中药热罨包联合揿针治疗大肠癌腹腔镜术后胃肠功能障碍的临床疗效观察OA
Clinical Observation on the Efficacy of Chinese Medicine Hot Package Combined with Press Needle Therapy on Gastrointestinal Dysfunction after Laparoscopic Surgery for Colorectal Cancer
目的 探讨中药热罨包联合揿针疗法对大肠癌患者腹腔镜术后胃肠功能障碍(postoperative gastrointestinal dysfunction,POGD)的临床疗效.方法 随机将2023年1月至2024年9月期间梅州市人民医院,收治的80例大肠癌腹腔镜术后发生POGD的患者随机分配至对照组(40例,常规西医治疗)和观察组(40例,常规西医治疗联合中药热罨包+揿针疗法).比较两组治疗总有效率、术后康复相关指标,并对比两组治疗前后的中医常见症状评分、腹围变化、肠鸣音评分、胃肠功能障碍评分及匹兹堡睡眠质量指数(pittsburgh sleep quality index,PSQI)评分,同时统计不良反应.结果 观察组的中医证候疗效为95.00%,高于对照组的72.50%(χ2=7.440,P=0.006);观察组治疗后的脘腹胀满、脘腹疼痛、嗳气反酸、恶心呕吐、排气排便评分及总评分改善程度均优于对照组(P＜0.05);观察组的首次肛门排气时间、首次排便时间、首次肠鸣音出现时间、腹痛腹胀缓解时间、开始进食流质食物时间均较对照组缩短(P＜0.05);观察组治疗后的腹围小于对照组(P＜0.05);治疗后观察组的肠鸣音评分、胃肠功能障碍评分及PSQI评分改善程度均优于对照组(P＜0.05);两组不良反应发生率(观察组5.00%vs对照组2.50%)相当.结论 中药热罨包联合揿针治疗大肠癌腹腔镜术后POGD疗效良好,可有效促进胃肠功能恢复,改善临床症状和睡眠质量,且用药安全.
Objective To investigate the clinical efficacy of Chinese medicine hot package combined with press needle therapy on postoperative gastrointestinal dysfunction(POGD)in patients after laparoscopic surgery for colorectal cancer.Methods Eighty patients with POGD after laparoscopic surgery for colorectal cancer at Meizhou People's Hospital between January 2023 and September 2024 were randomly allocated to a control group(n=40,receiving conventional Western medicine treatment)and an observation group(n=40,receiving Western medicine combined with Chinese medicine hot package and press needle therapy).The total effective rate of treatment and postoperative rehabilitation-related indicators were statistically analyzed between the two groups.The scores of common traditional Chinese medicine(TCM)symptoms,abdominal circumference changes,bowel sound scores,gastrointestinal dysfunction scores,and pittsburgh sleep quality index(PSQI)scores were compared between the two groups before and after treatment,and adverse reactions were also recorded.Results The effective rate of TCM syndrome in the observation group was 95.00%,which was significantly higher than 72.50%in the control group(χ²=7.440,P=0.006).After treatment,the observation group showed greater improvement than the control group in scores of abdominal distension,abdominal pain,belching and acid reflux,nausea and vomiting,exhaust and defecation,as well as the total symptom score(P＜0.05).The time to first flatus,first defecation,first bowel sound appearance,time to relief of abdominal pain and distension,and initial liquid diet intake in the observation group were all shorter than those in the control group(P＜0.05).The abdominal circumference of the observation group after treatment was smaller than that of the control group(P＜0.05).After treatment,the improvements in bowel sound scores,gastrointestinal dysfunction scores,and PSQI scores of the observation group were superior to those of the control group(P＜0.05).The incidence of adverse reactions was comparable between the two groups(5.00%in the observation group vs 2.50%in the control group).Conclusion The combination of Chinese medicine hot package and press needle therapy demonstrates good efficacy in treating POGD after laparoscopic surgery for colorectal cancer.It can effectively promote the recovery of gastrointestinal function,improve clinical symptoms and sleep quality,with a good safety profile.
侯宇萍;杨泉富;黄清苑
梅州市人民医院中医科,广东 梅州 514031梅州市人民医院肿瘤科,广东 梅州 514031梅州市人民医院中医科,广东 梅州 514031
医药卫生
中药热罨包大肠癌腹腔镜手术揿针胃肠功能障碍
Chinese medicine hot packagecolorectal cancerlaparoscopic surgerypress needlegastrointestinal dysfunction
《中医肿瘤学杂志》 2026 (1)
38-44,7
广东省中医药局面上科研项目(编号:20232185).
评论