吴茱萸穴位贴敷促进胃肠道恶性肿瘤术后胃肠功能恢复的临床研究

发布时间：2018-05-31 07:55

本文选题：吴茱萸 + 穴位贴敷　；参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:本研究旨在研究吴茱萸贴敷足三里、内关穴对胃肠道恶性肿瘤术后胃肠功能恢复的疗效,为胃肠外科临床应用及推广吴茱萸穴位贴敷促进胃肠道恶性肿瘤术后胃肠功能恢复提供依据,为临床上针对术后胃肠功能恢复提供一种操作简便、廉价且疗效确切的中医外治法,探索中医药在外科术后康复方面的应用。方法:本研究采用随机对照,将2015年3月至2017年2月入住我院二外科行胃肠道恶性肿瘤手术且中医表现为气滞血瘀、脾胃虚寒症者为研究对象,通过随机分配的方法将纳入对象分为治疗组和对照组。治疗组术后给予西医基础治疗及吴茱萸贴敷足三里、内关穴治疗;对照组术后仅给予西医基础治疗。西医基础治疗包括外科术后常规护理、术后禁食禁饮、胃肠减压、抗生素预防感染、补液维持水电解质酸碱平衡及肠外营养支持。自患者术后麻醉清醒后观察两组患者术后首次排气、排便时间、给予全流时间及并发症发生情况,收集临床数据,整理资料,最后进行统计学分析得出结论。结果:1.对比两组患者治疗前的基线资料(包括性别、年龄、病种、手术方式、术中出血量及手术时间),差异并无统计学意义(P0.05),即两组基线水平无明显差异,两组资料具备可比性;2.对比两组观察指标,经统计学检验,治疗组术后首次排气、排便时间及全流时间较对照组更短,治疗组疗效优于对照组。3.经对比两组患者术后并发症发生情况,得出治疗组治疗方法并不会增加患者术后并发症发生率,治疗组治疗方法安全性较高。4.经统计学分析最后得出结论,治疗组对促进胃肠道恶性肿瘤术后胃肠功能恢复的疗效优于对照组,并具有较高安全性,该研究在临床有应用价值。结论:使用吴茱萸贴敷足三里、内关穴能促进胃肠道恶性肿瘤术后胃肠功能的早日恢复,有助于中医药在外科术后康复方面的应用。
[Abstract]:Objective: to study the effect of Evodia rutaecarpa applied on Zusanli and Neiguan points on gastrointestinal function recovery after operation of gastrointestinal malignant tumor. To provide a basis for the clinical application of gastroenteric surgery and to promote the recovery of gastrointestinal function after operation of gastrointestinal malignant tumor, and to provide a simple and convenient operation for the recovery of gastrointestinal function after operation. To explore the application of traditional Chinese medicine in postoperative rehabilitation. Methods: in this study, randomized control was used to study the patients who were admitted to our hospital from March 2015 to February 2017 to perform gastrointestinal cancer surgery with Qi stagnation and blood stasis and deficiency of spleen and stomach with cold syndrome in traditional Chinese medicine. The subjects were randomly divided into treatment group and control group. The treatment group was treated with basic western medicine and Evodia rutaecarpa with Zusanli and Neiguan points, while the control group was only treated with western medicine. The basic treatment of western medicine includes routine nursing after surgery, fasting and drinking, gastrointestinal decompression, antibiotic prevention of infection, rehydration to maintain water electrolyte acid-base balance and parenteral nutrition support. The first time of exhaust, defecation, the time of total flow and the occurrence of complications were observed. The clinical data were collected and the data were sorted out. Finally, the conclusion was obtained by statistical analysis. The result is 1: 1. The baseline data (including sex, age, disease, operative method, intraoperative bleeding volume and operation time) of the two groups before treatment were compared. The difference was not statistically significant (P 0.05), that is, there was no significant difference in baseline level between the two groups, and the data of the two groups were comparable. Compared with the two groups, after statistical test, the treatment group after the first exhaust, defecation time and total flow time is shorter than the control group, the treatment group is better than the control group. 3. By comparing the incidence of postoperative complications between the two groups, it was concluded that the treatment group did not increase the incidence of postoperative complications, and the safety of the treatment group was higher than that of the control group. 4. It was concluded by statistical analysis that the curative effect of the treatment group was superior to that of the control group in promoting the recovery of gastrointestinal function after operation of gastrointestinal malignant tumor. Conclusion: the application of Evodia rutaecarpa to Zusanli can promote the early recovery of gastrointestinal function after operation of gastrointestinal malignant tumor and is helpful to the application of traditional Chinese medicine in postoperative rehabilitation.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R735

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