中国医学创新2026，Vol.23Issue(19)：10-14,5.DOI:10.3969/j.issn.1674-4985.2026.19.003
大承气汤加减联合脐针对消化道早癌内镜术后患者的影响
Effects of Modified Dachengqi Decoction Combined with Umbilical Acupuncture in Patients with Early Gastrointestinal Cancer after Endoscopic Surgery
摘要
Abstract
Objective:To investigate the effects of modified Dachengqi Decoction combined with umbilical acupuncture on patients with early gastrointestinal cancer after endoscopic surgery.Method:A total of 80 patients with early gastrointestinal cancer who underwent endoscopic surgery at Jiujiang NO.1 People's Hospital from January 2024 to June 2025 were selected and randomly divided into control group(with conventional postoperative treatment)and observation group(with modified Dachengqi Decoction combined with umbilical acupuncture on the basis of the control group),with 40 cases in each group.The therapeutic effects,traditional Chinese medicine syndrome scores,anxiety(HAMA score),immune function indicators(CD3+,CD4+,CD8+and CD4+/CD8+),and gastrointestinal hormone levels[gastritis inhibitor polypeptide(GIP),gastrin(GAS),motilin(MTL)]of the two groups were compared.Result:Compared with the control group,the total effective rate of the observation group after 4 weeks of treatment was higher(P<0.05).After 4 weeks of treatment,the traditional Chinese medicine syndrome scores decreased significantly in both groups compared with those before treatment,with the observation group achieving superior reduction compared to the control group(P<0.05).After 2 and 4 weeks of treatment,the HAMA scores decreased significantly in both groups compared with those before treatment,and the scores of the observation group were lower than those of the control group(P<0.05).After 4 weeks of treatment,CD3+,CD4+and CD4+/CD8+in both groups increased compared with those before treatment,while CD8+decreased compared with those before treatment,moreover,the observation group were superior to the control group(P<0.05).After 4 weeks of treatment,the levels of GIP,GAS and MTL decreased significantly in both groups compared with those before treatment,but those in the observation group were higher than those in the control group(P<0.05).Conclusion:Modified Dachengqi Decoction combined with umbilical acupuncture can improve clinical efficacy,alleviate traditional Chinese medicine syndrome manifestations and anxiety,enhance immune function,regulate gastrointestinal hormone levels,and promote postoperative recovery in patients with early gastrointestinal cancer after endoscopic surgery.关键词
大承气汤加减/脐针/消化道早癌/中医证候积分/胃肠激素Key words
Modified Dachengqi Decoction/Umbilical acupuncture/Early gastrointestinal cancer/Traditional Chinese medicine syndrome score/Gastrointestinal hormones分类
医药卫生引用本文复制引用
伍沁芳,黄志铨,喻枝红,淦锦..大承气汤加减联合脐针对消化道早癌内镜术后患者的影响[J].中国医学创新,2026,23(19):10-14,5.基金项目
江西省中医药管理局科技计划项目(2024B1126) （2024B1126）
