早期营养管内滴注扶正理气汤加足三里按摩对加速食管癌术后肠功能恢复的影响

Effect on postoperative recovery of intestinal function by early nutrition tube infusion of Fuzheng Liqi decoction and massage the acupuncture point of zusanli

目的探讨早期营养管内滴注扶正理气汤加穴位按摩对加速食管癌术后肠功能恢复的影响。方法将80例同期住院食管癌手术病人，按随机分组法分为观察组和对照组各40例，对照组按常规护理方法，观察组于术后第1天开始营养管内滴注扶正理气汤30ml／d，同时给予双侧足三里穴位按摩2次／d，至肠功能恢复。观察两组效果。结果观察组病人首次排气时间、排便时间、体质量下降均优于对照组，术后腹胀、呕吐及并发症发生率均低于对照组，差异均有统计学意义（P〈0．05）。结论食管癌术后早期营养管内滴注扶正理气汤加穴位按摩，可促进肠功能恢复，加快病人早日康复，方法安全可靠。

Objective To explore the effect on postoperative recovery of intestinal function by early nutrition tube infusion of Fuzheng Liqi decoction and massage the acupuncture point of zusanli. Methods 80 esophageal cancer patients hospitalized over the same period were randomly divided into observation group （ n = 40） and control group （n = 40）. Individuals in control group were treated with regular nursing care, and those in observation group were treated with nutrition tube infusion of Fuzheng Liqi decoction and massage the acupuncture point of zusanli. The difference between the two groups were compared. Results The first exhaust time, defecation, weight loss, postoperative abdominal distension, vomiting and complications were significantly different between the two group （ P 〈 0. 05 ）. Conclusions Early nutrition tube infusion of Fuzheng Liqi decoction and massage the acupuncture point of zusanli could promote recovery of intestinal function, accelerate the early recovery of patients and it was a safe and reliable method.