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目的观察生大黄神阙穴贴敷配合隔盐灸预防治疗食管癌化疗患者便秘的临床效果。方法将83例食管癌化疗便秘患者随机分为对照组39例和观察组44例。观察组在常规护理基础上采用生大黄贴敷神阙穴配合隔盐灸,化疗当天开始使用,化疗结束后5天停止。对照组在上述常规护理的基础上,大便超过2天未解者予生大黄贴敷神阙穴配合隔盐灸,化疗后5天结束。比较两组患者的便秘干预效果。结果观察组预防治疗化疗后排便时大便干结、需使用缓泻剂、排便费时、有残留感在第3天、第5天的发生率明显低于对照组,具有统计学差异(P<0.05)。结论生大黄神阙穴贴敷配合隔盐灸与化疗同时使用在预防治疗食管癌化疗后的便秘具有较好疗效且使用方便、安全。
Objective To observe the clinical effect of Shenque acupoint application combined with salt moxibustion in prevention and treatment of constipation in patients with esophageal cancer chemotherapy. Methods 83 patients with esophageal cancer chemotherapy constipation were randomly divided into control group 39 cases and observation group 44 cases. On the basis of routine nursing, the observation group was given Shengcuo Decoction combined with salt moxibustion on the basis of routine nursing. The chemotherapy group started to use the same day and was stopped 5 days after the end of chemotherapy. The control group in the above routine care, based on the stool of more than 2 days did not understand the donor rhubarb stick Shenque points with salt moxibustion, 5 days after the end of chemotherapy. Constipation interventions were compared between the two groups. Results In the observation group, laxatives were used in the prevention and treatment of defecation stools after chemotherapy. The laxatives were used for a long time. The incidence of residual sensation in the observation group was significantly lower than that of the control group on the 3rd and 5th days (P <0.05). Conclusions Health Daqiu Shenque acupoint application combined with salt moxibustion and chemotherapy at the same time in the prevention and treatment of esophageal cancer after constipation has good efficacy and easy to use and safe.