揿针联合穴位贴敷对全麻腹腔镜肠癌根治术后创伤应激、胃肠激素及免疫逃逸的影响
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R248.9

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河南省医学科技攻关共建重点项目(SBGJ202100258)


Effect of Thumb-tack Needling for Subcutaneou Embedding Combined with Point Ap⁃ plication on Traumatic Stress,Gastrointestinal Hormones,and Immune Escape After Laparoscopic Radical Resection of Colorectal Cancer Under General Anesthesia
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    摘要:

    目的:观察揿针穴位贴敷对全麻腹腔镜肠癌根治术后创伤应激、胃肠激素及免疫逃逸的影响。方 法:将80 例结直肠癌患者按随机数字表法分为对照组和试验组各40 例。所有患者均行全麻腹腔镜肠癌根治 术,术后行常规对症处理,对照组术后行穴位贴敷治疗,试验组在对照组基础上联合揿针治疗。连续治疗 2 周。比较2 组客观缓解率(ORR) 及并发症发生情况。比较2 组术后24 h、术后2 周血清C-反应蛋 白(CRP)、皮质醇(P)、白细胞介素-6(IL-6)、内皮细胞生长因子(VEGF)、转化生长因子-β1(TGF-β1) 和黏附分子CD44 拼接异构体6(CD44v6) 水平,并比较2 组治疗前后血清胃动素(MTL)、胃泌素(GAS) 水 平。结果:试验组ORR 55.00%,高于对照组32.50%(P<0.05)。术后2 周,2 组血清CRP、P、IL-6 水平均 降低(P<0.05),且试验组低于对照组(P<0.05)。治疗后,2 组血清MTL、GAS 水平均降低(P<0.05),但 试验组高于对照组(P<0.05)。术后2 周,2 组血清VEGF、TGF-β1、CD44v6 水平均降低(P<0.05),且试 验组低于对照组(P<0.05)。试验组并发症总发生率2.50%,低于对照组15.00%(P<0.05)。结论:揿针联合 穴位贴敷有助于提高全麻腹腔镜肠癌根治术后临床疗效,缓解创伤应激水平,调节胃肠道功能并抑制肿瘤的免 疫逃逸,同时有助于降低术后并发症发生率。

    Abstract:

    Abstract: Objective: To observe the effect of thumb-tack Needling for Subcutaneou Needling and point application on traumatic stress, gastrointestinal hormones and immune escape after laparoscopic radical resection of colorectal cancer under general anesthesia. Methods: A total of 80 cases of patients with colorectal cancer were divided into the control group and the trial group according to the random number table method,with 40 cases in each group. All patients underwent laparoscopic radical resection of colorectal cancer under general anesthesia, followed by routine symptomatic treatment. After operation, the control group received point application, and the trial group was additionally treated with thumb-tack Needling for Subcutaneou Needling based on the treatment of the control group. Both groups were treated for 2 weeks. The objective response rates (ORR) and incidence of complications were compared between the two groups. The levels of C-reactive protein (CRP), cortisol (P), interleukin-6 (IL-6), vascular endothelial growth factor (VEGF),transforming growth factor- β1 (TGF- β1) and variant domain 6 of CD44 gene (CD44v6) were compared between the two groups at 24 hours and 2 weeks after operation. The levels of motilin (MTL) and gastrin (GAS) in serum were compared before and after treatment between the two groups. Results:The ORR was 55.00% in the trial group,higher than that of 32.50% in the control group (P< 0.05). Two weeks after operation, the levels of CRP, P and IL-6 in serum in the two groups were decreased (P<0.05),and the levels in the trial group were lower than those in the control group (P<0.05). After treatment,the levels of MTL and GAS in serum in the two groups were decreased (P<0.05),and the levels in the trial group were higher than those in the control group (P<0.05). Two weeks after operation, the levels of VEGF,TGF - β1 and CD44v6 in the two groups were decreased (P<0.05),and the levels in the trial group were lower than those in the control group (P<0.05). The total incidence of complications was 2.50% in the trial group, lower than that of 15.00% in the control group (P<0.05). Conclusion: thumb-tack Needling for Subcutaneou Needling combined with point application can improve the clinical effects of laparoscopic radical resection of colorectal cancer under general anesthesia, alleviate traumatic stress levels,regulate gastrointestinal function,inhibit tumor immune escape,and at the same time help to reduce the incidence of postoperative complications.

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段彦利,马连云,段永斌.揿针联合穴位贴敷对全麻腹腔镜肠癌根治术后创伤应激、胃肠激素及免疫逃逸的影响[J].新中医,2024,56(1):185-190

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  • 在线发布日期: 2024-01-16
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