本文關(guān)鍵詞： 化瘀通腑法 腸內(nèi)營養(yǎng) 快速康復(fù) 大腸癌　出處：《中國中西醫(yī)結(jié)合雜志》2017年08期 　論文類型：期刊論文

【摘要】：目的觀察和評(píng)價(jià)化瘀通腑法聯(lián)合腸內(nèi)營養(yǎng)對(duì)大腸癌術(shù)后快速康復(fù)的影響。方法采用前瞻性、多中心、隨機(jī)、對(duì)照的研究方法,將84例大腸癌患者隨機(jī)分為試驗(yàn)組、對(duì)照組兩組,每組42例,試驗(yàn)組術(shù)后24 h開始至術(shù)后第7天予化瘀通腑法(給予桃紅四物湯合大承氣湯)聯(lián)合腸內(nèi)營養(yǎng)治療;對(duì)照組予單純腸內(nèi)營養(yǎng)治療。觀察兩組患者術(shù)后腸功能恢復(fù)指標(biāo)(腸鳴音恢復(fù)時(shí)間、首次排氣時(shí)間、首次排便時(shí)間)、術(shù)后并發(fā)癥指標(biāo)(切口感染、肺部感染、腸梗阻、吻合口瘺)、住院時(shí)間及住院費(fèi)用指標(biāo)。結(jié)果 (1)術(shù)后腸鳴音恢復(fù)時(shí)間、術(shù)后首次排氣時(shí)間、術(shù)后首次排便時(shí)間試驗(yàn)組較對(duì)照組明顯提前(P0.05,P0.01)。(2)術(shù)后并發(fā)癥:試驗(yàn)組患者的切口感染、肺部感染、腸梗阻發(fā)生率明顯低于對(duì)照組(P0.05),試驗(yàn)組患者吻合口瘺發(fā)生率與對(duì)照組比較無增加(P0.05)。(3)住院時(shí)間試驗(yàn)組短于對(duì)照組(P0.05)。(4)住院費(fèi)用兩組間比較,試驗(yàn)組少于對(duì)照組(P0.05)。結(jié)論化瘀通腑法聯(lián)合腸內(nèi)營養(yǎng)可有效促進(jìn)大腸癌術(shù)后快速康復(fù),降低術(shù)后并發(fā)癥發(fā)生率,縮短住院時(shí)間,降低住院費(fèi)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.
【作者單位】： 四川洲際胃腸肛門病醫(yī)院/成都肛腸�？漆t(yī)院草金院區(qū)結(jié)直腸外科;成都中醫(yī)藥大學(xué)附屬醫(yī)院普外科;
【基金】：四川省科技廳應(yīng)用基礎(chǔ)研究計(jì)劃項(xiàng)目(No.2014JY0188) 成都市衛(wèi)計(jì)委科學(xué)研究青年基金項(xiàng)目(No.2014011)
【分類號(hào)】：R735.34
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本文編號(hào)：1500834