吴茱萸炒粗盐腹部外敷改善膀胱癌根治术后胃肠功能的价值  

Abdominal external application of evodia fried with coarse salt for improvement of gastrointestinal function after radical cystectomy for bladder cancer

作　　者：唐超 邓旭[2] TANG Chao;DENG Xu(Department of Traditional Chinese Medicine,Hunan University of Traditional Chinese Medicine,Changsha 410208,China;Department of Urologic Surgery,The First Hospital Affiliated to Hunan Fachhochschule of Traditional Chinese Medicine,Zhuzhou 412000,China)

机构地区：[1]湖南中医药大学中医系,长沙410208 [2]湖南中医药高等专科学校附属第一医院泌尿外科,株洲412000

出　　处：《中国肿瘤临床与康复》2021年第6期723-726,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨吴茱萸炒粗盐腹部外敷改善膀胱癌根治术后胃肠功能的价值。方法选取2018年10月至2020年10月间湖南中医药高等专科学校附属第一医院收治的实施膀胱癌根治术的66例患者,按就诊顺序生成随机号码,随机分为观察组和对照组,每组33例。对照组患者采用常规药物治疗,观察组患者在此基础上采用吴茱萸炒粗盐腹部外敷治疗,比较两组患者治疗前后中医症状积分、胃肠功能指标及胃肠功能恢复时间。结果观察组患者治疗后腹痛、腹胀及恶心呕吐等症状积分均低于对照组,差异均有统计学意义(均P<0.05)。观察组患者治疗后胃动素水平高于对照组,血管活性肠肽水平低于对照组,差异均有统计学意义(均P<0.05)。观察组患者术后恢复肠蠕动时间、第一次排气时间及第一次排便时间均短于对照组,差异均有统计学意义(均P<0.05)。结论实施膀胱癌根治术后,采用吴茱萸炒粗盐腹部外敷,可改善患者胃肠道症状,缩短胃肠功能恢复时间,具有临床推广价值。Objective To explore the efficacy of abdominal external application of evodia fried with coarse salt for improvement of gastrointestinal function after radical cystectomy for bladder cancer. Methods From October 2018 to October 2020,66 patients undergoing radical cystectomy for bladder cancer surgery were selected at The First Hospital Affiliated to Hunan Fachhochschule of Traditional Chinese Medicine.The patients were classified into an observation group and a control group according to the sequence of visit.The observation group was treated with external application of evodia fried with coarse salt on the abdomen and the control group was treated with conventional western medicine. and the. The scores of TCM symptoms,gastrointestinal function indexes and gastrointestinal function recovery time were compared between the two groups before and after treatment. Results The scores of abdominal pain,abdominal distension and nausea and vomiting were significantly lower in the observation group than in the control group( all P <0. 05).( 0. 97 ± 0. 18) points and( 0. 86 ± 0. 23) points,the difference was statistically significant( all P<0.05). The motilin level was significantly higher in the observation group than in the control group after treatment and the level of vasoactive intestinal peptide was significantly lower in the observation group than in the control group( all P<0.05). The time to intestinal peristalsis recovery after the operation,time to postoperative anus exhaust,and time to defecation after the operation were significantly shorter in the observation group than in the control( all P<0.05). Conclusion After the radical cystectomy for bladder cancer,abdominal external application of evodia fried with coarse salt can significantly improve the gastrointestinal symptoms and restore the gastrointestinal function in a shorter period of time,which worthy of clinical promotion.

关 键 词：吴茱萸 粗盐 腹部外敷 膀胱癌根治术 胃肠功能 

分 类 号：R737.14[医药卫生—肿瘤]