针刺联合四磨汤用于肝癌切除术后促胃肠功能恢复的效果

Effect of Acupuncture Combined with Simo Decoction on Promoting Recovery of Gastrointestinal Function after Resection of Hepatocellular Carcinoma

目的分析针刺联合四磨汤用于肝癌切除术后的促胃肠功能恢复的效果。方法选取医院2016年12月—2019年2月行肝癌切除术的患者100例,采用随机数字法分为两组。对照组术后给予常规对症处理,观察组在对照组基础上给予针刺联合四磨汤治疗,分析两组患者治疗后的临床效果。结果观察组肠鸣音恢复时间(27.98±6.71)h、排气时间(47.86±8.10)h、排便时间(56.47±10.44)h、留置尿管时间(36.98±8.41)d、住院时间(10.41±2.85)d短于对照组(P<0.05)。两组术前胃肠激素水平组间比较,差异不具有统计学意义(P>0.05)。观察组术后3 d、7 d时胃动素(MTL)水平分别为(208.33±22.52)ng/L、(245.38±29.51)ng/L均高于对照组,胃泌素(GAS)水平分别为(132.22±23.49)ng/L、(98.63±19.44)ng/L均低于对照组(P<0.05)。观察组并发症率为8.00%(4/50),对照组为24.00%(12/50),观察组患者并发症率低于对照组(P<0.05)。结论针刺联合四磨汤可促进肝癌切除术患者术后胃肠功能的恢复,降低并发症,缩短住院时间。

Objective To analyze the effect of acupuncture combined with Simo Decoction on promoting gastrointestinal function recovery after hepatectomy. Methods A total of 100 patients with liver cancer resection in our hospital(from December 2016 to February 2019) were selected and randomly divided into two groups. The control group was treated with routine symptomatic treatment after operation, and the observation group was treated with acupuncture combined with Simo Decoction on the basis of the control group. The clinical effect of the two groups after treatment was analyzed. Results In the observation group, the recovery time of intestinal sound was(27.98±6.71) h, the exhaust time was(47.86±8.10) h, the defecation time was(56.47±10.44) h, the indwelling catheter time was(36.98±8.41) d, and the hospitalization time was(10.41±2.85) d, which were shorter than those in the control group(P<0.05). There was no significant difference in gastrointestinal hormone level between the two groups before operation(P>0.05). The levels of motilin(MTL) in the observation group were(208.33±22.52) ng/L,(245.38±29.51) ng/L and(132.22±23.49) ng/L and(98.63±19.44) ng/L, respectively, which were higher than those in the control group on the 3 rd and 7 th day after operation. The complicated rate was 8.00%(4/50) in the observation group and 24.00%(12/50) in the control group. The complications rate in the observation group was lower than that in the control group(P<0.05). Conclusion Acupuncture combined with Simo Decoction can promote the recovery of gastrointestinal function, reduce complications and shorten hospitalization time in patients with hepatectomy.