益气通腑散穴位贴敷对腹腔镜直肠癌Dixon术后患者胃肠功能及免疫指标的影响
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R735.3+7

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Effect of Point Application with Yiqi Tongfu Powder on Gastrointestinal Function and Immune Indexes of Patients After Laparoscopic Dixon Operation for Rectal Cancer
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    摘要:

    目的:观察益气通腑散穴位贴敷对腹腔镜直肠癌直肠低位前切除术(Dixon) 术后患者胃肠功能及免疫指标的影响。方法:将67 例接受腹腔镜直肠癌Dixon 术患者采用随机双盲法分成2 组,在常规治疗基础上,治疗组予益气通腑散穴位贴敷,对照组予安慰剂穴位贴敷,观察比较2 组胃肠功能、T 淋巴细胞亚群(CD3+、CD4+、CD8+、CD4+/CD8+)、免疫球蛋白(IgA、IgG、IgM)、血清白蛋白(Alb)、前白蛋白(PA)、不良反应发生率及住院时间等情况。结果:治疗组肠鸣音恢复时间、肛门首次排气时间、首次排便时间、胃管留置时间、住院时间均短于对照组,且胃管引流量较对照组少(P<0.05);治疗后,2 组T 淋巴细胞亚群指标、免疫球蛋白、血清Alb 及PA 均优于治疗前(P<0.05),且治疗组优于对照组(P<0.05);2 组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:益气通腑散穴位敷贴能促进腹腔镜直肠癌Dixon 术后患者胃肠功能恢复、改善营养状况、增强免疫功能。

    Abstract:

    Abstract:Objective:To observe the effect of point application with Yiqi Tongfu powder on gastrointestinal function and immune indexes of patients after laparoscopic lower anterior rectectomy for rectal cancer(Dixon operation). Methods:A total of 67 cases of patients undergoing laparoscopic Dixon operation for rectal cancer were divided into two groups according to the random double-blind method. Based on routine treatment,the treatment group was additionally given point application with Yiqi Tongfu powder, and the control group was additionally given point application with placebo. Gastrointestinal function,T lymphocyte subsets(CD3+,CD4+,CD8+ and CD4+/CD8+ ),immunoglobulin(IgA,IgG,and IgM),albumin(Alb) and prealbumin(PA) in serum, incidence of adverse reactions, and hospitalization time were observed and compared between the two groups. Results:The recovery time of bowel sound,the time of the first anal exhaust and first defecation, indwelling duration of gastric canal, and hospitalization time in the treatment group were shorter than those in the control group,and drainage volume of gastric canal was less than that in the control group(P<0.05). After treatment,indexes of T lymphocyte subsets,immunoglobulin levels,and levels of Alb and PA in serum in the two groups were better than those before treatment(P<0.05), and the indexes and levels above in the treatment group were better than those in the control group(P<0.05). After treatment,there was no significant difference being found in the comparison of incidence of adverse reactions between the two groups(P>0.05). Conclusion: Point application with Yiqi Tongfu powder can promote gastrointestinal function recovery of patients after laparoscopic Dixon operation for rectal cancer,improve nutritional status, and enhance immune function.

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赵文博,冯群虎.益气通腑散穴位贴敷对腹腔镜直肠癌Dixon术后患者胃肠功能及免疫指标的影响[J].新中医,2021,53(5):135-139

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  • 在线发布日期: 2021-03-15
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