中西医结合治疗胃癌术后残胃排空障碍的临床疗效观察  

Clinical effect of Chinese and western medicine in the treatment of gastric emptying disorder after gastric cancer surgery

作　　者：金维[1] 杨斐[2] 李水芹[1] Jin Wei;Yang Fei;Li Shuiqin(Department of General Surgery,the Affiliated Hospital of Chengdu University of TCM,Chengdu Sichuan 610072,China)

机构地区：[1]成都中医药大学附属医院普外科,四川省成都610072 [2]成都中医药大学附属医院骨科,四川省成都610072

出　　处：《中国基层医药》2018年第15期1912-1914,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 观察中西医结合治疗胃癌术后残胃排空障碍的临床疗效.方法 将成都中医药大学附属医院2010年3月至2015年3月胃癌术后残胃排空障碍的患者128例采用随机数字表法分为观察组（64例）和对照组（64例）,观察组选用针刺双侧内关、合谷、足三里、上巨虚联合西医常规治疗,对照组选用西医常规治疗,比较两组胃功能恢复时间和治疗总有效率.结果 观察组胃功能恢复时间为（14.12 ±1.36） d,对照组胃功能恢复时间为（20.56 ±2.10）d,观察组较对照组胃功能恢复时间显著缩短（P＜0.05）;观察组临床总有效率（87.50%）显著高于对照组（68.75%）,差异有统计学意义（P＜0.05）.结论 中西医结合治疗胃癌术后残胃排空障碍疗效显著.Objective To observe the curative effect of traditional Chinese and western medicine in the treatment of functional delayed gastric emptying after major gastrectomy.Methods From March 2010 to March 2015, a total of 128 cases with gastric dissection of functional delayed gastric emptying after major gastrectomy in the Affiliated Hospital of Chengdu University of TCM were divided into control group （ n＝64） and observation group （ n ＝64） based on a random number table.The control group was given western medicine,the observation group was given traditional Chinese medicine combined with Western medicine.The clinical efficacy,gastric function recovery time of the two groups were compared.Results The gastric function recovery time in the observation group was （14.12 ±1.36）d, which was significantly shorter than （20.56 ±2.10）d in the control group,and the difference was statistically significant （P＜0.05）.The total effective rate of the observation group （87.50%） was significantly higher than that of the control group （68.75%）,and the difference was statistically significant （ P＜0.05）.Conclusion Comprehensive therapy combined with western and Chinese medicine in the treatment of functional delayed gastric emptying after major gastrectomy has significant clinical effect ,which is worthy of further application.

关 键 词：医学 中国传统 胃癌 胃切除术后综合征 

分 类 号：R735.2[医药卫生—肿瘤]