张炳东

作者单位：224600 江苏省盐城市响水县人民医院

中西医结合治疗直肠癌术后肠麻痹的临床效果观察

张炳东

作者单位：224600 江苏省盐城市响水县人民医院

【摘要】目的探讨中西医结合治疗直肠癌术后肠麻痹的临床效果。方法选取经切除术治疗后出现肠麻痹的直肠癌患者60例，按照完全随机法1∶1分成2组，30例对照组患者行西医常规治疗，30例研究组患者在对照组基础上加用针灸、敷脐联合自拟保留灌肠汤，比较2组患者治疗后的疗效性指标与生化指标情况。结果研究组的肠鸣音、排便和排气恢复时间、腹胀消失、胃肠减压解除与留院观察时间均比对照组短，差异有统计学意义(P<0.05)；研究组治疗24 h、72 h的中医征候积分分别为(10.26±3.27)分、(0.82±0.05)分，均比对照组(13.45±1.67、1.95±0.43)低，差异有统计学意义(P<0.05)；研究组治疗后的K+水平(mmol/L)比对照组高(3.79±0.41 vs 3.51±0.39)，TNF-α(μg/L)、CRP(mg/L)均比对照组低(1.05±0.24 vs 1.98±0.15，10.18±4.36 vs 24.36±7.23)，差异均有统计学意义(P<0.05)。结论中西医结合治疗直肠癌术后麻痹，能够有效缓解患者病症，改善肠胃道功能，防止肠胃功能衰竭。

【关键词】自拟保留灌肠汤；术后肠麻痹；直肠癌；完全胃肠外营养支持

Clinical Observation of Integrated Traditional Chinese and Western Medicine in the Treatment of Postoperative Intestinal Paralysis of Rectal Carcinoma

ZHANGBingdong.XiangshuiPeople'sHospital，Yancheng，224600

【Abstract】ObjectiveTo observe and analyze the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of postoperative intestinal paralysis of rectal carcinoma.Methods60 patients with rectal cancer after resection with intestinal paralysis were randomly divided into 2 groups，30 cases in the control group underwent routine treatment， 30 cases in the study group received acupuncture combined with own reserves and umbilical enema decoction，based on the the control group， curative effects and biochemical indexes of the 2 groups were compared after treatment.ResultsThe bowel sounds，defecation and exhaust recovery time，abdominal distention disappearing，gastrointestinal decompression，and hospital stay in the observation group were shorter than those of the control group，there had statistical difference(P<0.05)；24 h，72 h traditional Chinese medicine syndrome integral in the observation group were(10.26±3.27)and(0.82±0.05)，which were lower than(13.45±1.67)and (1.95±0.43)of the control group，there had statistical difference (P<0.05)；after treatment，the levels of K+(mmol/L) of the study group was higher than that of the control group(3.79±0.41 vs 3.51±0.39)，TNF-alpha(μg/L)，CRP(mg/L) were lower than those of the control group(1.05±0.24 vs 1.98±0.15，10.18±4.36 vs 24.36±7.23)，there had statistical difference(P<0.05).ConclusionIntegrated traditional Chinese and western medicine in the treatment of postoperative intestinal paralysis of rectal carcinoma can relieve the patients’symptoms，improve gastrointestinal function，and prevent gastrointestinal function failure.

【Key words】Self-made retention enema Decoction；Postoperative intestinal paralysis；Rectal cancer；Total parenteral nutrition support

(ThePracticalJournalofCancer,2015,30:245～248)

肠麻痹是直肠癌术后常见的并发症之一，西医疗法多予患者恢复肠动力药治疗，但临床疗效受肠胃蠕动、吸收等基本功能及肠内物长期滞积等限制，患者出现术后预后不良的风险也相应增加[1]。为提高直肠癌术后肠麻痹的临床治愈率，促进患者肠胃功能恢复正常，本研究中30例患者行中西医结合治疗方案，并与行西医常规治疗的临床效果进行对照分析。

1资料与方法

1.1　一般资料

资料随机选自2013年1月-2014年1月在本院经切除术治疗后出现肠麻痹的直肠癌患者60例，按照完全随机法1∶1分成对照组和研究组，每组30例。对照组中男性16例，女性14例，年龄51～75岁，平均(64.38±3.76)岁，手术时间95～210 min，平均(153.27±28.46)min。研究组中男性14例，女性16例，年龄50～76岁，平均(65.27±3.81)岁，手术时间95～210 min，平均(153.73±28.62)min。……