生大黄外敷联合常规护理治疗乳腺癌术后化疗所致便秘临床研究

Clinical Study on External Application of Rhubarb Combined with Routine Nursing for Constipation Caused by Postoperative Chemotherapy for Breast Cancer

目的:观察生大黄运用于乳腺癌术后化疗所致便秘的效果。方法:选择96例乳腺癌术后化疗所致便秘患者作为研究对象,按随机数字表法分为对照组和研究组各48例。对照组给予常规护理,研究组在对照组基础上给予生大黄外敷。比较2组排便时间、不良反应发生率、健康调查简表(SF-36)评分及护理满意度。结果:研究组首次排便时间短于对照组(P<0.05)。研究组不良反应发生率为4.17%,低于对照组的16.67%,差异有统计学意义(P<0.05)。干预前,2组生理机能、躯体疼痛、健康状况、社会功能、精神健康评分比较,差异无统计学意义(P>0.05)。干预后,2组生理机能、躯体疼痛、健康状况、社会功能、精神健康评分均高于治疗前,且研究组各项评分均高于对照组,差异均有统计学意义(P<0.05)。结论:生大黄运用于乳腺癌术后化疗所致便秘中效果显著,可促进排便,减少不良反应发生,提升生活质量,患者满意度高。

Objective:To observe the value of rhubarb in the treatment of constipation caused by postoperative chemotherapy for breast cancer.Methods:A total of 96 patients with constipation caused by postoperative chemotherapy for breast cancer were selected as the research objects and divided into the control group and the study group according to random number table method,48 cases in each group.The control group was given routine nursing,and the study group was additionally given external application of rhubarb based on the treatment of the control group.The defecation time,incidence of adverse reactions,score of the 36-Item Short From Health Survey(SF-36)and nursing satisfaction were compared between the two groups.Results:The first defecation time in the study group was shorter than that in the control group(P<0.05).The incidence of adverse reactions in the study group was 4.17%,lower than that of 16.67%in the control group,the difference being significant(P<0.05).Before intervention,there was no significant difference in the comparison of the scores of physiological function,physical pain,health status,social function and mental health between the two groups(P>0.05).After intervention,the above scores in both groups were higher than those before treatment,and the above scores in the study group were higher than those in the control group,differences being significant(P<0.05).Conclusion:The application of rhubarb has a significant effect on constipation caused by postoperative chemotherapy for breast cancer,which can promote defecation,reduce adverse reactions,improve the quality of life,with high patient satisfaction.