天津中医药2024，Vol.41Issue(5)：622-627,6.DOI:10.11656/j.issn.1672-1519.2024.05.14
中药穴位热熨敷的不同推熨频率对促进结肠癌根治术后患者胃肠功能恢复的影响
Effects of different frequencies of traditional Chinese medicine acupoint hot compress on promoting the recovery of gastrointestinal function in patients after radical surgery for colon cancer
摘要
Abstract
[Objective]To observe the effects of different frequencies of traditional Chinese medicine(TCM)hot compress on promoting the recovery of gastrointestinal function in patients after radical surgery for colon cancer.[Methods]A total of 108 patients after laparoscopic radical resection of colon cancer who were hospitalized in the Second Surgery Department of the First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2020 to March 2023 were randomly divided into test group A,test group B and control group,each with 36 cases.The control group was treated with routine nursing,and the test group was treated with TCM hot compress intervention under the guidance of the theory of meridian flow on the basis of routine nursing.The frequency of test group A was 90-95 times/min,and the frequency of test group B was 115 to 120 times/min,twice a day from the first day after operation,until anal exhaust and defecation.The recovery of gastrointestinal function,the length of hospital time,the change of the TCM symptomatology scores,and the occurrence of adverse reactions were observed in the three groups,and the clinical efficacy of the three groups was evaluated.[Results]After the intervention,the postoperative bowel sound recovery time and the time of the first anal exhaust were significantly shorter in test group B than in test group A and the control group(P＜0.05),and the time of the first defecation and postoperative hospital time were significantly shorter in test group B than in the control group(P＜0.01 or P＜0.05).The between-group effect,the time effect,and the interaction effect of the TCM symptomatology scores of the patients in the three groups were all significant(P＜0.05).The TCM symptomatology scores of the three groups demonstrated a consistent decline over time.After 72 hours of surgery,the TCM symptomatology scores of the test group B were lower than those of the test group A and the control group,and the test group A was lower than that of the control group(P＜0.05).The total effectiveness of the clinical treatments of the test group A and the test group B were significantly better than that of the control group(P＜0.05).[Conclusion]TCM hot compress can effectively promote the recovery of gastrointestinal function in patients after radical surgery for colon cancer.The overall therapeutic effect is more significant when the frequency of hot compress is 115 to 120 times/min.关键词
频率/中药热熨敷/结肠癌/胃肠功能Key words
different frequencies/traditional Chinese medicine hot compress/colon cancer/gastrointestinal function分类
医药卫生引用本文复制引用
樊奕丹,王珍妮,全小明,林雪梅,符梅华,李楠,周坚..中药穴位热熨敷的不同推熨频率对促进结肠癌根治术后患者胃肠功能恢复的影响[J].天津中医药,2024,41(5):622-627,6.基金项目
广州市科技局市校(院)联合资助(登峰医院)基础研究项目(202201020572) （院）
广东省中医药局传承发展中医药事业专项资金项目(20182035). （20182035）
