上海针灸杂志2024，Vol.43Issue(10)：1121-1127,7.DOI:10.13460/j.issn.1005-0957.2024.10.1121
隔姜灸联合益生菌对结直肠癌术后胃肠功能恢复的影响
Effect of ginger-insulated moxibustion combined with probiotics on the recovery of gastrointestinal function after colorectal cancer surgery
摘要
Abstract
Objective To observe the effect of ginger-insulated moxibustion combined with probiotics on the recovery of gastrointestinal function after colorectal cancer surgery.Method The patients after radical surgery for colorectal cancer were divided into four groups by the random number table method,a control group,a probiotic group,a ginger-insulated moxibustion group and a combination group,with 50 cases in each group.In the control group,routine care was taken before and after surgery;in the probiotic group,routine care was taken and probiotics were used for 3 consecutive days before surgery,and probiotics were used for 4 consecutive days from the first day after surgery;in the ginger-insulated moxibustion group,routine care was taken and ginger moxibustion was used for 3 consecutive days before surgery,and ginger moxibustion was given for 4 consecutive days from the first day after surgery;and in the combination group,probiotics were used together with ginger-insulated moxibustion for both pre-and post-operative interventions.The time of recovery of bowel sounds,time of first flatus,time of first defecation,time of first oral intake,time of first out-of-bed activity and the occurrence of gastrointestinal adverse reactions were compared among the four groups,and the changes of leukocyte,neutrophil and lymphocyte counts before and after the operation were observed in the four groups.Result The differences in the recovery time of bowel sounds,the time of first flatus and the time of first defecation among the 4 groups were statistically significant(P＜0.05).The recovery time of bowel sounds,the time of first flatus and the time of first defecation were shorter in the probiotic group,the ginger-insulated moxibustion group and the combination group than in the control group(P＜0.05).The recovery time of bowel sounds,the time of first flatus and the time of the first defecation in the combination group were shorter than those in the probiotic group and the ginger-insulated moxibustion group(P＜0.05).The difference in the time of the first postoperative oral intake of the four groups was not statistically significant(P＞0.05),and that of the combination group was shorter than that of the control group(P＜0.05).The difference in the time of the first postoperative out-of-bed activities of the four groups was not statistically significant(P＞0.05).The postoperative leukocyte and neutrophil counts in the combination group were lower than those in the remaining 3 groups(P＜0.05),and the lymphocyte counts were higher than those in the remaining 3 groups(P＜0.05).The incidence of postoperative abdominal distension and nausea in the combination group was significantly lower than that in the remaining 3 groups(P＜0.05),and the incidence of vomiting was significantly lower than that in the control group(P＜0.05).Conclusion Ginger-insulated moxibustion combined with probiotics can promote the recovery of gastrointestinal function after colorectal cancer surgery,inhibit the inflammatory response,and reduce the postoperative gastrointestinal adverse reactions.关键词
针灸疗法/间接灸/隔姜灸/术后并发症/结肠肿瘤/益生菌/胃肠功能Key words
Moxibustion/Indirect moxibustion/Ginger-partitioned moxibustion/Postoperative complications/Colonic Neoplasms/Probiotics/Gastrointestinal function分类
医药卫生引用本文复制引用
谭丹婷,庞永慧,左红群,潘意,罗善山,林小力,洪华..隔姜灸联合益生菌对结直肠癌术后胃肠功能恢复的影响[J].上海针灸杂志,2024,43(10):1121-1127,7.基金项目
广西中医药重点学科建设项目广西中医药管理局项目(GZXK-Z-20-18) （GZXK-Z-20-18）
广西中医药适宜技术开发与推广项目(GZSY20-19) （GZSY20-19）
广西壮族自治区中医药管理局立项课题(GXZYA20220264) （GXZYA20220264）
广西壮族自治区中医药管理局立项课题(GXZYE20230749) （GXZYE20230749）
