归芪芍丹汤结合便秘灸对宫颈癌患者术后疗效、胃肠功能、生活质量影响研究  被引量:1

Study of Guiqi Shaodan Decoction Combined with Constipation Moxibustion on Postoperative Efficacy, Gastrointestinal Function and Quality of Life for Cervical Cancer Patients

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作  者:王霞 王巧 傅饶 WANG Xia;WANG Qiao;FU Rao(Sichuan Provincial Cancer Hospital.Research Institute\Sichuan Provincial Cancer Prevention and Treatment Center\Department of Traditional Chinese Medicine,School of Medicine,University of Electronic Science and Technology,Chengdu Sichuan 610041,China;Sichuan Provincial Cancer Hospital.Research Institute\Sichuan Provincial Cancer Prevention and Treatment Center\Head and Neck Tumor Radiotherapy Department 1 Ward,School of Medicine,University of Electronic Science and Technology,Chengdu Sichuan 610041,China)

机构地区:[1]四川省肿瘤医院·研究所/四川省癌症防治中心/电子科技大学医学院肿瘤中医科,四川成都610041 [2]四川省肿瘤医院·研究所/四川省癌症防治中心/电子科技大学医学院头颈部肿瘤放疗科一病区,四川成都610041

出  处:《四川中医》2022年第7期159-163,共5页Journal of Sichuan of Traditional Chinese Medicine

基  金:四川省科技厅课题(项目编号:2018SZ0083)

摘  要:目的:探究归芪芍丹汤与便秘灸结合对宫颈癌患者术后疗效、胃肠功能、生活质量影响。方法:研究合计纳入201例宫颈癌患者,均由我院2019年12月~2021年2月收治,以随机数字表法将201例患者分成两组,对照组100例采用常规手术治疗,观察组患者(101例)采用手术+归芪芍丹汤与便秘灸结合治疗,比较两组患者疗效、治疗前后中医症状积分与术后疼痛评分(视觉模拟疼痛评分,VAS)、胃肠功能恢复指标(首次排气时间、肠鸣音恢复正常时间、首次排便时间及进食固体时间)、并发症情况、术后生活质量情况、患者满意情况。结果:较对照组(92.00%),观察组患者有效率(98.02%)更高,P<0.05;治疗前,两组患者中医症状总积分及VAS评分比较,P>0.05,治疗后各组患者中医症状总积分及VAS评分均改善,观察组患者治疗后中医症状总积分及VAS评分优于对照组,P<0.05;观察组患者胃肠功能恢复指标(首次排气时间、肠鸣音恢复正常时间、首次排便时间及进食固体时间)恢复时间均短于对照组,P<0.05;观察组并发症率(0.99%)低于对照组(7.00%),P<0.05;观察组患者术后生活质量情况优于对照组患者,P<0.05;观察组患者满意度情况评分优于对照组,P<0.05。结论:归芪芍丹汤与便秘灸结合可较好提升宫颈癌手术患者疗效,促进患者术后胃肠功能恢复,患者术后疼痛缓解,症状改善,并发症少,生活质量佳,患者十分满意,值得应用。Objective:To explore the effect of Guiqi Shaodan Decoction combined with constipation moxibustion on postoperative curative effect,gastrointestinal function and quality of life of patients with cervical cancer.Methods:Combined study included 201 patients with cervical cancer,from December 2019 to February 2021 were,in a random number table method will be incorporated in the 201 patients into two groups,given the controlled group routine surgical treatment,100 patients to the observatioin group(101 cases)patients with surgery plus to stilbene Guiqi Shaodan Decoction combined with constipation moxibustion treatment,compared the two groups of curative effect,TCM symptom score before and after the treatment,and patients with postoperative pain score(visual analog pain score,VAS),gastrointestinal function recovery indexes(time to first exhaust,time to normal bowel sounds,time to first defecate and time to eat solid),complications,postoperative quality of life,and patient satisfaction.Results:Compared with the controlled group(92.00%),the effective rate of the observation group(98.02%)was higher,P<0.05.Before treatment,the comparison of total TCM symptom score and VAS score between the two groups was P>0.05.After treatment,the total TCM symptom score and VAS score in each group were improved,and the total TCM symptom score and VAS score in the observation group were better than those in the controlled group after treatment,P<0.05.The recovery time of gastrointestinal function in the observation group was shorter than that in the controlled group(P<0.05),and the recovery time of gastrointestinal function in the observation group was shorter than that in the controlled group(P<0.05).The complication rate of the observation group(0.99%)was lower than that of the controlled group(7.00%),P<0.05.The quality of life of the observation group was better than the controlled group(P<0.05).The satisfaction score of the observation group was better than the controlled group(P<0.05).Conclusion:Guiqi Shaodan Decoction combined with c

关 键 词:宫颈癌 腹腔镜宫颈癌根治术 归芪芍丹汤 便秘灸 疗效 生活质量 

分 类 号:R273[医药卫生—中西医结合]

 

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