[1]吴伯勋,刘 浩,刘洪利.香砂六君子汤在微创食管癌切除术后肠功能恢复中的应用效果[J].医学信息,2021,34(06):169-171.[doi:10.3969/j.issn.1006-1959.2021.06.045]
　WU Bo-xun,LIU Hao,LIU Hong-li.Application Effect of Xiangsha Liujunzi Decoction in Recovery of Bowel Function After Minimally Invasive Esophageal Cancer Resection[J].Medical Information,2021,34(06):169-171.[doi:10.3969/j.issn.1006-1959.2021.06.045]
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香砂六君子汤在微创食管癌切除术后肠功能恢复中的应用效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年06期
页码:
169-171
栏目:
中医中药
出版日期:
2021-03-15

文章信息/Info

Title:
Application Effect of Xiangsha Liujunzi Decoction in Recovery of Bowel Function After Minimally Invasive Esophageal Cancer Resection
文章编号:
1006-1959（2021）06-0169-03
作者:
吴伯勋; 刘 浩; 刘洪利
（西南医科大学附属中医医院胸外科1，手麻科2，四川 泸州 646000）
Author(s):
WU Bo-xun; LIU Hao; LIU Hong-li
(Department of Thoracic Surgery1,Department of Hand Anesthesia2,Affiliated Hospital of Traditional Chinese Medicine, Southwest Medical University,Luzhou 646000,Sichuan,China)
关键词:
食管癌; 香砂六君子汤; 微创; 肠功能
Keywords:
Esophageal cancer; Xiangsha Liujunzi decoction;  Minimally invasive; Intestinal function
分类号:
R735.1
DOI:
10.3969/j.issn.1006-1959.2021.06.045
文献标志码:
A
摘要:
目的 探讨香砂六君子汤在微创食管癌切除术后患者肠功能恢复中的应用。方法 选取我院胸外科2018年1月~2019年12月行微创食管癌切除术的54例患者，按照随机数字表法分为对照组及观察组，每组27例。两组患者术后均给予静脉营养支持、补液、对症等常规治疗，对照组术后24 h开始给予生理盐水100 ml Bid管喂，观察组术后24 h开始辨证给予香砂六君子汤100 ml Bid管喂，比较两组肠功能恢复情况（术后肠鸣音恢复时间、肛门排气时间、排便时间及胃管拔除时间）、临床指标（住院时间、住院费用）及并发症发生情况。结果 观察组肠鸣音恢复时间、肛门首次排气时间、首次排便时间短于对照组，胃管拔除时间早于对照组，差异有统计学意义（P＜0.05）。观察组术后住院时间短于对照组，差异有统计学意义（P＜0.05）；两组住院费用比较，差异无统计学意义（P＞0.05）。两组术后瘘、肺部并发症及吻合口狭窄发生率比较，差异无统计学意义（P＞0.05）。结论 在微创切除食管癌患者中，术后早期给予香砂六君子汤管喂能更快恢复肠功能，有助于患者康复，缩短住院时间，且不增加住院费用，经济实用。
Abstract:
Objective To explore the application of Xiangsha Liujunzi Decoction in the recovery of intestinal function in patients after minimally invasive esophageal cancer resection.Methods A total of 54 patients who underwent minimally invasive esophageal cancer resection in the Department of Thoracic Surgery in our hospital from January 2018 to December 2019 were selected and divided into the control group and the observation group according to the random number table method, with 27 cases in each group.Both groups of patients were given routine treatments such as intravenous nutritional support, fluid rehydration, and symptomatic treatment. The control group was given normal saline 100 ml Bid tube 24 h after surgery.The observation group was given Xiangsha Liujunzi Decoction with 100 ml Bid tube 24 h after operation.The recovery of bowel function (postoperative bowel sound recovery time, anal exhaust time, defecation time and gastric tube removal time), clinical indicators (hospitalization time, hospitalization expenses) and complications were compared between the two groups.Results In the observation group, the recovery time of bowel sounds, the time of first exhausting from the anus, and the time of first defecation were shorter than those in the control group and earlier than the control group,the difference was statistically significant (P<0.05).The postoperative hospital stay in the observation group was shorter than that in the control group,the difference was statistically significant (P＜0.05);There was no significant difference in hospitalization expenses between the two groups (P>0.05).There was no significant difference in the incidence of postoperative fistula, pulmonary complications and anastomotic stenosis between the two groups (P>0.05).Conclusion In patients with minimally invasive resection of esophageal cancer, early postoperative administration of Xiangsha Liujunzi Decoction tube can restore intestinal function faster, help patients recover, shorten the length of hospitalization, and does not increase hospitalization costs, which is economical and practical.

参考文献/References:

[1]郑荣寿,孙可欣,张思维,等.2015年中国恶性肿瘤流行情况分析[J].中华肿瘤杂志,2019,41(1):19-28. [2]郭伟,龚太乾,蒋耀光,等.366例电视胸腔镜食管癌切除术中及术后并发症分析[J].中华胸心血管外科杂志,2014,30(3):145-148. [3]Viswanathan MP,Kumar DS,Kumar GA,et al.Oncological Outcomes After Radical Esophagectomy from a Tertiary Cancer Center[J].Indian J Surg Oncol,2020,11(1):80-85. [4]陈基升.食管癌患者围手术期营养不良与并发症的危险因素分析[J].深圳中西医结合杂志,2020,30(4):81-82. [5]郭海周,王建军,周福有,等.管状胃对食管癌切除术后并发症的改善作用[J].中华胃肠外科杂志,2011(1):65-66. [6]陈保富,朱成楚,王春国,等.胸腔镜腹腔镜联合手术与开放手术治疗食管癌的同期临床对照研究[J].中华外科杂志,2010(16):1206-1209. [7]马明全,姜宏景,弓磊,等.胸腔镜与开放食管癌根治术后并发症及应激反应的比较研究[J].中华胃肠外科杂志,2016,19(4):401-405. [8]张旭刚,李维青,李宝重,等.基于倾向性评分匹配法比较食管癌术后早期肠内营养与肠外营养的疗效[J].中国肿瘤临床,2019,46(16):832-835. [9]黎介寿.首选肠内营养的合理性[J].肠外与肠内营养,2013,20(6):321-323. [10]叶翠玲,苏建薇,梁清梅,等.不同营养支持方案在食管癌围术期的应用效果[J].中国当代医药,2017,24(11):174-176. [11]邓磊,宁敏.中药加针灸辅助治疗老年食管癌、贲门癌术后胃瘫综合征疗效观察[J].现代中西医结合杂志,2017,26(18):1939-1941,1944. [12]Xu Z,Xu C,Ge H,et al.Modified Dachengqi Tang improves decreased gastrointestinal motility in postoperative esophageal cancer patients[J].J Tradit Chin Med,2015,35(3):249-254. [13]Nishino T,Yoshida T,Goto M,et al.The effects of the herbal medicine Daikenchuto(TJ-100)after esophageal cancer resection, open-label,randomized controlled trial[J].Esophagus,2018,15(2):75-82. [14]吴成亚.食管癌术后相关症状的临床特征分析及辨证中药干预的疗效观察[D].中国中医科学院,2017.

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更新日期/Last Update: 1900-01-01