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基于术后胃肠功能及运动耐力探究槟枳润肠丸在肺癌术后快速康复中的应用价值
张仲涛,王鑫
0
乐山市中医医院普外科、心胸外科四川乐山 614000;武警四川总队医院药剂科四川乐山 614000
摘要:
目的:研究槟枳润肠丸在肺癌术后快速康复中对患者胃肠功能及运动耐力的影响。方法:选取2023年5月—2025年5月在本院确诊且接受行肺癌根治术的110例肺癌患者,采用随机数表法分为研究组(n=54)和对照组(n=56)。在术后,对照组应用快速康复外科(ERAS),研究组在对照组的基础上应用槟枳润肠丸,均干预3 d。比较两组手术情况、术后胃肠功能恢复情况、运动耐力及住院时间,两组手术前后的血清白蛋白、前白蛋白水平,比较两组术后胃肠功能恢复情况,以及术后最大步行距离。结果:研究组和对照组的手术时间、术中出血量差异均无统计学意义(P >0.05);研究组的术后首次排便时间、术后住院时间均短于对照组(P <0.05)。术后第3天,两组血清白蛋白、前白蛋白水平均较术前降低,研究组高于对照组(P <0.05)。研究组的术后第1、2、3天进食量占术前百分比均高于对照组(P <0.05)。术后第3天,研究组术后最大步行距离高于对照组(P <0.05)。结论:肺癌术后应用ERAS方案联合槟枳润肠丸可改善患者术后胃肠功能及提高运动耐力。
关键词:  肺癌  槟枳润肠丸  快速康复  胃肠功能  运动耐力
DOI:10.3969/j.issn.1007-6948.2026.01.013
投稿时间:2025-09-01
基金项目:乐山市科技计划项目(24ZDYF0025)
Exploration on the application value of Binzhi Runchang pill in rapid recovery after lung cancer surgery based on postoperative gastrointestinal function and exercise tolerance
ZHANG Zhong-tao,WANG Xin
Abstract:
Objective To explore the application value of Binzhi Runchang pill in rapid recovery after lung cancer surgery based on postoperative gastrointestinal function and exercise tolerance. Methods A total of 110 patients with lung cancer who were confirmed and underwent radical operation in the hospital were enrolled between May 2023 and May 2025. According to random number table method, they were divided into study group (n=54) and control group (n=56). After surgery, control group was treated with enhanced recovery after surgery (ERAS), while study group was treated with Binzhi Runchang pills on basis of control group for 3 d. Compare the operative time, intraoperative blood loss, time to first postoperative defecation, and postoperative hospital stay between the two groups. compare the serum albumin and prealbumin levels before and after surgery between the two groups; and compare the postoperative gastrointestinal function recovery and the maximum walking distance after surgery between the two groups. Results There was no significant difference in operation time or intraoperative blood loss between the two groups (P >0.05). The postoperative first defecation time and length of hospital stay in study group were shorter than those in control group (P <0.05). At 3 d after surgery, levels of albumin and prealbumin were decreased in both groups, but were higher in study group than control group (P <0.05). The percentages of food intake at 1 d, 2 d and 3 d after surgery to that before surgery in study group were all higher than those in control group (P <0.05). At 3 d after surgery, the maximum walking distance in study group was longer than that in control group (P <0.05). Conclusion In ERAS after lung cancer surgery, the application of Binzhi Runchang pill can improve postoperative gastrointestinal function and exercise tolerance of patients.
Key words:  Lung cancer  Binzhi Runchang pill  enhanced recovery after surgery  gastrointestinal function  exercise tolerance

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