自拟清腹通排汤联合中西医结合护理对胃癌术后胃肠道功能影响  

Effect of Self-made Qingfu Tongpai Decoction Combined with Integrated Traditional Chinese and Western Medicine on Gastrointestinal Function after Gastric Cancer Operation

作　　者：李英芝[1] 杜君[1] LI Yingzhi;DU Jun(Shengli Oilfield Central Hospital,Dongying 257034,Shandong,China)

机构地区：[1]胜利油田中心医院,山东东营257034

出　　处：《辽宁中医药大学学报》2019年第5期204-207,共4页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:探讨胃癌患者术后给予自拟清腹通排汤联合中西医结合护理对胃肠道功能的影响。方法:将2016年3月—2018年3月收治的80例胃癌术后患者借助简单随机化方法分为常规组与试验组,各包含40例对象。常规组术后给予常规西医治疗和西医护理,试验组术后给予常规组方案配合自拟清腹通排汤和中医护理,对比术后首次排气时间、首次排便时间、胃管拔除时间、进食时间,干预期间腹胀发生率及发生程度,两组胃肠道功能改善效果,胃肠道功能恢复相关的并发症情况。结果:试验组术后首次排气时间、首次排便时间、胃管拔除时间及进食时间均短于常规组(P<0.05);两组干预期间腹胀发生程度分布差异显著(P<0.05),且试验组腹胀发生率明显低于常规组(P<0.05);两组干预后营养状态变化分布差异显著(P<0.05),且试验组恶化率明显低于常规组(P<0.05);试验组胃肠道功能恢复不良事件发生率明显低于常规组(P<0.05)。结论:对胃癌患者术后给予自拟清腹通排汤联合中西医结合护理能够加快胃肠道功能恢复,降低腹胀发生率并减轻腹胀程度,改善营养状态,减少胃肠道功能恢复不良事件。Objective:To explore the effect of self-made Qingfu Tongpai Decoction combined with integrated traditional Chinese and Western medicine on gastrointestinal function after gastric cancer operation. Methods:80 cases of postoperative gastric cancer treated in our hospital from March 2016 to March 2018 were divided into two groups by simple randomization. Each includes 40 objects. The routine group was given routine Western medicine and Western medicine nursing after operation,while the experimental group was given self-made Qingfu Tongpai Decoction and traditional Chinese medicine nursing based on the routine group after operation. The first exhaust time,first defecation time,gastric tube extubation time,eating time,the incidences and degree of abdominal distension during intervention,the improvement of gastrointestinal function,gastrointestinal function recovery-related complications were compared. Results:The first exhaust time,first defecation time,gastric tube extubation time,eating time of the experimental group were shorter than those of the routine group(P<0.05). The degree of abdominal distention was significantly different between the two groups(P<0.05),and the incidence of abdominal distention in the experimental group was significantly lower than that in the routine group(P<0.05). There was a significant difference in the distribution of nutritional status between the two groups(P<0.05),and the deterioration rate of the experimental group was significantly higher than that of the conventional group(P<0.05). The incidence of adverse gastrointestinal function recovery in the experimental group was significantly lower than that in the conventional group(P<0.05). Conclusion:Self-made Qingfu Tongpai Decoction combined with integrated traditional Chinese and Western medicine on gastrointestinal function after gastric cancer operation can accelerate the recovery of gastrointestinal function,reduce the incidence of abdominal distention and reduce the degree of abdominal distention,improve nutritional status,and r

关 键 词：自拟清腹通排汤 中西医结合护理 胃癌 胃肠道功能 

分 类 号：R735.2[医药卫生—肿瘤]