基于ERAS理念下中医康复技术在原发性肝癌术后康复的应用  

Application of Traditional Chinese Medicine Rehabilitation Technology in Postoperative Rehabilitation of Primary Liver Cancer Based on ERAS Concept

作　　者：韦业[1] 陈广辉[1] 温志浩[1] 李敏朋[1] 俞渊[1] 李洁华[1] 樊昌婷 王永鑫 

机构地区：[1]广西中医药大学第一附属医院,广西南宁530023

出　　处：《大众科技》2020年第10期49-51,67,共4页Popular Science & Technology

基　　金：广西高校中青年教师科研基础能力提升项目(2020KY07013);广西中医药大学青年基金项目(2019QN016);广西中医药大学第一附属医院青年基金项目(2019QN0020)。

摘　　要：目的:探讨基于加速康复外科(ERAS)理念指导下中医康复技术在原发性肝癌术后康复的作用。方法:选取2018年11月至2019年11月广西中医药大学第一附属医院收治的原发性肝癌切除术后患者30例,将患者随机分为观察组和对照组(各15)例:观察组采用ERAS理念指导下的中医康复技术管理,对照组采用ERAS术后管理。分析比较两组术前资料和术后疼痛VAS评分、术后第1、7天肝功能恢复情况、第一次排气及排便时间和术后并发症等指标。结果:观察组与对照组术前数据比较,差异无统计学意义(P>0.05);观察组在术后疼痛VAS评分、肝功能恢复情况和第一次排气及排便时间等值均低于对照组,两组比较有统计学差异(P<0.05);两组并发症对比无统计学差异。结论:在ERAS术后管理中联合应用中医康复技术可以加速原发性肝癌患者术后的康复进程,明显的改善患者术后疼痛,并对肝功能及术口的恢复起到良好地促进作用,值得临床推广。Objective:To explore the role of traditional Chinese medicine rehabilitation technology on postoperative rehabilitation of primary liver cancer based on ERAS.Methods:30 patients with primary liver cancer after resection from November 2018 to November 2019 were selected and randomly divided into an observation group and a control group(15 cases in each group).The observation group was managed by Chinese medicine rehabilitation technology under the guidance of ERAS concept.The control group was managed by ERAS after operation.The preoperative data and postoperative pain VAS scores,liver function recovery on the 1st and 7th postoperative days,the time of first exhaustion and defecation,and postoperative complications were analyzed and compared between the two groups.Results:Compared with the preoperative data of the observation group and the control group,the difference was not statistically significant(P>0.05);the postoperative pain VAS score,liver function recovery,and the time of first exhaustion and defecation in the observation group were lower than those in the control group,there was a statistical difference between the two groups(P<0.05);there was no statistical difference in the comparison of complications between the two groups.Conclusion:The combined application of Chinese medicine rehabilitation technology in ERAS postoperative management can accelerate the postoperative recovery process of patients with primary liver cancer,significantly improve the postoperative pain of the patients,and play a good role in promoting liver function and recovery of the surgical port,which is worthy of clinical promotion.

关 键 词：加速康复外科 中医康复 原发性肝癌 

分 类 号：R735[医药卫生—肿瘤] R473[医药卫生—临床医学]