中医三联疗法联合融入ERAS理念的临床护理路径在胃癌围术期患者中的应用效果分析  

Effects of TCM Triple Therapy Combined with ERAS-based Clinical Care Path on Patients Suffering Gastric Cancer in the Perioperative Period

作　　者：董红艳 刘晓春 刘英杰 DONG Hongyan;LIU Xiaochun;LIU Yingjie(Pinggu District Hospital of TCM,Beijing 101200,China;Pinggu District Hospital,Beijing 101200,China)

机构地区：[1]北京市平谷区中医医院,北京101200 [2]北京市平谷区医院,北京101200

出　　处：《西部中医药》2024年第11期133-136,共4页Western Journal of Traditional Chinese Medicine

基　　金：北京市科技计划项目(Zyy2019-04)。

摘　　要：目的:分析中医三联疗法联合融入加速康复外科(enhanced recovery after surgery,ERAS)理念的临床护理路径对胃癌围术期患者的影响。方法:选取54例胃癌手术患者为研究对象,按照随机数字表法分为对照组和观察组各27例,对照组采用常规护理干预,观察组在对照组基础上加用中医三联疗法联合融入ERAS理念的临床护理路径,比较两组干预效果。结果:观察组肛门排气时间、胃管拔除时间、首次下床活动时间均短于对照组(P<0.05);手术前1天、首次下床活动时、出院时观察组心理痛苦温度计(dis-tress thermometer,DT)评分均低于对照组(P<0.05);观察组并发症发生率[7.4%(2/27)]低于对照组[29.6%(8/27)](P<0.05),术前1天、术后15天视觉模拟评分量表评分均低于对照组(P<0.05),患者满意度高于对照组(P<0.05)。结论:在胃癌患者围术期应用中医三联疗法联合融入ERAS理念的临床护理路径,能够促进胃癌术后患者胃肠功能恢复,改善其心理状况,降低疼痛程度和并发症发生率,提高患者满意度。Objective:To analyze the influence of TCM triple therapy and ERAS-based clinical nursing path on the patients with gastric cancer in the perioperative period.Methods:All 54 patients who underwent the surgery of gastric cancer were chosen as the subjects,and they were allocated to the control group and the observation group according to random number table method with 27 cases in each group,the control group adopted routine nursing intervention,and the observation group used TCM triple therapy and ERAS-based clinical nursing path on the foundation of the therapy the control group accepted,to compare the intervention effects between both groups.Results:The observation group was shorter than the control group in anal exhaust time,gastric tube removal time and the time of first off-bed activity(P<0.05);DT scores on one day before the surgery,the time of first off-bed activity and at the time of discharging of the observation group were lower than these of the control group(P<0.05);the complications of the observation group was[7.4%(2/27)],lower than[29.6%(8/27)]of the control group(P<0.05).VAS scores on one day before the surgery and 15 days after the surgery were lower than these of the control group(P<0.05).The observation group was higher than the control group in the satisfactory degrees(P<0.05).Conclusion:TCM triple therapy and ERAS-based clinical nursing path on the patients with gastric cancer in the perioperative period could promote gastrointestinal recovery,improve psychological state,decrease pain degrees and the incidences of complications as well as increase the patients'satisfactory degree.

关 键 词：胃癌 中医三联疗法 热罨包 针刺 情志护理 ERAS理念 围术期 

分 类 号：R248.2[医药卫生—中医临床基础]