Su Hongqing, Wen Yuexian, Kang Dandan
Traditional Chinese Medicine Department, Zhongshan Hospital Xiamen University, Xiamen 361004, China.
Department of Gastrointestinal Surgery, Zhongshan Hospital Xiamen University, Xiamen361004, China.
Evid Based Complement Alternat Med. 2022 Jul 20;2022:4957061. doi: 10.1155/2022/4957061. eCollection 2022.
After surgical treatment, the gastrointestinal function of tumor patients is inhibited for a short time. Refined nursing is beneficial to the recovery of gastrointestinal function of tumor patients after operation. Traditional Chinese medicine and Western medicine have their own advantages in the treatment of gastrointestinal dysfunction after tumor operation and the combined application of the two is more ideal. Therefore, on the premise of refined nursing, we should carefully study the efficacy of integrated traditional Chinese and Western medicine in the treatment of postoperative gastrointestinal dysfunction in tumor patients. Fifty patients with gastrointestinal dysfunction after tumor surgery admitted to Xiamen University Affiliated Zhongshan Hospital from June 2021 to August 2022 were retrospectively selected. Twenty two of them received refined care + Western medicine (control group, CG) and the other 28 received refined care + Western medicine + moxibustion and thumb-tack needle Chinese medicine (observation group, OG). We compared the recovery of gastrointestinal function, inflammatory factors, negative emotions, sleep quality, length of stay, medical expenses, and adverse reactions. The postoperative recovery effect of gastrointestinal function in the OG was better than that in the CG. The IL-8 level and TNF - level in OG were lower than those in CG. Relative to CG, the OG had significantly low SDS scores, SAS scores, PSQ1 scores, length of hospital stay, and medical expenses. The OG incidence of adverse reactions was 28.57%; it was significantly lower than 59.09% in the CG. Refined nursing with integrated Chinese and Western medicine therapeutic interventions can promote the recovery of gastrointestinal tract function, relieve anxiety and depression, and improve sleep quality in patients with postoperative gastrointestinal dysfunction after tumor surgery.
手术治疗后，肿瘤患者的胃肠功能会在短时间内受到抑制。精细化护理有利于肿瘤患者术后胃肠功能的恢复。中西医在肿瘤术后胃肠功能障碍的治疗中各有优势，两者联合应用更为理想。因此，在精细化护理的前提下，应深入研究中西医结合治疗肿瘤患者术后胃肠功能障碍的疗效。回顾性选取2021年6月至2022年8月厦门大学附属中山医院收治的50例肿瘤术后胃肠功能障碍患者。其中22例接受精细化护理+西医治疗（对照组，CG），另外28例接受精细化护理+西医治疗+艾灸和揿针中医治疗（观察组，OG）。比较两组患者胃肠功能恢复情况、炎症因子、负性情绪、睡眠质量、住院时间、医疗费用及不良反应。观察组胃肠功能术后恢复效果优于对照组。观察组白细胞介素-8（IL-8）水平和肿瘤坏死因子-α（TNF-α）水平低于对照组。与对照组相比，观察组抑郁自评量表（SDS）评分、焦虑自评量表（SAS）评分、匹兹堡睡眠质量指数（PSQI）评分、住院时间及医疗费用均显著降低。中西医结合治疗干预的精细化护理可促进肿瘤术后胃肠功能障碍患者胃肠道功能恢复，缓解焦虑抑郁情绪，改善睡眠质量。
