大承气汤治疗结肠癌术后患者早期腹胀便秘疗效观察
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R735.3+5

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Observation of Dachengqi Tang for Early Abdominal Distension and Constipation After Colon Cancer Operation
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    摘要:

    目的:观察大承气汤对结肠癌术后患者早期腹胀便秘的临床治疗效果。方法:选取行结肠癌根治术患者共77 例,按随机数字表法分为治疗组40 例与对照组37 例。对照组给予咀嚼口香糖假饲,治疗组给予大承气汤治疗。观察2 组临床效果、症状缓解时间及便秘改善情况。结果:治疗后,治疗组总有效率为92.50%,对照组为70.27%,2 组比较,差异有统计学意义(P<0.05)。治疗组肠鸣音恢复时间、首次排气时间及首次排便时间均短于对照组(P<0.05)。治疗前,2 组排便容易度、排泄不完全感评分比较,差异无统计学意义(P>0.05);治疗后,2 组排便容易度、排泄不完全感评分均较治疗前降低(P<0.05),且治疗组评分均低于对照组(P<0.05)。结论:大承气汤治疗结肠癌术后患者早期腹胀便秘疗效显著,可有效促进患者肠鸣音恢复,改善腹胀、便秘症状。

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    Abstract:Objectives:To observe the clinical effect of Dachengqi tang on early abdominal distension and constipation in patients after colon cancer operation. Methods: A total of 77 cases of patients after colon cancer radical operation were divided into the treatment group and the control group according to the random number table method,with 40 and 37 cases in each group respectively. The control group was given chewing gum for imaginary feeding,and the treatment group was given Dachengqi tang. The clinical effects, symptom relief time and improvement of constipation in the two groups were observed. Results:After treatment,the total effective rate was 92.50% in the treatment group and 70.27% in the control group, the difference being significant(P<0.05). The recovery time of bowel sounds, the first exhaust time and the first defecation time in the treatment group were shorter than those in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of the scores of ease of defecation and a sense of incomplete excretion between the two groups(P>0.05). After treatment,the scores of ease of defecation and a sense of incomplete excretion in the two groups were decreased when compared with those before treatment(P<0.05), and the scores in the treatment group were lower than those in the control group(P<0.05). Conclusion:Dachengqi tang has a significant curative effect on early abdominal distension and constipation in patients after colon cancer operation, which can effectively promote the recovery of bowel sounds and improve symptoms of abdominal distension and constipation.

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王永强,魏丽青,付斌.大承气汤治疗结肠癌术后患者早期腹胀便秘疗效观察[J].新中医,2021,53(22):148-150

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  • 在线发布日期: 2021-11-26
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