优化中药保留灌肠技术治疗结直肠癌并发恶性肠梗阻的应用研究  

Application of optimized Chinese medicine retention enema in the treatment of colorectal cancer complicated with malignant intestinal obstruction

作　　者：程洁[1] 刘丽坤[1] 姚晓利 汪欣文[1] 郭婷婷 袁红[1] CHENG Jie;LIU Likun;YAO Xiaoli;WANG Xinwen;GUO Tingting;YUAN Hong(Department of Oncology,Shanxi Hospital of Traditional Chinese Medicine,Taiyuan,Shanxi 030001,China)

机构地区：[1]山西省中医院肿瘤科,太原030001

出　　处：《重庆医学》2023年第S02期20-23,共4页Chongqing medicine

基　　金：山西省中医药管理局科研项目(2019ZYYZ009)。

摘　　要：目的探讨优化的保留灌肠技术治疗结直肠癌并发恶性肠梗阻的应用效果。方法选取2020年1-12月该院肿瘤科住院的60例结直肠癌并发恶性肠梗阻患者为研究对象,分为试验组与对照组,每组30例。试验组进行优化保留灌肠技术灌肠,对照组进行常规中药保留灌肠,评价两组疗效。结果干预后两组症状评分较干预前明显好转,且试验组低于对照组(P<0.05)。试验组保留时间长于对照组[(4.99±3.91)h vs.(1.60±1.68)h,P<0.05]。干预后试验组SAS评分较对照组更高(P<0.05)。两组Karnofsky评分(KPS)比较,差异无统计学意义(P>0.05)。干预后试验组生理状况、情感状况、附加关注情况评分高于对照组(P<0.05)。结论优化中药保留灌肠能有效提高结直肠癌并发恶性肠梗阻的治疗效果。Objective To explore the application effect of optimized retention enema in the treatment of colorectal cancer complicated with malignant intestinal obstruction.Methods Sixty patients with colorectal cancer complicated with malignant intestinal obstruction admitted to the oncology department of our hospital from January to December 2020 were selected as the study objects and divided into the experimental group and the control group,with 30 cases in each group.The experimental group received optimized retention enema technology enema,while the control group received conventional Chinese medicine retention enema,evaluated the efficacy of the two groups.Results Symptom scores of the two groups were significantly improved after intervention,and the experimental group was lower than the control group(P<0.05).The retention time of the experimental group was longer than that of the control group[(4.99±3.91)h vs.(1.68±1.60)h,P<0.05].After intervention,SAS score of the experimental group was higher than that of control group(P<0.05).There was no significant difference in the Karnofsky score(KPS)between the two groups(P>0.05).After intervention,the scores of physiological status,emotional status and additional attention of the experimental group were higher than those of the control group(P<0.05).Conclusion Optimization of traditional Chinese medicine retention enema can effectively improve the treatment effect of colorectal cancer complicated with malignant intestinal obstruction.

关 键 词：结直肠癌 恶性肠梗阻 中药灌肠 临床护理 护理技术 

分 类 号：R735.34[医药卫生—肿瘤]