平衡火罐联合艾灸治疗脾胃虚寒型胃癌术后胃肠功能障碍临床研究  

Clinical Study on Balance Cupping Combined with Moxibustion for Gastrointestinal Dysfunction after Operation for Gastric Cancer of Spleen-stomach Deficiency and Cold Type

作　　者：梁海红[1] 边雪梅[1] 王城磊 沈晓娣 孙青 常玉茹 LIANG Haihong;BIAN Xuemei;WANG Chenglei;SHEN Xiaodi;SUN Qing;CHANG Yuru

机构地区：[1]浙江省中医院

出　　处：《新中医》2020年第1期156-158,共3页New Chinese Medicine

基　　金：浙江中医药科技计划项目（2017ZA052）

摘　　要：目的:观察平衡火罐联合艾灸治疗脾胃虚寒型胃癌术后患者胃肠功能障碍的临床疗效。方法:将64例脾胃虚寒型胃癌患者按随机数字表法分为观察组和对照组各32例。对照组有2例因术后不愿意配合下床活动而退出,观察组有1例因术后转入ICU而退出。对照组常规围手术期护理加艾灸足三里穴位疗法,观察组在对照组基础上加平衡火罐疗法。观察2组患者术后肠鸣音恢复、首次肛门排气、首次排便、首次进食时间以及腹胀、腹痛、恶心呕吐症状。结果:观察组肠鸣音、肛门排气排便出现时间以及进食时间均短于对照组,差异均有统计学意义(P<0.05)。观察组腹痛、腹胀、恶心评分均低于对照组,差异均有统计学意义(P<0.05)。结论:平衡火罐联合艾灸可有效促进脾胃虚寒型胃癌术后肠蠕动的恢复。Objective: To observe the clinical effect of balance cupping combined with moxibustion for gastrointestinal dysfunction after operation for gastric cancer of spleen-stomach deficiency and cold type. Methods: Divided 64 cases of patients with gastric cancer of spleen-stomach deficiency and cold type into the observation group and the control group randomly, 32 cases in each group. Two cases in the control group withdrew due to their unwilling cooperation in off-bad activities,and one case in the observation group withdrew after being transmitted into ICU after operation. The control group received the routine perioperative nursing and moxibustion at Zusanli point,while the observation group additionally received balance cupping therapy. Observed the time of borborygmi recovery,first anal exsufflation,first defecation and first diet and symptom scores of abdominal distention,abdominal pain,nausea and vomiting in both groups after operation. Results:The appearance time of borborygmi,anal exsufflation and defecation and the time of diet in the observation group were shorter than those in the control group,differences being significant(P < 0.05). The scores of abdominal pain,abdominal distention and nausea in the observation group were lower than those in the control group, differences being significant(P < 0.05).Conclusion:Balance cupping combined with moxibustion can effectively promote the recovery of intestinal peristalsis after operation for gastric cancer of spleen-stomach deficiency and cold type.

关 键 词：胃癌术后 胃肠功能障碍 脾胃虚寒型 平衡火罐 艾灸 症状评分 

分 类 号：R735.2[医药卫生—肿瘤] R619.9[医药卫生—临床医学]