宣肺利气法针刺联合经空肠营养管中药泵入在腹腔镜胰十二指肠切除术加速康复外科中的应用  

Application of Xuanfei Liqi Acupuncture Combined with Traditional Chinese Medicine Pumping Through Jejunal Nutrition Tube in Enhanced Recovery after Surgery of Laparoscopic Pancreaticoduodenectomy

作　　者：惠鹏 焦振东 金上博 HUI Peng;JIAO Zhen-dong;JIN Shang-bo(Baoji People’s Hospital,Baoji 721000 Shanxi,China)

机构地区：[1]宝鸡市人民医院,陕西宝鸡721000

出　　处：《中医肿瘤学杂志》2024年第1期31-36,共6页Journal of Oncology in Chinese Medicine

基　　金：陕西省中医药管理局中医药科研能力提升项目(编号:SZY-NLTL-2022-31)。

摘　　要：目的宣肺利气法针刺联合经空肠营养管中药泵入在腹腔镜胰十二指肠切除术加速康复外科中的应用。方法回顾性分析宝鸡市人民医院肝胆外科2018年12月至2022年12月完全腹腔镜下胰十二指肠切除术62例,其中32例围手术期应用加速康复外科策略,并应用宣肺利气法针刺联合经空肠营养管中药泵入治疗,对照组30例使用加速康复外科策略。比较两组患者术后住院天数,术后并发症发生率,治疗总费用,术后肛门首次排气时间,术后下床活动时间,术后24小时应激与炎性反应指标。结果两组均成功完成LPD,两组一般资料差异无统计学意义(P>0.05),观察组在术后住院天数,术后并发症发生率,治疗总费用,术后肛门首次排气时间,术后下床活动时间,术后应激与炎性反应指标均明显优于对照组(P<0.05),其手术时间及术中出血量无差异(P>0.05)。结论宣肺利气法针刺联合经空肠营养管中药泵入可明显促进腹腔镜胰十二指肠切除术后患者恢复。Objective To investigate the application of Xuanfei Liqi acupuncture combined with traditional Chinese medicine(TCM)pumping through jejunal nutrition tube in enhanced recovery after surgery of laparoscopic pancreaticoduodenectomy(LPD).Methods Retrospective analysis was made on 62 patients with complete LPD in hepatobiliary surgery department of Baoji People’s Hospital from December 2018 to December 2022.32 patients were treated with accelerated rehabilitation surgery strategy and Xuanfei Liqi acupuncture combined with the pumping of TCM through the jejunal nutrition tube in the perioperative period.The control group of 30 patients were treated with accelerated rehabilitation surgery strategy.Postoperative hospitalization days,postoperative complication rate,total treatment cost,first postoperative anal exhaust time,time of postoperative out-of-bed activity,stress and inflammatory response indicators within 24 hours after surgery between two groups were compared.Results Both groups successfully completed LPD,and there was no statistically significant difference in general data between the two groups(P>0.05).Postoperative hospitalization days,postoperative complication rate,total treatment cost,time of first anal exhaust after surgery,time of postoperative out-of-bed activity,postoperative stress and inflammatory response indicators of the observation group were obviously superior to the control group(P<0.05),and there was no significant difference in surgical time and intraoperative bleeding volume(P>0.05).Conclusion The combination of Xuanfei Liqi acupuncture and TCM pumping through jejunal nutrition tube can significantly promote the recovery of patients after LPD.

关 键 词：加速康复外科 腹腔镜胰十二指肠切除术 应激与炎性反应 术后并发症 

分 类 号：R735.9[医药卫生—肿瘤] R730.52[医药卫生—临床医学] R245R273