董殿超 饶春晖

[摘要] 目的 觀察人参养荣汤对大肠癌患者术后快速康复的影响。 方法 选取2018年6月至2019年12月我院52例住院且确诊的大肠癌患者，随机分为实验组与对照组，每组各26例。实验组术后予人参养荣汤煎服联合安素粉泡服，对照组术后仅予安素粉泡服。观察所有大肠癌患者术后康复情况、术后营养情况及术后并发症情况等。结果 与对照组相比，实验组患者术后可以明显闻及肠鸣音的时间、术后首次肛门排气时间、术后首次排便时间均有所缩短，差异均有统计学意义（P<0.05）。实验组患者的住院时间也较对照组明显缩短，差异有统计学意义（P<0.05）。术前1 d两组患者血清总蛋白、清蛋白水平比较，差异均无统计学意义（P>0.05），术后2 d、5 d实验组患者的血清总蛋白、清蛋白水平分别高于对照组，差异有统计学意义（P<0.05）;两组患者的术后并发症发生率比较，差异无统计学意义（P>0.05）。 结论 人参养荣汤可促进大肠癌术后快速康复，促进患者术后恢复，缩短住院时间，提高营养状况，同时不增加术后并发症的风险。

[关键词] 人参养荣汤;大肠癌;术后快速康复;术后并发症

[中图分类号] R735.3          [文献标识码] B          [文章编号] 1673-9701（2021）07-0147-05

Clinical research on Renshen Yangrong Decoction for postoperative rapid rehabilitation in patients with colorectal cancer

DONG Dianchao   RAO Chunhui

Department of Anorectal， Hangzhou Dingqiao Hospital， Dingqiao Branch of Hangzhou Hospital of Traditional Chinese Medicine， Hangzhou   310000， China

[Abstract] Objective To observe the impacts of Renshen Yangrong Decoction for postoperative rapid rehabilitation in patients with colorectal cancer. Methods From June 2018 to December 2019， 52 hospitalized patients with colorectal cancer admitted to our hospital were randomly divided into the experimental group and the control group， with 26 cases in each group. The experimental group was treated by Renshen Yangrong Decoction combined with Ensure nutrison after operation， while the control group was given Ensure nutrison only after operation. The postoperative rehabilitation， postoperative nutrition and postoperative complications in all patients with colorectal cancer were observed. Results Compared with the control group， the time of obvious bowel sounds， the first anal exhaust time and the first defecation time in the experimental group were shortened， and the differences were statistically significant （P<0.05）. The hospitalization time of colorectal cancer patients in the experimental group was shorter than that in the control group（P<0.05）. There was no statistically significant difference in serum total protein and serum albumin levels between the two groups 1 day before operation （P>0.05）， but the levels of serum total protein and serum albumin in the experimental group were higher than those in the control group 2 d and 5 d after operation（P<0.05）. There was no statistically significant difference of the incidence of postoperative complications between the two groups（P>0.05）. Conclusion Renshen Yangrong Decoction promotes the rapid rehabilitation in patients with colorectal cancer after operation， promotes the postoperative recovery， shortens the hospitalization time and increases the nutritional status without raising the risk of postoperative complications.

中医认为，大肠癌是邪气凝聚、气滞血瘀、久病体虚的疾病。手术治疗在祛邪的同时伤正气，耗气血。基于“结者散之，虚者补之”的原则，治疗上除使用根治手术“祛邪散结”外，还应益气健脾、补血扶正培本[33-34]。本研究使用的人参养荣汤出自北宋年间的《太平惠民和剂局方》：“白芍药三两，当归、陈皮、黄芪、桂心（去粗皮）、人参、白术（煨）、甘草（炙），各一两;熟地黄（制）、五味子、茯苓，各七钱半;远志（炒，去心）半两。炮制：上散。功用：治积劳虚损，四肢沉滞，骨肉酸疼，呼吸少气，行动喘啜，小腹拘急，腰背强痛，心虚惊悸，咽干唇燥，饮食无味，阴阳衰弱，悲忧惨戚，多卧少起。……