腹胀消失、胃肠减压解除与留院观察时间均比对照组短，差异有统计学意义（ P＜0．05）；研究组治疗24 h、72 h的中医征候积分分别为（10．26±3．27）分、（0．82±0．05）分，均比对照组（13．45±1．67、1．95±0．43）低，差异有统计学意义（P＜0．05）；研究组治疗后的K＋水平（mmol／L）比对照组高（3．79±0．41 vs 3．51±0．39），TNF-α（μg／L）、CRP（mg／L）均比对照组低（1．05±0．24 vs 1．98±0．15，10．18±4．36 vs 24．36±7．23），差异均有统计学意义（P＜0．05）。结论中西医结合治疗直肠癌术后麻痹，能够有效缓解患者病症，改善肠胃道功能，防止肠胃功能衰竭。
目的：探討中西醫結閤治療直腸癌術後腸痳痺的臨床效果。方法選取經切除術治療後齣現腸痳痺的直腸癌患者60例，按照完全隨機法1∶1分成2組，30例對照組患者行西醫常規治療，30例研究組患者在對照組基礎上加用針灸、敷臍聯閤自擬保留灌腸湯，比較2組患者治療後的療效性指標與生化指標情況。結果研究組的腸鳴音、排便和排氣恢複時間、腹脹消失、胃腸減壓解除與留院觀察時間均比對照組短，差異有統計學意義（ P＜0．05）；研究組治療24 h、72 h的中醫徵候積分分彆為（10．26±3．27）分、（0．82±0．05）分，均比對照組（13．45±1．67、1．95±0．43）低，差異有統計學意義（P＜0．05）；研究組治療後的K＋水平（mmol／L）比對照組高（3．79±0．41 vs 3．51±0．39），TNF-α（μg／L）、CRP（mg／L）均比對照組低（1．05±0．24 vs 1．98±0．15，10．18±4．36 vs 24．36±7．23），差異均有統計學意義（P＜0．05）。結論中西醫結閤治療直腸癌術後痳痺，能夠有效緩解患者病癥，改善腸胃道功能，防止腸胃功能衰竭。
목적：탐토중서의결합치료직장암술후장마비적림상효과。방법선취경절제술치료후출현장마비적직장암환자60례，안조완전수궤법1∶1분성2조，30례대조조환자행서의상규치료，30례연구조환자재대조조기출상가용침구、부제연합자의보류관장탕，비교2조환자치료후적료효성지표여생화지표정황。결과연구조적장명음、배편화배기회복시간、복창소실、위장감압해제여류원관찰시간균비대조조단，차이유통계학의의（ P＜0．05）；연구조치료24 h、72 h적중의정후적분분별위（10．26±3．27）분、（0．82±0．05）분，균비대조조（13．45±1．67、1．95±0．43）저，차이유통계학의의（P＜0．05）；연구조치료후적K＋수평（mmol／L）비대조조고（3．79±0．41 vs 3．51±0．39），TNF-α（μg／L）、CRP（mg／L）균비대조조저（1．05±0．24 vs 1．98±0．15，10．18±4．36 vs 24．36±7．23），차이균유통계학의의（P＜0．05）。결론중서의결합치료직장암술후마비，능구유효완해환자병증，개선장위도공능，방지장위공능쇠갈。
Objective To observe and analyze the clinical efficacy of integrated traditional Chinese and western medi-cine in the treatment of postoperative intestinal paralysis of rectal carcinoma.Methods 60 patients with rectal cancer after resec-tion with intestinal paralysis were randomly divided into 2 groups,30 cases in the control group underwent routine treatment, 30 cases in the study group received acupuncture combined with own reserves and umbilical enema decoction,based on the the con-trol group, curative effects and biochemical indexes of the 2 groups were compared after treatment.Results The bowel sounds, defecation and exhaust recovery time,abdominal distention disappearing,gastrointestinal decompression,and hospital stay in the observation group were shorter than those of the control group,there had statistical difference(P<0.05);24 h,72 h traditional Chinese medicine syndrome integral in the observation group were(10.26 ±3.27) and(0.82 ±0.05),which were lower than (13.45 ±1.67)and (1.95 ±0.43)of the control group,there had statistical difference (P<0.05);after treatment,the levels of K+(mmol/L) of the study group was higher than that of the control group(3.79 ±0.41 vs 3.51 ±0.39),TNF-alpha(μg/L), CRP(mg/L) were lower than those of the control group(1.05 ±0.24 vs 1.98 ±0.15,10.18 ±4.36 vs 24.36 ±7.23),there had statistical difference(P<0.05).Conclusion Integrated traditional Chinese and western medicine in the treatment of postopera-tive intestinal paralysis of rectal carcinoma can relieve the patients’ symptoms,improve gastrointestinal function,and prevent gas-trointestinal function failure.
