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目的:观察中医针药联合对结直肠癌患者术后胃肠功能恢复的影响。方法:回顾性收集2010年5月至2016年5月88例接受肠癌根治性手术患者的临床资料,根据术后治疗方式不同分为4组:常规组30例,针灸组20例,中药组22例,针药联合组16例。对比各组患者术后胃肠功能的客观指标:肠鸣音恢复时间、肛门排气排便时间,及实验室指标;血清胃动素(MOT)和生长抑素(SS)水平,并评价各组患者术后总疗效。结果:4组患者肠鸣音恢复时间、肛门排气时间、排便时间及血清MOT及SS水平组间比较均存在统计学差异(P<0.05),针药联合组肠鸣音恢复时间、肛门排气时间、排便时间均低于其他3组,针灸组及中药组亦低于常规组,差异均有统计学意义(P<0.05);针药联合组血清MOT及SS水平均高于其他3组,针灸组及中药组亦高于常规组,差异均有统计学意义(P<0.05)。针灸组、中药组及针药联合组总有效率均高于常规组,针药联合组亦高于针灸组及中药组,差异均有统计学意义(P<0.05)。结论:中医针药联合对结直肠癌患者术后胃肠功能障碍的治疗具有显著作用。
Objective: To observe the effect of traditional Chinese medicine and acupuncture on the recovery of gastrointestinal function in patients with colorectal cancer. Methods: The clinical data of 88 patients who underwent radical surgery for colon cancer from May 2010 to May 2016 were retrospectively collected. According to the postoperative management, they were divided into 4 groups: 30 in the conventional group, 20 in the acupuncture group, 22 cases, acupuncture combined group of 16 cases. The objective indicators of postoperative gastrointestinal function were compared: bowel sounds recovery time, anal exhaust defecation time, and laboratory parameters; serum motilin (MOT) and somatostatin (SS) levels, and to evaluate each group The total postoperative patient efficacy. Results: The recovery time of bowel sounds, anal exhaust time, defecation time and serum MOT and SS levels in the four groups were significantly different (P <0.05). The recovery time of bowel sounds, anal row Gas time and defecation time were lower than the other three groups, acupuncture group and traditional Chinese medicine group also lower than the conventional group, the difference was statistically significant (P <0.05); the combination of acupuncture and medicine serum MOT and SS levels were higher than the other three groups , Acupuncture group and traditional Chinese medicine group also higher than the conventional group, the difference was statistically significant (P <0.05). The total effective rate in acupuncture group, traditional Chinese medicine group and acupuncture combined group was higher than that in conventional group, and acupuncture combined with acupuncture group was also higher than acupuncture group and traditional Chinese medicine group (P <0.05). Conclusion: Chinese medicine acupuncture combined with colorectal cancer patients with gastrointestinal dysfunction treatment has a significant effect.