术前艾灸联合术后穴位推拿对胃癌术后患者胃肠功能的影响

Effect of Preoperative Moxibustion Combined with Postoperative Acupoint Massage on Gastrointestinal Function in Patients after Gastric Cancer Surgery

目的:探讨术前艾灸联合术后穴位推拿对胃癌术后患者胃肠功能的影响。方法:将行胃癌根治术的患者66例按随机数字表法分为治疗组与对照组各33例。两组术后均进行基础治疗,并在术后第2~9天行肠内营养干预,治疗组在此基础上行术前艾灸联合术后穴位推拿。连续干预7天后比较两组患者术后胃肠功能恢复时间、胃肠功能评分及胃肠功能恢复效果。结果:治疗组患者术后首次排气排便、肠鸣音恢复、经鼻胃空肠营养管进食时间短于对照组(P<0.01);干预7天后两组患者胃肠功能评分下降(P<0.01),治疗组下降更明显(P<0.01);治疗组有效率为97.0%(32/33),高于对照组的75.8%(25/33)(P<0.05)。结论:术前艾灸联合术后穴位推拿可有效改善胃癌术后患者胃肠功能。

Objective:To investigate the effect of preoperative moxibustion combined with postoperative acupoint massage on gastrointestinal function in patients after gastric cancer surgery.Methods:A total of 66 patients undergoing radical gastroectomy for gastric cancer were selected and divided into the treatment group and the control group according to random number table method with 33 patients in each group.The two groups adopted basic therapy after the operation,and underwent enteral nutrition intervention on the second day to the ninth day after the operation,the treatment group performed preoperative moxibustion combined with postoperative acupoint massage.To compare gastrointestinal function recovery time,gastrointestinal function score and gastrointestinal function recovery effect in the two groups after seven days of intervention consecutively.Results:The treatment group was shorter than the control group in the time of first exhaust and defecation,the recovery of bowel sound and nasojejunal feeding tube feeding time(P<0.01);after seven days of intervention,gastrointestinal function scores decreased in the two groups(P<0.01),the decrease of the treatment group was more noticeable(P<0.01);the effective rate of the treatment group was 97.0%(32/33),higher than 75.8%(25/33)of the control group(P<0.05).Conclusion:Preoperative moxibustion and postoperative acupoint massage could effectively improve gastrointestinal function in patients after gastric cancer surgery.