直肠全系膜切除术后患者胃肠功能康复的中西医结合治疗

Integrated Chinese and western medicine in rehabilitative treatment of gastrointestinal function in patients after total mesorectal resection

目的观察中西医结合治疗对直肠全系膜切除术后患者胃肠功能康复的效果。方法选取直肠全系膜切除术患者100例作为研究对象,采用随机数字表法分为观察组和对照组,每组50例。对照组术后给予热按摩干预,观察组在对照组基础上加用超声治疗仪治疗,比较2组术后胃肠功能恢复情况和疼痛程度。结果观察组术后首次排气时间、首次下床活动时间、首次排便时间均短于对照组,差异有统计学意义(P<0.05);术后12、24、48 h和出院时,观察组视觉模拟评分法(VAS)评分均低于对照组,差异有统计学意义(P<0.05)。结论直肠全系膜切除术后患者采用超声治疗仪联合热按摩的中西医结合治疗,能加速胃肠功能恢复,减轻疼痛程度,有利于改善预后。

Objective To observe effect of integrated Chinese and western medicine on gastrointestinal function rehabilitation in the treatment of patients after total mesorectal resection.Methods A total of 100 patients who underwent total mesorectal excision were selected as research objects,and were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was given hot massage intervention after operation,and the observation group was added with ultrasound therapy equipment on the basis of the control group.The postoperative recovery of gastrointestinal function and the degree of pain were compared between the two groups.Results The time to first exhaust,time to first get out of bed,and time to first defecate in the observation group were significantly shorter than those in the control group(P<0.05).The observation group had significantly lower Visual Analogue Scale(VAS)scores at 12,24,and 48 h after surgery and at discharge than the control group(P<0.05).Conclusion The combined treatment of ultrasonic therapy instrument combined with thermal massage after total mesorectal excision can accelerate the recovery of gastrointestinal function,relieve the degree of pain,and improve the prognosis of patients.