摘要
目的探讨快速康复外科理念联合针灸康复在结直肠癌术后胃肠功能恢复中的应用效果。方法选取2016年5月-2018年1月于海南医学院第二附属医院胃肠道外科实施结直肠癌手术治疗的患者120例,采用随机数字表法将其分为联合组和对照组,各60例。两组患者均实施结直肠癌根治性手术,围术期均予以快速康复外科手段进行康复治疗,联合组同时给予针刺手三里、合谷、天枢、足三里和上巨虚治疗。对比两组手术基本情况、胃肠动力恢复情况、胃肠激素水平、腹胀评分及生活质量评分。结果两组的手术时间、术中出血量、标本切除长度、清扫淋巴结数目比较,差异均无统计学意义(P>0.05)。联合组的肠鸣音恢复时间、首次排气时间、进食流质饮食时间、排便时间均短于对照组,差异有统计学意义(P<0.05)。整体分析发现:两组的胃动素、胃泌素水平组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:两组患者的胃动素、胃泌素水平与同组前一个时间点比较,差异均有统计学意义(P<0.05);组间比较:术后3、7 d,联合组的胃动素、胃泌素水平均高于对照组(P<0.05)。整体分析发现:两组的腹胀评分组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:两组的腹胀评分与同组前一个时间点比较,差异均有统计学意义(P<0.05);组间比较:术后3、7 d,联合组的腹胀评分均低于对照组(P<0.05)。术后7 d,联合组的躯体功能、角色功能、认知功能、社会功能、情绪功能评分均高于对照组,差异有统计学意义(P<0.05)。结论快速康复外科理念联合针灸康复有利于促进结直肠癌术后患者胃肠道功能恢复,改善患者生活质量。
Objective To explore application effect of fast track surgery concept combined with acupuncture rehabilitation in the recovery of gastrointestinal function after colorectal cancer surgery.Methods A total of 120 patients with colorectal cancer surgery from May 2016 to January 2018 in Department of Gastrointestinal Surgery of the Second Affiliated Hospital of Hainan Medical University were selected and divided into combined group and control group by random number table method,with 60 cases in each group.Patients in the two groups were given radical surgery for colorectal cancer,during the perioperative rehabilitation surgery period,they were given fast track surgery treatment.At the same time,combined group was given shǒusānlǐ,hégǔ,tiānshū,zúsānlǐand shàngjùxūacupuncture and moxibustion therapy.Basic operation condition,gastrointestinal motility recovery,gastrointestinal hormone level,abdominal distension score and quality of life score were compared between the two groups.Results There were no significant differences in operation time,intraoperative blood loss,specimen resection length and number of lymph nodes between the two groups(P>0.05).The recovery time of bowel sounds,time of first exhaust,time of eating liquid diet and time of defecation in combined group were shorter than those in control group(P<0.05).The overall analysis showed that there were significant differences in motilin and gastrin levels between the two groups,time point comparison and interaction(P<0.05).Further intra group comparison showed that,the levels of motilin and gastrin in two groups were compared with those at the previous time point in the same group,the differences were statistically significant(P<0.05).Comparison between groups:three and seven days after operation,the levels of motilin and gastrin in combined group were higher than those in control group(P<0.05).The overall analysis showed that there was statistically significant difference in abdominal distension score between two groups,time point comparison and i
作者
梁尊孝
杨佳
王振斋
张诚胜
LIANG Zunxiao;YANG Jia;WANG Zhenzhai;ZHANG Chengsheng(Acupuncture and Moxibustion Room,Department of Traditional Chinese Medicine,the Second Affiliated Hospital of Hainan Medical University,Hainan Province,Haikou570311,China)
出处
《中国医药导报》
CAS
2020年第25期125-128,140,共5页
China Medical Herald
基金
海南省卫生计生行业科研项目(16A200069)。
关键词
快速康复外科
针灸康复
结直肠癌
胃肠功能
Fast track surgery
Acupuncture rehabilitation
Colorectal cancer
Gastrointestinal function
