1.上海中医药大学附属曙光医院胃肠外科(上海 201203)
2.上海中医药大学附属曙光医院手术室(上海 201203)
3.上海中医药大学附属曙光医院麻醉科(上海 201203)
4.上海市浦东新区人民医院普外科(上海 200137)
龚航军,男,主任医师,主要从事胃肠肿瘤的中西医结合临床研究工作
张云,主治医师;E-mail:walker.yun@163.com
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龚航军, 张云, 韩刚, 等. 针药结合联合加速康复外科促进腹腔镜结直肠癌手术患者康复的临床观察[J]. 上海中医药杂志, 2021,55(5):54-57.
Hangjun GONG, Yun ZHANG, Gang HAN, et al. Clinical research on acupuncture and medicine combined with enhanced recovery after surgery on promoting recovery of patients undergoing laparoscopic colorectal cancer surgery[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(5):54-57.
龚航军, 张云, 韩刚, 等. 针药结合联合加速康复外科促进腹腔镜结直肠癌手术患者康复的临床观察[J]. 上海中医药杂志, 2021,55(5):54-57. DOI: 10.16305/j.1007-1334.2021.2012137.
Hangjun GONG, Yun ZHANG, Gang HAN, et al. Clinical research on acupuncture and medicine combined with enhanced recovery after surgery on promoting recovery of patients undergoing laparoscopic colorectal cancer surgery[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(5):54-57. DOI: 10.16305/j.1007-1334.2021.2012137.
目的,2,探讨针药结合联合加速康复外科促进腹腔镜结直肠癌手术患者康复的临床疗效。,方法,2,将120例腹腔镜结直肠癌手术患者随机分为常规治疗组(对照组,58例)和针药结合组(治疗组,62例)。常规治疗组仅采用加速康复外科措施,针药结合组另于术后6 h开始电针足三里,术后12 h开始口服人参薏苡附子败酱散,连用3 d。比较两组首次排气时间、首次排便时间、经口进食时间、中医症状积分、前白蛋白、白蛋白、术后并发症、住院时间和住院费用。,结果,2,针药结合组患者术后首次排气时间、首次排便时间、经口进食时间比常规治疗组明显缩短(,P,<,0.05),中医症状积分小于常规治疗组(,P,<,0.01)。术前、术后第1天两组前白蛋白、白蛋白水平无差异(,P,>,0.05),术后第5 天针药结合组前白蛋白、白蛋白比常规治疗组高(,P,<,0.05)。针药结合组术后总并发症、住院天数和住院费用少于常规治疗组(,P,<,0.05)。,结论,2,针药结合联合加速康复外科可加快结直肠癌手术患者术后胃肠功能恢复,改善营养状况,减少术后并发症,缩短住院时间,节省住院费用。
Objective,2,To explore the clinical efficacy of acupuncture and medicine combined with enhanced recovery after surgery (ERAS) on promoting the rehabilitation of patients undergoing laparoscopic colorectal cancer surgery.,Methods,2,One hundred and twenty patients underwent laparoscopic colorectal radical resection of colorectal cancer between January 2019 and August 2020 were randomly divided into the acupuncture and medicine (AM) group (62 cases) and the traditional treatment (TT) group (58 cases). The patients in the TT group were treated only with ERAS, while the patients in the AM group were treated additionally with electroacupuncture at Zusanli point after 6 hours of operation, and Rensheng Yiyi Fuzi Baijiang Powder after 12 hours of operation, with a course of 3 days. Compare the first aerofluxus time, first defecation time, oral feeding time, score of Chinese medical syndrome, level of prealbumin and albumin, postoperative complications, hospital stay and hospitalization expenses between two groups.,Results,2,The first aerofluxus time, first defecation time and oral feeding time of the AM group were significantly shorter than those of the TT group (,P,<,0.05). The score of Chinese medical syndrome of the AM group was lower than that of the TT group (,P,<,0.01). The level of prealbumin and albumin was the same between the two groups before operation and on the first postoperative day(,P,>,0.05), however, they were higher in the AM group on the fifth postoperative day(,P,<,0.05). The total postoperative complications, hospital stay and hospitalization expenses of the AM group were less than those of the TT group (,P,<,0.05).,Conclusion,2,Acupuncture and medicine combined with ERAS can accelerate the recovery of gastrointestinal function, improve nutritional status, decrease postoperative complications, shorten hospital stay and save hospitalization expenses for patients who undergo laparoscopic surgery for colorectal cancer.
加速康复外科人参薏苡附子败酱散电针足三里临床研究
ERASRensheng Yiyi Fuzi Baijiang PowderelectroacupunctureZusanli pointclinical research
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