针刺疗法联合康复训练改善腹腔镜结直肠癌根治术后胃肠功能临床研究
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R735.3+5

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Clinical Study on Acupuncture Therapy Combined with Rehabilitation Training in Im⁃ proving Postoperative Gastrointestinal Function After Laparoscopic Radical Resection of Colorectal Cancer
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    摘要:

    目的:观察针刺疗法联合康复训练对腹腔镜结直肠癌根治术后胃肠功能恢复的有效性。方法:纳 入60 例行腹腔镜手术治疗的结直肠癌血瘀证患者,随机分为对照组和试验组各30 例。2 组均采用腹腔镜结直 肠癌根治术治疗,并在术后6~12 h 进行康复训练,试验组于术前1 d 即加用针刺治疗。2 组均治疗2 周,进 行为期14 d 的随访。记录术后患者的首次肠鸣音时间、排气时间、排便时间;手术前后应用视觉模拟评分 法(VAS) 评估患者的腹部疼痛情况;记录术后3 d 并发症的发生情况;于术前及出院后14 d 通过随访患者, 评定胃肠道症状评定量表(GSRS) 评分。结果:术后,试验组首次肠鸣音发生时间、首次排便时间、首次排 气时间均较对照组提前(P<0.05)。2 组术后第1 天和术后第3 天的腹部疼痛VAS 评分均较治疗前升高(P< 0.05)。2 组术后第3 天的VAS 评分均低于术后第1 天(P<0.05);试验组术后第1 天及术后第3 天的腹部疼 痛VAS 评分均低于对照组(P<0.05)。出院14 d 后,试验组GSRS 评分较术前降低(P<0.05),试验组GSRS 评分低于对照组(P<0.05)。2 组并发症发生率比较,差异无统计学意义(P>0.05)。结论:采用针刺疗法结 合康复训练可有效促进腹腔镜结直肠癌根治术后患者胃肠功能的恢复,有效缓解疼痛及胃肠道不适,且不会增 加并发症发生率,安全性较好。

    Abstract:

    Abstract:Objective:To observe the effectiveness of acupuncture therapy combined with rehabilitation training on the recovery of gastrointestinal function after laparoscopic radical resection of colorectal cancer. Methods: A total of 60 cases of patients with colorectal cancer with blood stasis syndrome undergoing laparoscopic surgery were included and randomly divided into the control group and the trial group, with 30 cases in each group. Both groups were treated with laparoscopic radical resection of colorectal cancer and underwent rehabilitation training at 6- 12 hours after surgery. The trial group was additionally given acupuncture treatment 1 day before surgery. Both groups were treated for 2 weeks and followed up for 14 days. The time of the first bowel sound, exhaust time, and defecation time after surgery were recorded;the abdominal pain before and after surgery was evaluated by Visual Analogue Scale (VAS);the occurrence of complications at 3 days after surgery was recorded; before surgery and 14 days after discharge, the scores of Gastrointestinal Symptom Rating Scale (GSRS) were assessed by follow- up. Results:After surgery,the time of the first bowel sound,the first bowel movement time,and the first postoperative exhaust time in the trial group were all earlier than those in the control group (P<0.05). The VAS scores of abdominal pain on the first and third postoperative days in the two groups were increased when compared with those before treatment (P<0.05). The VAS scores on the third postoperative day were lower than those on the first postoperative day in the two groups (P<0.05);the VAS scores of abdominal pain in the trial group on the first and third postoperative days were lower than those in the control group (P<0.05). After 14 days of discharge, the GSRS score in the trial group was decreased when compared with that before surgery (P<0.05),and the GSRS score in the trial group was lower than that in the control group (P<0.05). There was no significant difference being found in the comparison of incidence of complications between the two groups (P>0.05). Conclusion: Acupuncture therapy combined with rehabilitation training can effectively promote the recovery of gastrointestinal function in patients after laparoscopic radical resection of colorectal cancer, alleviate pain and gastrointestinal discomfort, and without increasing the incidence of complications,with good safety.

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赵佳丽,徐海虹,余旭彪.针刺疗法联合康复训练改善腹腔镜结直肠癌根治术后胃肠功能临床研究[J].新中医,2023,55(18):151-155

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  • 在线发布日期: 2023-09-22
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