隔姜灸联合益生菌对结直肠癌术后胃肠功能恢复的影响  

Effect of ginger-insulated moxibustion combined with probiotics on the recovery of gastrointestinal function after colorectal cancer surgery

作　　者：谭丹婷 庞永慧[2] 左红群[2] 潘意[2] 罗善山[2] 林小力 洪华[3] TAN Danting;PANG Yonghui;ZUO Hongqun;PAN Yi;LUO Shanshan;LIN Xiaoli;HONG Hua(Guangxi Health Science College,Nanning 530022,China;Cancer Hospital of Guangxi Medical University,Nanning 530022,China;Affiliated Hospital of Beihai Health School,Beihai 536000,China)

机构地区：[1]广西卫生职业技术学院,南宁530022 [2]广西医科大学附属肿瘤医院,南宁530022 [3]北海市卫生学校附属医院,北海536000

出　　处：《上海针灸杂志》2024年第10期1121-1127,共7页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广西中医药重点学科建设项目广西中医药管理局项目(GZXK-Z-20-18);广西中医药适宜技术开发与推广项目(GZSY20-19);广西壮族自治区中医药管理局立项课题(GXZYA20220264);广西壮族自治区中医药管理局立项课题(GXZYE20230749)。

摘　　要：目的观察隔姜灸联合益生菌对结直肠癌术后胃肠功能恢复的影响。方法采用随机数字表法将结直肠癌根治术后患者分为4组,分别为对照组、益生菌组、隔姜灸组和联合组,每组50例。对照组术前和术后均采取常规护理;益生菌组在术前行常规护理并连用3 d益生菌,且术后第1天起连续用4 d益生菌;隔姜灸组在术前行常规护理并连用3 d隔姜灸,且术后第1天起连续4 d予隔姜灸干预;联合组术前和术后均行益生菌联合隔姜灸干预。比较4组术后肠鸣音恢复时间、首次排气时间、首次排便时间、首次经口进食时间、首次下床活动时间和胃肠道不良反应发生情况,观察4组手术前后白细胞、中性粒细胞和淋巴细胞计数的变化。结果4组术后肠鸣音恢复时间、首次排气时间和首次排便时间比较,差异均具有统计学意义(P<0.05)。益生菌组、隔姜灸组和联合组术后肠鸣音恢复时间、首次排气时间和首次排便时间均短于对照组(P<0.05)。联合组术后肠鸣音恢复时间、首次排气时间和首次排便时间均短于益生菌组和隔姜灸组(P<0.05)。4组术后首次经口进食时间比较,差异无统计学意义(P>0.05);联合组术后首次经口进食时间短于对照组(P<0.05)。4组术后首次下床活动时间比较,差异无统计学意义(P>0.05)。联合组术后白细胞和中性粒细胞计数均低于其余3组(P<0.05),淋巴细胞计数均高于其余3组(P<0.05)。联合组术后腹胀和恶心的发生率明显低于其余3组(P<0.05),呕吐发生率明显低于对照组(P<0.05)。结论隔姜灸联合益生菌能促进结直肠癌术后胃肠功能的恢复,抑制炎症反应,减少术后胃肠道不良反应。Objective To observe the effect of ginger-insulated moxibustion combined with probiotics on the recovery of gastrointestinal function after colorectal cancer surgery.Method The patients after radical surgery for colorectal cancer were divided into four groups by the random number table method,a control group,a probiotic group,a ginger-insulated moxibustion group and a combination group,with 50 cases in each group.In the control group,routine care was taken before and after surgery;in the probiotic group,routine care was taken and probiotics were used for 3 consecutive days before surgery,and probiotics were used for 4 consecutive days from the first day after surgery;in the ginger-insulated moxibustion group,routine care was taken and ginger moxibustion was used for 3 consecutive days before surgery,and ginger moxibustion was given for 4 consecutive days from the first day after surgery;and in the combination group,probiotics were used together with ginger-insulated moxibustion for both pre-and post-operative interventions.The time of recovery of bowel sounds,time of first flatus,time of first defecation,time of first oral intake,time of first out-of-bed activity and the occurrence of gastrointestinal adverse reactions were compared among the four groups,and the changes of leukocyte,neutrophil and lymphocyte counts before and after the operation were observed in the four groups.Result The differences in the recovery time of bowel sounds,the time of first flatus and the time of first defecation among the 4 groups were statistically significant(P<0.05).The recovery time of bowel sounds,the time of first flatus and the time of first defecation were shorter in the probiotic group,the ginger-insulated moxibustion group and the combination group than in the control group(P<0.05).The recovery time of bowel sounds,the time of first flatus and the time of the first defecation in the combination group were shorter than those in the probiotic group and the ginger-insulated moxibustion group(P<0.05).The difference in the tim

关 键 词：针灸疗法 间接灸 隔姜灸 术后并发症 结肠肿瘤 益生菌 胃肠功能 

分 类 号：R246.1[医药卫生—针灸推拿学]