中国中西医结合杂志2017，Vol.37Issue(8)：913-916,4.DOI:10.7661/j.cjim.20170429.129
化瘀通腑法联合肠内营养对大肠癌术后快速康复的影响
Effect of Stasis Removing and Purging Method Combined with Enteral Nutrition on Fast Track Surgery of Colorectal Cancer Patients
摘要
Abstract
Objective To observe and evaluate the effect of stasis removing and purging method (SRPM) combined with enteral nutrition on rapid rehabilitation of postoperative colorectal cancer patients.Methods A prospective,multi-center,randomized,controlled method was used.Totally 84 colorectal cancer patients were randomly assigned to the experimental group and the control group,42 cases in each group.Patients in the experimental group received SRPM (Taohong Siwu Decoction combined with Dachengqi Decoction) with enteral nutrition.Patients in the control group received enteral nutrition alone from 24 h after operation to postoperative 7th day.Postoperative intestinal function recovery indicators (recovery time of bowel sounds,the first exhaust time,the first defecation time),postoperative complications indicators (incision infection,pulmonary infection,intestinal obstruction,anastomotic leakage),and the hospitalization time and hospitalization cost were observed.Results (1) The recovery time of bowel sounds,the first exhaust time,the first defecation time were significantly earlier in the experimental group than in the control group (P＜0.05,P＜0.01).(2) Postoperative complications:The incision infection rate,pulmonary infection rate,intestinal obstruction rate were significantly lower in the experimental group than in the control group (P ＜0.05).The incidence rate of anastomosis fistula was not increased in the experimental group,as compared with the control group.(3) The hospitalization time was shorter in the experimental group than in the control group (P＜0.05).(4) The cost of hospitalization was less in the experimental group than in the control group (P＜0.05).Conclusion SRPM combined with enteral nutrition could effectively promote rapid recovery after colorectal cancer surgery,reduce the incidence of postoperative complications,shorten the hospitalization time,and reduce the cost of hospitalization.关键词
化瘀通腑法/肠内营养/快速康复/大肠癌Key words
stasis removing and purging method/enteral nutrition/fast track surgery/colorectal cancer引用本文复制引用
屈景辉,张琦,李广阔,李山晨,杨向东..化瘀通腑法联合肠内营养对大肠癌术后快速康复的影响[J].中国中西医结合杂志,2017,37(8):913-916,4.基金项目
四川省科技厅应用基础研究计划项目(No.2014JY0188) （No.2014JY0188）
成都市卫计委科学研究青年基金项目(No.2014011) （No.2014011）
