针药结合恢复胃癌术后患者胃肠功能的研究  

Clinical study on acupuncture combined with medication in restoration of gastrointestinal functions for postoperative patients with gastric cancer

作　　者：尹双红[1] 杜业勤[2] 刘犇[1] 

机构地区：[1]新疆医科大学研究生学院,乌鲁木齐830054 [2]新疆医科大学附属肿瘤医院中西医结合科

出　　处：《中国针灸》2009年第6期459-462,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察针药结合恢复胃癌术后患者胃肠功能的临床疗效。方法:将做胃癌根治性手术后的90例患者按手术先后顺序随机分成常规组、中药组、针药组3组,每组30例。常规组给予术后常规处理;中药组给予术后常规处理和营养管推入四磨汤口服液;针药组在中药组治疗的基础上给予温针灸治疗。术后10天评价疗效。结果:针药组肠功能恢复时间较常规组和中药组明显缩短(P<0.05)。针药组在纳差、排便困难等临床症状改善方面优于常规组和中药组(P<0.01, P<0.05)。针药组术后10天淋巴细胞数、淋巴细胞和中性粒细胞的百分比分布正常者例数多于常规组和中药组(P<0.05,P<0.01)。结论:针药组具有促进术后患者早排气排便、改善临床症状和良性调节外周白细胞的作用。Objective To observe clinical therapeutic effects of acupuncture combined with medication in restoration of gastrointestinal functions for postoperative patients with gastric cancer. Methods Ninety patients undergoing radical surgeries for gastric cancer were randomly, according to the sequence of their operations, divided into three groups： a control group treated conventionally after their surgeries （group CONT, 30 cases）, a Chinese medicine group treated by Simo Decoction administered by way of a nutrient canal in addition to the conventional treatment （group CM, 30 cases）, and an acupuncture plus Chinese medicine group treated by warming needling in addition to those given in the Chinese medicine group （group ACUP＋CM, 30 cases）. Therapeutic effects were estimated 10 days after their operations. Results The time for restoration of gastrointestinal functions was obviously shortened, and the problems of poor appetite and difficulty in defecation were more markedly improved in group ACUPq-CM than those in both group CONT and group CM （P〈0. 01,P〈0.05）. Ten days after operations, the number of patients with normal lymphocytes and normal percentage rate of lymphocytes to neutrophile granulocytes was obviously more in group ACUP＋CM than those in both group CONT and group CM （P〈0. 01,P〈0.05）. Conclusion Acupuncture combined with Chinese medicine is favorable in accelerating early air exhaustion and defecation, improving clinical symptoms, as well as in bi-directional regulating peripheral white blood cells.

关 键 词：胃肿瘤 手术后期间 针药并用 温针疗法 四磨汤 

分 类 号：R246.2[医药卫生—针灸推拿学]