四君子汤加减联合艾灸辅助治疗结肠癌术后患者的效果

Effect of Modified Sijunzi Decoction Combined with Moxibustion as an Adjuvant Treatment of Patients After Colon Cancer Surgery

目的探讨四君子汤加减联合艾灸辅助治疗结肠癌术后患者的效果。方法选取郑州市中医院2018年1月至2022年1月收治的84例结肠癌术后患者,随机分为对照组(44例)和观察组(40例)。两组均接受常规的基础治疗和腹腔镜下结肠癌根治手术,对照组术后接受艾灸疗法,观察组在此基础上接受四君子汤加减治疗。对比两组胃肠功能恢复情况、治疗前后胃肠道症状分级评定量表(GSRS)和卡氏功能状态量表(KPS)评分,对两组不良反应情况进行统计。结果治疗后,观察组首次排气时间、肠鸣音恢复时间及首次排便时间缩短(P<0.05);两组GSRS评分降低,KPS评分升高(P<0.05),且观察组GSRS评分低于对照组,KPS评分高于对照组(P<0.05)。观察组不良反应总发生率为5.00%,与对照组的15.91%比较,差异无统计学意义(P>0.05)。结论结肠癌患者术后接受四君子汤加减联合艾灸辅助治疗可改善患者胃肠功能,值得在临床上推广应用。

Objective To investigate the effect of modified Sijunzi decoction combined with moxibustion after colon cancer surgery.Methods A total of 84 patients who had undergone colon cancer surgery and were admitted to the Zhengzhou Traditional Chinese Medicine Hospital from January 2018 to January 2022 were randomly divided into the control group(44 cases)and the observation group(40 cases).Both groups received conventional basic treatment and laparoscopic colorectal cancer radical surgery.The control group was given moxibustion therapy after operation,and the observation group was treated with modified Sijunzi decoction on this basis.Gastrointestinal function recovery,the gastrointestinal symptom rating scale(GSRS)scores,Karnofsky performance scale(KPS)scores,after treatment were compared between groups.The adverse reactions in both groups were statistically analyzed.Results After treatment,the first exhaust time,bowel sound recovery time and first defecation time of the observation group were shortened(P<0.05).The total incidence of adverse reactions in the observation group was 5.00%,with no statistically significant difference compared to 15.91%in the control group(P>0.05).Conclusion Modified Sijunzi decoction combined with moxibustion can improve gastrointestinal function in patients after colon cancer surgery.It is worth promoting and applying in clinical practice.