化瘀通腑法联合肠内营养对大肠癌术后快速康复的影响

发布时间：2018-02-10 15:27

  本文关键词： 化瘀通腑法 肠内营养 快速康复 大肠癌　出处：《中国中西医结合杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的观察和评价化瘀通腑法联合肠内营养对大肠癌术后快速康复的影响。方法采用前瞻性、多中心、随机、对照的研究方法,将84例大肠癌患者随机分为试验组、对照组两组,每组42例,试验组术后24 h开始至术后第7天予化瘀通腑法(给予桃红四物汤合大承气汤)联合肠内营养治疗;对照组予单纯肠内营养治疗。观察两组患者术后肠功能恢复指标(肠鸣音恢复时间、首次排气时间、首次排便时间)、术后并发症指标(切口感染、肺部感染、肠梗阻、吻合口瘘)、住院时间及住院费用指标。结果 (1)术后肠鸣音恢复时间、术后首次排气时间、术后首次排便时间试验组较对照组明显提前(P0.05,P0.01)。(2)术后并发症:试验组患者的切口感染、肺部感染、肠梗阻发生率明显低于对照组(P0.05),试验组患者吻合口瘘发生率与对照组比较无增加(P0.05)。(3)住院时间试验组短于对照组(P0.05)。(4)住院费用两组间比较,试验组少于对照组(P0.05)。结论化瘀通腑法联合肠内营养可有效促进大肠癌术后快速康复,降低术后并发症发生率,缩短住院时间,降低住院费用。
[Abstract]:Objective to observe and evaluate the effect of Huayu Tongfu method combined with enteral nutrition on the rapid recovery of colorectal cancer after operation. Methods 84 patients with colorectal cancer were randomly divided into experimental group and control group. 42 cases in each group were treated with Taohong Siwu decoction and Dachengqi decoction combined with enteral nutrition from 24 hours after operation to 7 days after operation. The patients in the control group were treated with simple enteral nutrition. The indexes of intestinal function recovery (the recovery time of bowel sound, the time of first exhaust, the time of first defecation, the index of postoperative complications (incision infection, pulmonary infection, intestinal obstruction) were observed. Results 1) postoperative bowel sounds recovery time, postoperative first exhaust time, postoperative first defecation time, postoperative complications in the trial group were significantly earlier than those in the control group. The incidence of pulmonary infection and intestinal obstruction was significantly lower than that of the control group (P 0.05). The incidence of anastomotic leakage in the trial group was not increased compared with that in the control group. The hospitalization time of the trial group was shorter than that of the control group. Conclusion Huayu Tongfu method combined with enteral nutrition can effectively promote the rapid recovery of colorectal cancer, reduce the incidence of postoperative complications, shorten the hospital stay, and reduce the cost of hospitalization.
【作者单位】： 四川洲际胃肠肛门病医院/成都肛肠专科医院草金院区结直肠外科;成都中医药大学附属医院普外科;
【基金】：四川省科技厅应用基础研究计划项目(No.2014JY0188) 成都市卫计委科学研究青年基金项目(No.2014011)
【分类号】：R735.34
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本文编号：1500834