中医外治法对食管癌术后患者胃肠功能恢复的效果观察

Observation on the Effect of External Treatment of Traditional Chinese Medicine on the Recovery of Gastrointestinal Function in Patients with Esophageal Carcinoma after Operation

目的观察中医外治法对食管癌术后胃肠功能恢复的效果。方法选择2015年1月~2017年12月我科收治的62例食管癌患者,术后按住院号随机分为观察组和对照组,各31例。对照组给予常规治疗,观察组除常规治疗,手术后第1天开始实施中医外治法。观察两组患者术后肠蠕动恢复情况、腹胀发生率。结果观察组术后肠鸣音恢复时(28.51±5.58)h、首次排气时间(42.60±14.68)h、首次排便时间(69.93±19.45)h,对照组术后肠鸣音恢复时间(33.40±9.76)h、首次排气时间(70.14±18.03)h、首次排便时间(115.47±22.55)h,三项指标观察组均优于对照组,差异有统计学意义(P<0.05);观察组术后腹胀发生率9.67%,低于对照组的48.38%,差异有统计学意义(P<0.05)。结论中医外治法能有效促进术后肠蠕动的恢复,预防术后腹胀的发生,改善食管癌术后胃肠功能,值得临床推广。

Objective To observe the effect of external therapy of traditional Chinese medicine on the recovery of gastrointestinal function after esophageal carcinoma operation.Methods From January 2015 to December 2017,62 patients with esophageal carcinoma were randomly divided into observation group and control group,each of the 31 cases.The control group was given routine treatment.In the observation group,in addition to conventional treatment,the external treatment of traditional Chinese medicine began on the first day after surgery.The recovery of postoperative bowel movements and the incidence of bloating were observed in both groups.Results In the observation group,postoperative bowel sounds recovered(28.51±5.58)h,first discharge time(42.60±14.68)h,first defecation time(69.93±19.45)h,and postoperative bowel sound recovery time(33.40±9.76)h,first exhaust time(70.14±18.03)h,first defecation time(115.47±22.55)h,the three indicators observation group were better than the control group,the difference was statistically significant(P<0.05);The incidence of postoperative abdominal distension in the observation group was 9.67%,which was lower than that in the control group 48.38%,the difference was statistically significant(P<0.05).Conclusion External treatment of traditional Chinese medicine can effectively promote the recovery of postoperative bowel movements,prevent the occurrence of postoperative abdominal distension and improve the gastrointestinal function of esophageal cancer,which is worthy of clinical promotion.