基于扶阳理论探析扶阳罐对早期胃癌术后疲劳及炎症因子影响  

Exploring the Effect of Fuyang Cupping on Postoperative Fatigue and Inflammatory Factors in Early Gastric Cancer Based on Fuyang Theory

作　　者：宋年 苏洁[1] 陈露[1] 李小红[1] SONG Nian;SU Jie;CHEN Lu;LI Xiaohong(Jiangsu Province Hospital of Chinese Medicine/Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing Jiangsu 210029,China)

机构地区：[1]江苏省中医院/南京中医药大学附属医院,江苏南京210029

出　　处：《中医药导报》2025年第1期101-105,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：2023年度国家中医临床研究基地(江苏省中医院)开放课题(JD2023SZ08);江苏省中医院南丁格尔科研项目(Y23021)。

摘　　要：目的:探讨扶阳罐循经熨推法干预早期胃癌脾肾阳虚型患者术后疲劳综合征的临床疗效。方法:将70例早期胃癌术后疲劳综合征患者按随机序列分为观察组35例及对照组35例。对照组采用术后疲劳综合征常规护理,观察组在对照组的基础上采用扶阳罐循经熨推法。观察两组患者后Christensen疲劳评分,手术前后握力体质量指数、炎症指标,以及术后不良反应发生率,并比较临床疗效。结果:治疗后,观察组患者临床疗效总有效率(91.43%)高于对照组(73.53%),差异有统计学意义(P<0.05);两组患者术后Christensen疲劳评分均降低,且观察组患者术后Christensen疲劳评分低于对照组(P<0.05);两组患者术后炎症指标均升高(P<0.05),观察组患者术后中性粒细胞百分比、超敏C反应蛋白水平均低于对照组(P<0.05);两组患者术后握力体质量指数均下降,观察组术后恢复优于对照组(P<0.05)。结论:扶阳罐疗法可有效改善早期胃癌脾肾阳虚型患者术后疲劳症状,促进术后康复。Objective:To explore the clinical efficacy of using Fuyang Cupping to intervene in postoperative fatigue syndrome in early gastric cancer patients with Yang deficiency of spleen and kidney under the guidance of Fuyang theory.Methods:A total of 70 patients with postoperative fatigue syndrome of early gastric cancer were divided into experimental group(35 cases)and control group(35 cases)according to random sequence.The control group adopted the postoperative fatigue syndrome conventional nursing routine,and the experimental group adopted Fuyang cupping via the meridian ironing and pushing method on the basis of the control group.Observe the fatigue Christensen score,grip strength body mass index,inflammation index,and the incidence of postoperative adverse reactions before and after treatment in the 2 groups.Results:After treatment,the total effective rate of clinical efficacy of patients in the observation group(91.43%)was higher than that of the control group(73.53%),the diffrence was significant(P<0.05).The fatigue Christensen scores of patients in the two groups were reduced postoperatively,and the observation group was significantly lower than that of the control group(P<0.05).Serum inflammatory factor of the patients of the two groups was elevated postoperatively(P<0.05).The percentage of neutrophils and the level of ultrasensitive C-reactive protein were lower in the observation group(P<0.05).The grip strength body mass index decreased in both groups,and the postoperative recovery of the observation group was better than that of the control group(P<0.05).Conclusion:Fuyang cupping therapy can effectively improve the postoperative fatigue symptoms of early gastric cancer patients with Yang deficiency of spleen and kidney,and promote postoperative recovery.

关 键 词：早期胃癌 术后疲劳综合征 扶阳理论 扶阳罐 炎症因子 脾肾阳虚 

分 类 号：R248.1[医药卫生—中医临床基础]