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| 基于“脑-肠轴理论”铜砭刮痧在结直肠癌术后患者胃肠道功能恢复中的应用研究 |
| Application of Tongbian Guasha in gastrointestinal function recovery after colorectal cancer surgery based on brain-gut axis theory |
| 投稿时间：2024-08-28 修订日期：2024-08-28 |
| DOI： |
| 中文关键词: “脑-肠轴” 铜砭刮痧 结直肠癌 胃肠道功能 |
| 英文关键词: “brain-gut axis” Tongbian GuaSha Colorectal cancer Gastrointestinal function |
| 基金项目:浙江省中医药科技计划 |
| 摘要点击次数: 56 |
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| 中文摘要: |
| 目的 探讨基于脑肠轴理论铜砭刮痧在结直肠癌术后患者胃肠道功能恢复中的应用效果。方法 选择2022年1月~2024年5月杭州市中医院普外科结直肠癌术后患者106例，采用随机数表法分为对照组与干预组各53例，对照组予术后的常规治疗和护理，干预组在对照组基础予铜砭刮痧（术后第1 d即开始铜砭刮痧，2次/周，2周为1疗程，共计1个疗程），比较两组治疗前后胃肠道症状评分、生活质量，记录胃肠功能改善时间与不良反应发生情况。结果 两组治疗后胃肠道症状评分均有所下降，干预组治疗前后差值大于对照组，差异有统计学意义（P＜0.05）；两组治疗后生活质量评分均有所升高，干预组治疗前后差值大于对照组，差异有统计学意义（P＜0.05）；干预组腹胀减轻时间、首次肠鸣音时间、排气时间、排便时间与进食时间均早于对照组，差异有统计学意义（P＜0.05）；两组均未发生不良反应。结论 基于脑肠轴理论铜砭刮痧在结直肠癌术后患者中应用效果肯定，有助于促进胃肠道功能快速恢复。 |
| 英文摘要: |
| Objective The objective of this study was to investigated the impact of Tongbian GuaSha on the recovery of gastrointestinal function in patients after colorectal cancer surgery, based on the brain-gut axis theory. Methods From January 2022 to May 2024, a total of 106 postoperative colorectal cancer patients from the General Surgery Department at Hangzhou Hospital of Traditional Chinese Medicine were selected and randomly divided into control and intervention groups (53 cases in each group). The control group received routine postoperative treatment and nursing care, while the intervention group received Tongbian GuaSha in addition to routine care (initiated on the first day after surgery, twice a week for 2 weeks per course). Gastrointestinal symptom scores and quality of life before and after treatment were compared between the two groups, along with recorded improvement time in gastrointestinal function and occurrence of adverse reactions. Results Both groups showed a decrease in gastrointestinal symptom scores after treatment; however, the intervention group exhibited a significantly greater difference before and after treatment compared to the control group (P<0.05). Quality of life scores also increased for both groups post-treatment, with a significantly greater difference observed in the intervention group (P<0.05). Additionally, various indicators related to abdominal distension relief, bowel sounds, exhaust time, defecation time, and eating time were earlier in the intervention group than those in the control group (P<0.05). No adverse reactions occurred in either group. Conclusion Base on brain-gut axis theory,Tongbian GuaSha has shown positive effects on promoting rapid recovery of gastrointestinal function among postoperative colorectal cancer patients. |
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