中药保留灌肠配合针灸促进直肠癌术后胃肠功能恢复的疗效观察

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目的:探讨中药保留灌肠配合针灸在促进直肠癌术后胃肠道功能恢复中的应用价值。方法:将50例直肠癌术后患者随机分成治疗组和对照组,每组25例,在常规采取禁食、胃肠减压、肠外营养支持、维持水电解质和酸碱平衡等治疗措施的基础上,治疗组给予中药高位保留灌肠及针灸治疗,对照组则给予生理盐水灌肠,比较两组胃肠功能恢复的时间。结果:治疗组在术后开始出现肠鸣音、肠鸣音恢复正常、第1次排气、第1次排便的时间均早于对照组,两组比较,差异有统计学意义(P<0.05);治疗组有效率为96.0%,对照组为76.0%,治疗组优于对照组(P<0.05)。结论:中药保留灌肠配合针灸对促进直肠癌术后胃肠功能恢复疗效显著,能有效减轻患者痛苦。 Objective: To investigate the value of traditional Chinese medicine retention enema with acupuncture in promoting gastrointestinal tract functional recovery after rectal cancer surgery. Methods: Fifty patients with postoperative rectal cancer were randomly divided into treatment group and control group, with 25 cases in each group. After routine treatment such as fasting, gastrointestinal decompression, parenteral nutrition support, water and electrolyte balance and acid-base balance Based on the treatment group was given high retention enema of Chinese medicine and acupuncture treatment, while the control group was given saline enema, gastrointestinal function recovery time was compared between the two groups. Results: The bowel sounds and bowel sounds returned to normal in the treatment group after the first extubation and the first defecation were both earlier than the control group. There was significant difference between the two groups (P <0.05 ). The effective rate of the treatment group was 96.0% and that of the control group was 76.0%. The treatment group was superior to the control group (P <0.05). Conclusion: The traditional Chinese medicine retention enema with acupuncture is effective in promoting gastrointestinal function recovery after rectal cancer surgery, which can effectively reduce the pain of patients.
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