中药大黄鼻饲、吴茱萸膏穴位贴敷联合中医穴位按摩在食管癌根治术后的应用  

Application of Dahuang Nasal Feeding,Wuzhuyu Ointment Acupoint Application,and Traditional Chinese Medicine Acupoint Massage in Radical Surgery for Esophageal Cancer

作　　者：陈柳 刘盼 李桂兰 占春丽[1] CHEN Liu;LIU Pan;LI Guilan;ZHAN Chunli(Department of Thoracic Surgery,Jiangxi Cancer Hospital,Nanchang 330029,China;不详)

机构地区：[1]江西省肿瘤医院胸外科,江西南昌330029

出　　处：《中国医学创新》2024年第17期166-170,共5页Medical Innovation of China

基　　金：江西省中医药管理局科技计划项目(szyyb20224713)。

摘　　要：目的:探讨中药大黄鼻饲、吴茱萸膏穴位贴敷联合中医穴位按摩在食管癌根治术后的应用。方法:采取随机数字表法将江西省肿瘤医院2022年5月—2023年12月收治的接受食管癌根治术治疗的患者135例分为三组,各45例,三组患者均采取食管癌术后常规干预,对照组采取中药大黄鼻饲液营养管内治疗,观察A组在对照组基础上加用吴茱萸膏穴位贴敷治疗,观察B组在观察A组基础上增加中医穴位按摩治疗。对比三组术后胃肠道反应发生率、术后肠鸣音恢复时间、术后首次排气时间、首次排便时间、胃肠道持续时间及患者满意度。结果:观察B组与对照组、观察A组相比,胃肠道反应发生率较低,术后肠鸣音恢复时间、术后首次排气时间、首次排便时间均较短,对术后恢复情况的满意度较高(P<0.05);观察A组与对照组相比,胃肠道反应发生率较低,对术后恢复情况的满意度较高,术后肠鸣音恢复时间、术后首次排气时间、首次排便时间及胃肠道持续时间均较短,差异均有统计学意义(P<0.05)。结论:在常规干预基础上增加中药大黄、吴茱萸膏穴位贴敷联合中医穴位按摩应用在食管癌术后,能够在一定程度上降低胃肠道反应发生风险,围手术期指标表现较好,患者满意度较高。Objective:To investigate the application of Dahuang nasal feeding,Wuzhuyu Ointment acupoint application,and traditional Chinese medicine acupoint massage after radical surgery for esophageal cancer.Method:A total of 135 patients who underwent radical surgery for esophageal cancer at Jiangxi Cancer Hospital from May 2022 to December 2023 were divided into three groups by random number table method,with 45 cases in each group,all three groups of patients received routine postoperative interventions for esophageal cancer,the control group received Dahuang nasal feeding solution via a nutrition tube,observation group A received Wuzhuyu Ointment acupoint application in addition to the treatment in the control group,observation group B received traditional Chinese medicine acupoint massage in addition to the treatments in observation group A.The postoperative incidence of gastrointestinal reaction,postoperative bowel sound recovery time,postoperative first exhaust time,first defecation time,duration of gastrointestinal symptoms,and patient satisfaction were compared among the three groups.Result:Compared with the control group and the observation group A,incidence of gastrointestinal reactions in the observation group B was lower,and the recovery time of postoperative bowel sound,the first postoperative exhaust time and the first postoperative defecation time were shorter,and the satisfaction with postoperative recovery was higher(P<0.05);compared with the control group,incidence of gastrointestinal reactions in observation group A was lower,and satisfaction with postoperative recovery was higher,the recovery time of postoperative bowel sounds,first postoperative exhaust time,first bowel movement time,and gastrointestinal duration were all shorter,the differences were statistically significant(P<0.05).Conclusion:On the basis of routine intervention,the application of Dahuang nasal feeding,Wuzhuyu Ointment acupoints application combined with traditional Chinese acupuncture point massage can reduce the risk of gastrointe

关 键 词：大黄 吴茱萸膏 穴位贴敷 中医穴位按摩 食管癌根治术 胃肠功能 

分 类 号：R273[医药卫生—中西医结合]