田螺方外敷治疗晚期癌症患者伴不全性肠梗阻临床研究
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R574.2;R730.6

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Clinical Study on External Application with Tianluo Prescription for Patients with Advanced Cancer Complicated with Incomplete Intestinal Obstruction
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    摘要:

    目的:观察田螺方外敷神阙治疗晚期癌症患者伴不全性肠梗阻的临床疗效。方法:将符合纳入标准的晚期癌症伴不全性肠梗阻患者60 例按随机数字表法分为2 组各30 例。对照组予禁食水、胃肠减压、清洁灌肠等常规治疗,观察组在对照组治疗方案的基础上加用田螺方外敷神阙穴,观察比较2 组治疗前后腹胀、恶心呕吐症状评分,首次肛门恢复排气时间,临床疗效以及外敷局部皮肤反应情况。结果:2 组腹胀腹痛、恶心呕吐症状评分均较治疗前下降,且观察组下降幅度大于对照组,差异均有统计学意义(P<0.05)。肛门恢复排气时间观察组平均(3.42±3.05) h;对照组平均(11.07±3.58) h。观察组肛门恢复排气时间明显短于对照组,差异有统计学意义(P<0.05)。总有效率观察组80.00%,对照组46.67%,2 组总有效率比较,差异有统计学意义(P<0.05)。1 例外敷1 个疗程后出现局部皮肤微微发红,无肿痛、起泡、瘙痒、皮疹等现象;其余患者外敷后局部皮肤无任何变化,无明显不适。结论:田螺方外敷神阙能提高恶性肠梗阻的临床疗效和患者的生活质量,无明显不良反应。

    Abstract:

    Abstract:Objective:To observe the clinical effect of external application with Tianluo prescription at Shenque(RN8) for patients with advanced cancer complicated with incomplete intestinal obstruction. Methods:A total of 60 cases of patients with advanced cancer complicated with incomplete intestinal obstruction who met the inclusion criteria were randomly divided into two groups according to the random number table method,with 30 cases in each group. The control group was given water deprivation, gastrointestinal decompression, cleaning enema and other routine treatments; the observation group was additionally treated with external application with Tianluo prescription at Shenque(RN8) based on the treatment of the control group. Before and after treatment,scores of abdominal distension,nausea and vomiting,the recovery time of anal exsufflation,clinical effects,and the local skin situation after external application were observed and compared between the two groups. Results: Scores of abdominal distention and pain, as well as nausea and vomiting in the two groups were decreased when compared with those before treatment,and the decrease in the observation group was larger than that in the control group,differences being significant(P<0.05). The average recovery time of anal exsufflation was 3.42±3.05 hours in the observation group,and 11.07±3.58 hours in the control group. The recovery time of anal exsufflation in the observation group was significantly shorter than that in the control group,the difference being significant(P<0.05). The total effective rate was 80.00% in the observation group and 46.67% in the control group,the difference being significant(P<0.05). One case who received external application showed redness of local skin after one course of treatment, without swelling, pain, blistering,pruritus,rash or other discomforts;other patients had no change in local skin and no obvious discomfort after external application. Conclusion:External application with Tianluo prescription at Shenque(RN8) can improve clinical effects and quality of life of patients with incomplete intestinal obstruction,without any obvious adverse reaction.

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曹颖,杨静,蔡妍,杨婷,陈滨海,高文仓,陈卫建.田螺方外敷治疗晚期癌症患者伴不全性肠梗阻临床研究[J].新中医,2022,54(6):144-147

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  • 在线发布日期: 2022-03-25
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