雷火灸联合四指推拿对胃癌患者术后胃肠动力恢复及炎性因子的影响  

The effect of thunder-fire moxibustion combined with four-finger massage on postoperative gastrointestinal dynamic recovery and inflammatory factors in patients with gastric cancer

作　　者：李敏 邹健如 毛珏霞 邵明月 王晓庆 许睿 LI Min;ZOU Jangru;MAO Juexia;SHAO Mingyue;WANG Xiaoqing;XU Rui(Department of General Surgery,Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing,210029,China)

机构地区：[1]南京中医药大学附属医院(江苏省中医院)普外科,南京210029

出　　处：《中国中西医结合消化杂志》2025年第2期138-144,共7页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：江苏省中医院科技项目(No:Y2021CX42)。

摘　　要：目的:探讨雷火灸联合四指推拿对胃癌患者术后胃肠动力及胃肠激素水平、应激反应的影响。方法:将120例腹腔镜胃癌根治术患者随机分为对照组(40例,脱落4例)、雷火灸组(40例,剔除2例、脱落2例)、雷火灸联合四指推拿组(40例,剔除3例、脱落1例)。对照组实施ERAS护理方案,雷火灸组与雷火灸联合四指推拿组在对照组基础上,分别于术后24、48、72 h行雷火灸及雷火灸联合四指推拿治疗45~60 min。观察3组患者术后胃肠功能恢复时间、术后应激反应水平、术后胃肠激素水平。结果:雷火灸联合四指推拿组、雷火灸组患者胃肠功能恢复指标均明显优于对照组(P<0.05),且联合组在术后肠鸣音恢复时间、首次耐受固体食物时间较雷火灸组明显缩短(P<0.05),联合组术后胃肠激素恢复水平明显优于雷火灸组(P<0.05)。雷火灸组及联合组术后炎性指标明显低于对照组(P<0.05),且术后3 d联合组白细胞介素-6、C反应蛋白水平明显低于雷火灸组(P<0.05)。结论:雷火灸、雷火灸联合四指推拿均能有效地促进胃癌患者术后胃肠功能恢复,减少炎症性刺激,减少应激反应,促进快速康复。Objective To explore the effect of thunder-fire moxibustion combined with four-finger massage on postoperative gastrointestinal dynamic recovery,gastrointestinal hormone level and stress response in gastric cancer patients after surgery.Methods A total of 120 patients who underwent laparoscopic radical gastric cancer were randomly divided into control group(40 cases,4 cases lost to follow-up),thunder fire moxibustion group(40 cases,2 cases excluded and 2 cases lost to follow-up),and thunder-fire moxibustion combined with four-finger massage group(40 cases,3 cases excluded and 1 case lost to follow-up).The control group only received the ERAS nursing protocol,the thunder-fire moxibustion group,and thunder-fire moxibustion combined with four-finger massage group also received thunder-fire moxibustion,and thunder-fire moxibustion combined with four-finger massage treatments for 45 to 60 minutes at postoperative hours 24,48,and 72,respectively.The recovery time of postoperative gastrointestinal function,postoperative stress response level and postoperative gastrointestinal hormone level were observed in the three groups.Results The gastrointestinal function recovery indicators of patients in thunder-fire moxibustion combined with four-finger massage group and thunder-fire moxibustion group was significantly better than those in the control group(P<0.05),and the return of bowel sounds and the time to first tolerate solid food in the combined group was significantly shorter(P<0.05).The gastrointestinal hormone recovery levels in the combined group were significantly better than those in the thunder-fire moxibustion group(P<0.05).Additionally,the inflammatory markers in the thunder-fire moxibustion group and the combined group were significantly lower than those in the control group(P<0.05).On postoperative day 3,the combined group had significantly lower levels of interleukin-6 and C-reactive protein compared to the thunder-fire moxibustion group(P<0.05).Conclusion Thunder-fire moxibustion and thunder-fire moxibustion

关 键 词：雷火灸 雷火灸联合四指推拿 胃癌根治术 胃肠激素 炎性因子 

分 类 号：R735.2[医药卫生—肿瘤]