中药穴位贴敷在胃癌术后患者胃肠道功能恢复中的应用  

Clinical Efficacy of Traditional Chinese Medicine Acupoint Plaster in the Recovery of Gastrointestinal Function for Patients after Gastric Cancer Surgery

作　　者：王丹丹 李雪芹[2] 谢庆斌[3] 翟慧兰 谢芬 胡睿 江璐 江蕾 杨英妹 WANG Dan-dan;LI Xue-qin;XIE Qing-bin;ZHAI Hui-lan;XIE Fen;HU Rui;JIANG Lu;JIANG Lei;YANG Ying-mei(Department of Gastroenterology,the Second Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Nursing,the Second Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Traditional Chinese Medicine,the Second Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第二附属医院消化内科,南昌330006 [2]南昌大学第二附属医院护理部,南昌330006 [3]南昌大学第二附属医院中医科,南昌330006

出　　处：《实用临床医学（江西）》2024年第6期71-75,120,共6页Practical Clinical Medicine

基　　金：江西省中医药管理局科技计划项目(2023B0021)。

摘　　要：目的探讨中药穴位贴敷在胃癌术后患者胃肠功能恢复中的应用效果。方法采用便利抽样法,选取2024年1月至2024年7月南昌大学第二附属医院符合胃癌诊断并行手术治疗的132例患者为研究对象,随机分为对照组和观察组,每组各66例。对照组接受常规术后护理,观察组在对照组基础上予中药穴位贴敷,持续干预7 d。比较2组患者术后首次排气时间、肠鸣音恢复时间、首次排便时间、术后胃液引流量、中医证候积分、外周血胃肠激素水平、术后不良反应发生率及护理满意度。结果干预结束后,观察组患者术后首次排气时间、肠鸣音恢复时间、首次排便时间和术后胃液引流量均低于对照组(P<0.05);观察组患者的中医证候主症中胸腹胀满、呕吐吞酸、嗳气频作证候积分较对照组低(P<0.05);观察组血管活性肠肽和胃动素水平高于对照组(P<0.05);观察组术后不良反应发生率低于对照组(P<0.05);观察组护理满意率高于对照组(P<0.05)。结论穴位贴敷有助于促进胃癌术后患者胃肠功能的恢复,能降低患者的中医证候积分,提高患者对护理的满意度。Objective To investigate the clinical efficacy of traditional Chinese medicine acupoint plaster in the recovery of gastrointestinal function for patients after gastric cancer surgery.Methods Using convenient sampling,132 patients who met the criteria for gastric cancer diagnosis and underwent surgical treatment in the Second Affiliated Hospital of Nanchang University from January 2024 to July 2024 were selected as the study subjects and randomly divided into a control group and an observation group,with 66 patients in each group.The control group received routine postoperative care,while the observation group was further treated with traditional Chinese medicine acupoint plaster,both with continuous intervention for 7 days.The time of first flatus,recovery time of bowel sounds,time of first defecation,postoperative gastric fluid drainage volume,TCM syndrome scores,peripheral blood gastrointestinal hormone levels,incidence of postoperative adverse reactions,and nursing satisfaction were compared between the 2 groups.Results After the intervention,the observation group had shorter times for first flatus,recovery of bowel sounds and first defecation,as well as lower postoperative gastric fluid drainage volume,compared to the control group(P<0.05);the observation group showed lower TCM syndrome scores for chest and abdominal distension,vomiting and acid regurgitation,and frequent belching,compared to the control group(P<0.05);the levels of vasoactive intestinal peptide and motilin were higher in the observation group than those in the control group(P<0.05);the incidence of postoperative adverse reactions was lower in the observation group(P<0.05),and nursing satisfaction was higher in the observation group compared to the control group(P<0.05).Conclusion Acupoint plaster can contribute to promoting the recovery of gastrointestinal function in patients after gastric cancer surgery,potentially reducing their TCM syndrome scores and enhancing their satisfaction with nursing care.

关 键 词：穴位贴敷 胃癌 手术 胃肠道功能 临床疗效 中药 

分 类 号：R473.5[医药卫生—护理学]