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目的:观察健脾化湿通下方经鼻肠管灌注治疗对恶性小肠梗阻患者生存质量及机体免疫功能的影响。方法:将60例恶性小肠梗阻患者随机分为对照组和治疗组,每组30例。所有患者均给予西医常规治疗,治疗组患者在此基础上给予健脾化湿通下方经鼻肠管灌注治疗,治疗周期为28 d。采用Karnofsky功能状态(KPS)评分评估患者的生存质量,比较两组患者体质量的变化,检测并比较两组患者的血清C反应蛋白(CRP)及T淋巴细胞亚群CD3+、CD4+、CD8+、CD4+/CD8+水平。结果:治疗后,治疗组患者的生存质量改善情况优于对照组(P<0.05),且治疗组患者的体重高于对照组(P<0.05)。治疗后,两组患者的血清CRP及CD8+水平均显著降低(P<0.05),且治疗组患者的CRP及CD8+水平低于对照组(P<0.05);治疗组患者的CD3+水平显著升高(P<0.05),对照组患者的CD3+水平显著降低(P<0.05),治疗组患者的CD3+水平显著高于对照组(P<0.05);治疗组患者的CD4+水平显著升高(P<0.05),且显著高于对照组(P<0.05);两组患者的CD4+/CD8+均显著升高(P<0.05),且治疗组患者的CD4+/CD8+高于对照组(P<0.05)。结论:健脾化湿通下方经鼻肠管灌注治疗能够明显改善恶性小肠梗阻患者的生存质量,提高患者的免疫功能。
OBJECTIVE: To observe the effect of percutaneous transnasal infusion on the quality of life and the immune function of patients with malignant intestinal obstruction after the spleen and dampness pass. Methods: Sixty patients with malignant intestinal obstruction were randomly divided into control group and treatment group, 30 cases in each group. All patients were given routine treatment of Western medicine, the treatment group patients on the basis of the spleen and dampness through the rhinosinus perfusion therapy, the treatment cycle was 28 d. The Karnofsky functional status (KPS) score was used to evaluate the quality of life of the patients. The changes of body weight were compared between the two groups. The levels of serum C-reactive protein (CRP) and T lymphocyte subsets CD3 +, CD4 +, CD8 + and CD4 + / CD8 + level. Results: After treatment, the quality of life of the treatment group was better than that of the control group (P <0.05), and the body weight of the treatment group was higher than that of the control group (P <0.05). After treatment, serum CRP and CD8 + levels were significantly decreased in both groups (P <0.05), and CRP and CD8 + levels in the treatment group were lower than those in the control group (P <0.05); CD3 + levels in the treatment group were significantly increased (P <0.05). The level of CD3 + in the control group was significantly lower than that in the control group (P <0.05). The level of CD3 + in the treatment group was significantly higher than that in the control group (P <0.05) , And significantly higher than that of the control group (P <0.05). CD4 + / CD8 + of both groups were significantly increased (P <0.05), and CD4 + / CD8 + of the treatment group was higher than that of the control group (P <0.05). Conclusion: The treatment of rhinosinusitis through the lower part of the spleen and dampness can obviously improve the quality of life of patients with malignant intestinal obstruction and improve the immune function.