| 摘要: |
| 目的:研究小承气汤保留灌肠对胃癌根治全胃切除术后患者腹胀症状及中医证候积分的影响。方法:选取2016年1月—2020年12月在我院择期行胃癌根治全胃切除术的胃癌患者60例，随机均分为两组。对照组患者术后接受常规西医综合疗法，观察组在对照组基础上加用小承气汤保留灌肠治疗，对两组患者的临床疗效、腹胀症状、中医证候积分以及生活质量(EORTC QLQ-C30)评分进行比较。结果:治疗后，观察组腹胀症状评分[(8.53±3.25)分]较对照组[(10.65±2.39)分]降低，中医症候积分[(9.62±3.69)分]较对照组[(11.59±3.63)分]降低，差异有统计学意义(P＜0.05)。治疗后，观察组EORTC QLQ-C30评分中躯体功能[(23.71±2.55)分]、情绪功能[(22.28±2.12)分]、社会功能[(23.17±2.36)分]及角色功能[(23.51±1.48)分]评分都较对照组升高，差异有统计学意义(P＜0.05)。观察组临床总有效率为96.67%，高于对照组(83.33%)，差异有统计学意义(P＜0.05)。结论:小承气汤保留灌肠治疗可有效缓解胃癌根治全胃切除术后患者腹胀、胃痛、胃胀等临床症状，促进患者胃肠功能恢复与生活质量的提升。 |
| 关键词: 胃癌术后 小承气汤保留灌肠 腹胀症状中图分类号:R735.2 R285.6 文献标识码:A 文章编号:1007-6948(2021)02-0191-04 |
| DOI：10.3969/j.issn.1007-6948.2021.02.008 |
| 投稿时间：2021-06-04 |
| 基金项目:天津市滨海新区卫生计生委科技基金资助项目(2015BWKY004、2018BWKZ004) |
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| Effect of Xiaochengqi Decoction Retention Enema on Abdominal Distention Symptoms and TCM Syndrome Score in Patients with Gastric Cancer after Total Gastrectomy |
| SHAO Jian-ping,SU Feng,LI Yong-yuan |
| General Surgery Department, Tianjin Fifth Central Hospital, Tianjin 300450, China |
| Abstract: |
| Objective To study the effect of Xiaochengqi decoction retention enema on abdominal distension symptoms and TCM syndrome scores in patients with gastric cancer after radical total gastrectomy. Methods A total of 60 patients with gastric cancer who underwent elective radical total gastrectomy for gastric cancer in our hospital from January 2016 to December 2020 were included. They were randomly divided into two groups according to the computer randomization method, namely the control group (n=30) and the observation group (n=30). Patients in the control group received conventional integrated Western medicine after surgery, and patients in the observation group were additionally treated with Xiaochengqi Decoction retention enema. Clinical efficacy, abdominal distension symptoms, TCM syndrome scores and quality of life (EORTC QLQ-C30) scores were evaluated in two groups. Results After treatment, the abdominal distension symptom score of the observation group [(8.53±3.25) points] was higher than that of the control group [(10.65±2.39) points], and the TCM symptom score of the observation group [(9.62±3.69) points] was higher than that of the control group [(11.59±3.63) points] (P<0.05). After treatment, the scores of physical function [(23.71±2.55) points], emotional function [(22.28±2.12) points], social function [(23.17±2.36) points] and role function [(23.51±1.48) points] in the observation group were higher than those in the control group (P<0.05). The total effective rate of the observation group (96.67%) was higher than that of the control group (83.33%) (P<0.05). Conclusion Xiaochengqi decoction retention enema treatment can effectively relieve abdominal distension, stomachache, stomach distension and other clinical symptoms of patients after radical total gastrectomy for gastric cancer, promote the recovery of gastrointestinal function and improve the quality of life of patients. |
| Key words: Postoperative gastric cancer Small Chengqi Soup retention enemap symptoms of abdominal distension |
