调肺益肠针法改善老年大肠癌患者根治术后肠功能临床研究

Clinical Study of Improvement of Elderly Patients' Bowel Function after Radical Resection for Colon Cancer by Lung-regulating and Intestine-benefiting Acupuncture Method

目的 :观察调肺益肠针法对老年大肠癌患者根治术后的肠功能改善作用。方法 :选取60例老年大肠癌择期手术的患者,随机分为针刺组和空白对照组,手术后在基础治疗相同的前提下,针刺组接受调肺益肠针刺法治疗2周,空白对照组不接受针刺治疗。观察两组患者第一次进食半流质饮食、排出黄色稀水便的时间、第一次排气或排便(宿便)时间、术后两周内排便次数、每日排便量、胃肠减压引流量、进水当日和进水10 d后尿L/M比值和血D-乳酸值。结果:经2周治疗后,针刺组与空白对照组比较第一次排气时间明显缩短(P<0.05),日均排便量明显增加(P<0.05),胃肠减压引流量明显减少(P<0.05),其余指标则无明显差异。结论:调肺益肠针法对老年大肠癌患者根治术后的肠功能具有改善作用,主要体现在促进肠蠕动,缩短首次排气时间,增加日均排便量,减少胃肠减压引流量,但对于改善肠黏膜通透性未见明显作用。

Objective：To observe the effect of lung-regulating and intestine-benefiting acupuncture method on improvement of elderly patients＇ bowel function after radical resection for colon cancer. Methods：A total of 60 elderly patients with colon cancer undergoing Selective operation were randomly divided into acupuncture group and blank control group. After operation,under the same basic treatment,the acupuncture group was treated by lung-regulating and intestine-benefiting acupuncture method for 2 weeks and the blank control group was not treated by acupuncture. The following indicators of the two groups were observed：the first time when patients took semifluid food and defecated yellow liquid stool,the first exhaust or defecation time, the frequency of defecation within two weeks after operation,daily volume of defecation,drainage volume of gastrointestinal decompression,the L/M value of urine and D-lactic acid value of blood on the day when pa- tients drank water and ten days after patients drank water. Results ：Two weeks after treatment,compared with the blank control group,the first exhaust time of the acupuncture group was obviously shortened（P〈0.05）, the daily average volume of defecation of the acupuncture group was obviously increased（P〈0.05）,the drainage volume of gastrointestinal decompression of the acupuncture group was decreased significantly（P〈 0.05） ,but there were no significant differences in the rest indicators. Conclusion：The lung-regulating and in- testine-benefiting acupuncture method can improve the elderly patients＇ bowel function after radical resectionfor colon cancer. More specifically,it can promote intestinal peristalsis,shorten the first exhaust time, increase the daily average volume of defecation,re- duce the drainage volume of gastrointestinal de- compression,but it had no obvious effect on im- proving intestinal mucosal permeability.