中药穴位热熨敷的不同推熨频率对促进结肠癌根治术后患者胃肠功能恢复的影响  

Effects of different frequencies of traditional Chinese medicine acupoint hot compress on promoting the recovery of gastrointestinal function in patients after radical surgery for colon cancer

作　　者：樊奕丹 王珍妮 全小明[3] 林雪梅[4] 符梅华[5] 李楠[6] 周坚[7] FAN Yidan;WANG Zhenni;QUAN Xiaoming;LIN Xuemei;FU Meihua;LI Nan;ZHOU Jian(First Clinical Medical College,Guangzhou University of Chinese Medicine,Guangzhou 510000,China;Department of Rehabilitation Medicine,Wuhan First Hospital,Wuhan 430000,China;Department of Nursing,First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510000,China;Emergency Center,First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510000,China;Department of Gastrointestinal Surgery,First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510000,China;Department of Otolaryngology-Head and Neck Surgery,First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510000,China;Department of Breast,First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510000,China)

机构地区：[1]广州中医药大学第一临床医学院,广州510000 [2]武汉第一医院康复医学科,武汉430000 [3]广州中医药大学第一附属医院护理部,广州510000 [4]广州中医药大学第一附属医院急诊中心,广州510000 [5]广州中医药大学第一附属医院胃肠外科,广州510000 [6]广州中医药大学第一附属医院耳鼻咽喉头颈外科,广州510000 [7]广州中医药大学第一附属医院乳腺科,广州510000

出　　处：《天津中医药》2024年第5期622-627,共6页Tianjin Journal of Traditional Chinese Medicine

基　　金：广州市科技局市校(院)联合资助(登峰医院)基础研究项目(202201020572);广东省中医药局传承发展中医药事业专项资金项目(20182035)。

摘　　要：[目的]观察中药穴位热熨敷的不同推熨频率对促进结肠癌根治术后患者胃肠功能恢复的影响。[方法]选取2020年1月—2023年3月在广州中医药大学第一附属医院二外科住院的腹腔镜下结肠癌根治术后患者108例,随机分为试验A组、试验B组、对照组各36例。对照组采用常规护理方法,试验组在常规护理基础上实施子午流注理论指导下的中药热熨敷干预,试验A组的推熨频率为90~95次/min,试验B组的推熨频率为115~120次/min,从术后第1天开始,每日2次,直至肛门排气和排便。观察3组患者胃肠功能恢复、住院时间、中医证候积分变化情况以及不良反应发生情况,评价3组患者的临床疗效。[结果]干预后,试验B组术后肠鸣音恢复时间、首次肛门排气时间明显短于试验A组和对照组(P<0.05),试验B组首次排便时间和术后住院时间均明显短于对照组(P<0.05或P<0.01);3组患者中医证候积分的组间效应、时间效应及交互效应均有统计学差异(P<0.05);3组患者中医证候积分随时间推移均呈下降趋势,试验B组术后72 h的中医证候积分低于试验A组和对照组,且试验A组低于对照组(P<0.05);试验A组和试验B组的临床治疗总有效率均明显优于对照组(P<0.05)。[结论]中药热熨敷能有效促进结肠癌根治术后患者胃肠功能恢复,以推熨频率为115~120次/min的整体治疗效果更为显著。[Objective]To observe the effects of different frequencies of traditional Chinese medicine(TCM)hot compress on promoting the recovery of gastrointestinal function in patients after radical surgery for colon cancer.[Methods]A total of 108 patients after laparoscopic radical resection of colon cancer who were hospitalized in the Second Surgery Department of the First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2020 to March 2023 were randomly divided into test group A,test group B and control group,each with 36 cases.The control group was treated with routine nursing,and the test group was treated with TCM hot compress intervention under the guidance of the theory of meridian flow on the basis of routine nursing.The frequency of test group A was 90-95 times/min,and the frequency of test group B was 115 to 120 times/min,twice a day from the first day after operation,until anal exhaust and defecation.The recovery of gastrointestinal function,the length of hospital time,the change of the TCM symptomatology scores,and the occurrence of adverse reactions were observed in the three groups,and the clinical efficacy of the three groups was evaluated.[Results]After the intervention,the postoperative bowel sound recovery time and the time of the first anal exhaust were significantly shorter in test group B than in test group A and the control group(P<0.05),and the time of the first defecation and postoperative hospital time were significantly shorter in test group B than in the control group(P<0.01 or P<0.05).The between-group effect,the time effect,and the interaction effect of the TCM symptomatology scores of the patients in the three groups were all significant(P<0.05).The TCM symptomatology scores of the three groups demonstrated a consistent decline over time.After 72 hours of surgery,the TCM symptomatology scores of the test group B were lower than those of the test group A and the control group,and the test group A was lower than that of the control group(P<0.05).The total effectivenes

关 键 词：频率 中药热熨敷 结肠癌 胃肠功能 

分 类 号：R735.35[医药卫生—肿瘤]