Integrated Chinese and western medicine in rehabilitative treatment of gastrointestinal function in patients after total mesorectal resection
-
摘要: 目的 观察中西医结合治疗对直肠全系膜切除术后患者胃肠功能康复的效果。 方法 选取直肠全系膜切除术患者100例作为研究对象,采用随机数字表法分为观察组和对照组,每组50例。对照组术后给予热按摩干预,观察组在对照组基础上加用超声治疗仪治疗,比较2组术后胃肠功能恢复情况和疼痛程度。 结果 观察组术后首次排气时间、首次下床活动时间、首次排便时间均短于对照组,差异有统计学意义(P<0.05); 术后12、24、48 h和出院时,观察组视觉模拟评分法(VAS)评分均低于对照组,差异有统计学意义(P<0.05)。 结论 直肠全系膜切除术后患者采用超声治疗仪联合热按摩的中西医结合治疗,能加速胃肠功能恢复,减轻疼痛程度,有利于改善预后。Abstract: Objective To observe effect of integrated Chinese and western medicine on gastrointestinal function rehabilitation in the treatment of patients after total mesorectal resection. Methods A total of 100 patients who underwent total mesorectal excision were selected as research objects, and were divided into control group and observation group by random number table method, with 50 cases in each group. The control group was given hot massage intervention after operation, and the observation group was added with ultrasound therapy equipment on the basis of the control group. The postoperative recovery of gastrointestinal function and the degree of pain were compared between the two groups. Results The time to first exhaust, time to first get out of bed, and time to first defecate in the observation group were significantly shorter than those in the control group(P<0.05). The observation group had significantly lower Visual Analogue Scale(VAS)scores at 12, 24, and 48 h after surgery and at discharge than the control group(P<0.05). Conclusion The combined treatment of ultrasonic therapy instrument combined with thermal massage after total mesorectal excision can accelerate the recovery of gastrointestinal function, relieve the degree of pain, and improve the prognosis of patients.
-
-
张永宏, 任博博, 刘磊, 等. 腹腔镜直肠全系膜切除联合动脉置泵灌注化疗治疗中晚期直肠癌患者的疗效观察[J]. 实用临床医药杂志, 2019, 23(5): 86-89. 王展福, 胡勇坚, 李健, 等. 腹腔镜与开腹直肠全系膜切除术治疗中低位直肠癌效果比较[J]. 中国现代普通外科进展, 2017, 20(5): 382-383. 李海亮, 张义胜. 经肛门直肠全系膜切除术现状及研究进展[J]. 国际外科学杂志, 2016, 43(11): 785-788. 王蔚文, 湖南省医院协会. 临床疾病诊断与疗效判断标准[M]. 北京: 科学技术文献出版社, 2010: 1400-1403. 杨一兰. 基于快速康复外科的多模式镇痛管理对腹腔镜结直肠癌病人术后疼痛的影响[J]. 护理研究, 2019, 33(17): 3038-3041. 孙露明, 张海燕. 腹腔镜直肠癌根治术的路径化护理探讨[J]. 实用临床医药杂志, 2019, 23(2): 118-121. 李哲. 腹腔镜微创直肠全系膜切除术治疗中低位直肠癌效果观察[J]. 中国实用医刊, 2017, 44(23): 41-43. 梁志宏, 刘书强, 江雪峰, 等. 腹腔镜全直肠系膜切除术对低位直肠癌患者术后胃肠功能的影响[J]. 中国内镜杂志, 2019, 25(6): 34-39. 金仙红. 老年结直肠癌围术期护理中快速康复外科理念的应用效果[J]. 中国药物与临床, 2019, 19(24): 4404-4406. 王清凤. FTS理念的护理干预在低位直肠癌患者腹腔镜直肠全系膜切除术围手术期中的应用观察[J]. 中国实用医药, 2018, 13(16): 163-164. 臧玮娜. 早期活动结合腹部热按摩对腹部手术患者术后康复的疗效观察[J]. 齐鲁护理杂志, 2015, 21(4): 17-18. 刘孝莉. 早期活动联合热按摩对腹部手术患者疼痛及胃肠功能的影响[J]. 临床合理用药杂志, 2018, 11(25): 37-39. 黄梅雪, 黄艳青, 韦丽莉. 早期应用联合超声导入治疗仪促进术后胃肠功能快速恢复的临床观察[J]. 国际护理学杂志, 2016, 35(8): 1144-1146. 刘月雯, 邓瑛瑛, 刘丹, 等. 腹部按摩联合超声治疗仪对神经外科重症患者胃肠功能和营养状况的影响[J]. 中国医药导报, 2019, 16(26): 78-81. 谢海珊, 程如虹, 朱畅, 等. 超声药物透入治疗在结直肠癌术后胃肠功能恢复中的护理研究[J]. 中国现代手术学杂志, 2013, 17(5): 396-398. -
期刊类型引用(1)
1. 范静，端木玉娟，张异. 中西医结合循证护理在消化内镜下治疗胃肠息肉患者中的应用效果. 河南医学研究. 2023(07): 1322-1326 . 
百度学术
其他类型引用(0)
计量
- 文章访问数: 307
- HTML全文浏览量: 80
- PDF下载量: 7
- 被引次数: 1
下载:
苏公网安备 32100302010246号
