扶脾益肠汤联合快速康复外科理念在结直肠癌患者中的应用研究  

Application of Fupi Yichang Decoction(扶脾益肠汤)Combined with Fast-Track Surgery in Patients with Colorectal Cancer

作　　者：余绪超 徐晨[2] 邓思洋 葛巍[1] 肖慧荣[1] 李俊[1] YU Xuchao;XU Chen;DENG Siyang;GE Wei;XIAO Huirong;LI Jun(The Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330006,Jiangxi,China;The First Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi,China)

机构地区：[1]江西中医药大学附属医院,江西南昌330006 [2]南昌大学第一附属医院,江西南昌330006

出　　处：《中华中医药学刊》2023年第12期116-119,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82160870);江西省卫生健康委员会科技计划项目(SKJP220227451)。

摘　　要：目的探讨扶脾益肠汤联合快速康复外科理念在结直肠癌患者中的应用。方法纳入2018年2月—2020年11月结直肠癌术后患者80例为研究对象,随机分入两组,对照组(40例)予以快速康复外科理念进行干预;观察组(40例)予以扶脾益肠汤联合快速康复外科理念,持续干预4周。干预前后记录血清总蛋白(TP)、白蛋白(ALB)、转铁蛋白(TRF)及中医证候(气短懒言、面色微黄、食少纳差、倦怠嗜睡),比较两组患者的生活质量。结果与干预前比,两组患者干预后血清TP、ALB、TRF水平均升高,且观察组干预后血清TP、ALB、TRF水平均高于对照组,有统计意义(P<0.05)。与干预前比,两组患者干预后中医证候(气短懒言、面色微黄、食少纳差、倦怠嗜睡)均降低,且观察组干预后中医证候(气短懒言、面色微黄、食少纳差、倦怠嗜睡)均低于对照组,有统计意义(P<0.05)。对照组的总有效率80.00%(32/40)低于观察组的95.00%(38/40),有统计意义(P<0.05)。结论扶脾益肠汤联合快速康复外科理念可以进一步提高结直肠癌术后患者的营养状况,改善中医证候,提高生活质量。Objective To investigate the application of Fupi Yichang Decoction(扶脾益肠汤)combined with fast-track sur⁃gery in patients with colorectal cancer.Methods Eighty postoperative patients with colorectal cancer from February 2018 to No⁃vember 2020 were randomly divided into two groups.The control group(40 cases)was intervened with fast-track surgery and the observation group(40 cases)was treated with Fupi Yichang Decoction combined with fast-track surgery for 4 weeks.The serum levels of total protein(TP),albumin(ALB)and transferrin(TRF)and traditional Chinese medicine syndromes(shortness of breath,lazy speech,yellowish complexion,poor appetite,fatigue and sleepiness)were recorded before and after the interven⁃tion,and the quality of life of the two groups was compared.Results Compared with those before the intervention,the levels of ser⁃um TP,ALB and TRF in the two groups increased after the intervention,and the levels of serum TP,ALB and TRF in the observa⁃tion group were higher than those in the control group after the intervention,which were statistically significant(P<0.05).Com⁃pared with those before the intervention,the traditional Chinese medicine syndromes(shortness of breath,lazy speech,yellowish complexion,poor appetite,fatigue and sleepiness)of the two groups after the intervention were reduced,and the traditional Chi⁃nese medicine syndromes(shortness of breath,lazy speech,yellowish complexion,poor appetite,fatigue and sleepiness)of the ob⁃servation group after the intervention were lower than those of the control group,which were statistically significant(P<0.05).The total effective rate 80.00%(32/40)in the control group was lower than 95.00%(38/40)in the observation group,which was statistically significant(P<0.05).Conclusion Fupi Yichang Decoction combined with fast-track surgery can further im⁃prove the nutritional status,traditional Chinese medicine syndrome and the quality of life of postoperative patients with colorectal cancer.

关 键 词：扶脾益肠汤 快速康复外科理念 结直肠癌 营养状况 中医证候 

分 类 号：R247.9[医药卫生—中医临床基础]