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《低位直腸癌柱狀腹會陰聯(lián)合切除術(shù)后針刺干預(yù)治療的臨床研究.pdf》由會員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫。
1、中國肛腸病雜志2014年第34卷第8期·論著與臨床研究低位直腸癌柱狀腹會陰聯(lián)合切除術(shù)后針刺干預(yù)治療的臨床研究孔維民王吉侯云南省曲靖市中醫(yī)醫(yī)院肛腸科(云南曲靖655000)摘要為探討低位直腸癌柱狀腹會陰聯(lián)合切除術(shù)后針刺干預(yù)治療的臨床價(jià)值，將72例行柱狀腹會陰聯(lián)合切除術(shù)治療的低位直腸癌患者隨機(jī)分為治療組和對照組，各36例。兩組患者術(shù)后均常規(guī)補(bǔ)液，預(yù)防感染及對癥治療，并早期給予腸內(nèi)外聯(lián)合營養(yǎng)支持。在此基礎(chǔ)上，治療組術(shù)后給予針刺干預(yù)治療，對照組術(shù)后不給予針刺干預(yù)治療。對比兩組患者術(shù)后腸鳴音出現(xiàn)時(shí)間、肛門通氣時(shí)間、并發(fā)癥發(fā)生情況及營養(yǎng)指標(biāo)的變化。結(jié)果顯示，兩組均無圍術(shù)期死亡病例，治療組在術(shù)后腸鳴音出現(xiàn)
2、時(shí)間、肛門通氣時(shí)間及腹脹、創(chuàng)口感染發(fā)生率方面均優(yōu)于對照組，Pdo．05或Pdo．Ol；治療組患者術(shù)后第7天前白蛋白(PA)濃度、淋巴細(xì)胞總數(shù)(TLC)均高于對照組，Pd0．05。結(jié)果表明，低位直腸癌柱狀腹會陰聯(lián)合切除術(shù)后進(jìn)行針刺干預(yù)治療能促進(jìn)患者腸蠕動功能的恢復(fù)，有利于腸內(nèi)營養(yǎng)支持治療，從而更好地改善患者營養(yǎng)狀況，提高其免疫功能，而且可降低并發(fā)癥的發(fā)生率。關(guān)鍵詞直腸癌；柱狀腹會陰聯(lián)合切除術(shù)；針刺；并發(fā)癥ClinicalStudyonAcupunctureInterventionFollowingCylindricalAbdominoperinealResectionforLowRectalC
3、arcinomaK0NGWi—min，WANGJi-houDept．ofColoproctology，theTCMHospitalofQujingMunicipality，Qujing，Yunnan655000AbstractThisstudywastoevaluatetheclinicalvalueofpostoperativeinterventionwithacupunctureforlowrectalcarcinomapatients，colletedthe72caseswhohadreceivedcylindricalabdominoperinealresection(APR)and
4、dividedrandomlyintotreatmentgroupandcontrolone，foreach；bothgroupsweregivenwithroutinelyreplenishingfluid，anti—infectivetreatment，symptomatictreatment，symptomatictreatmentandearlyenternalandparenteralnutrition，onthebasis，treatmentgroupwasalsowithacupunctureinterven—tionafteroperation，whilethecontrol
5、onewasnotgiventheinterventiontreatment；thenthetimeforpost—operativerugitussoundappearingandtimeofanalventilation，theincidenceofcomplication，andthenutri—tionindexeschangeswerecomparedbetweenbothgroups．Asresults，therewasnodeathcasesduringperi—operativeperiodinbothgroupsandtreatmentgroupwasallsuperior
6、tocontrolgroupinthetimeforpost—operativerugitus—soundappearigandanalventilation，abdominaldistentionandtheincidenceofwoundin—fection(Pd0．05orPd0．01)；and，onthe7thafteroperationthelevelofprealbumin，thetotallymphocytecountintreatmentgroupwerehigherthanincontrolgroup(Pd0．05)．Resultsshowthatacupuncturein
7、—terventionfollowingcylindricalAPRcanpromoteenterocinesiafunctionrecoveryoflowrectalcarcinomapatients，SOhelpingtointraintestinalalimentationsupporttherapy，thusbetterimprovepatientSnutritionstatusandliftthei
