快速康复外科理念联合针灸对结直肠癌术后胃肠功能恢复的影响

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Abstract Objective To explore application effect of fast track surgery concept combined with acupuncture rehabilitation in the recovery of gastrointestinal function after colorectal cancer surgery. Methods A total of 120 patients with colorectal cancer surgery from May 2016 to January 2018 in Department of Gastrointestinal Surgery of the Second Affiliated Hospital of Hainan Medical University were selected and divided into combined group and control group by random number table method, with 60 cases in each group. Patients in the two groups were given radical surgery for colorectal cancer, during the perioperative rehabilitation surgery period, they were given fast track surgery treatment. At the same time, combined group was given shǒusānlǐ, hégǔ, tiānshū, zúsānlǐ and shàngjùxū acupuncture and moxibustion therapy. Basic operation condition, gastrointestinal motility recovery, gastrointestinal hormone level, abdominal distension score and quality of life score were compared between the two groups. Results There were no significant differences in operation time, intraoperative blood loss, specimen resection length and number of lymph nodes between the two groups (P ＞ 0.05). The recovery time of bowel sounds, time of first exhaust, time of eating liquid diet and time of defecation in combined group were shorter than those in control group (P ＜ 0.05). The overall analysis showed that there were significant differences in motilin and gastrin levels between the two groups, time point comparison and interaction (P ＜ 0.05). Further intra group comparison showed that, the levels of motilin and gastrin in two groups were compared with those at the previous time point in the same group, the differences were statistically significant (P ＜ 0.05). Comparison between groups: three and seven days after operation, the levels of motilin and gastrin in combined group were higher than those in control group (P ＜ 0.05). The overall analysis showed that there was statistically significant difference in abdominal distension score between two groups, time point comparison and interaction (P ＜ 0.05). Further pairwise comparison, intra group comparison: the abdominal distension scores of two groups were significantly different from the previous time point in the same group (P ＜ 0.05). Comparison between groups: three and seven days after operation, the abdominal distension score of combined group was lower than that of control group (P ＜ 0.05). Seven days after operation, the scores of physical function, role function, cognitive function, social function and emotional function in combined group were higher than those in control group (P ＜ 0.05). Conclusion The fast track surgery concept combined with acupuncture rehabilitation is helpful to promote the recovery of gastrointestinal function and improve the quality of life of patients after colorectal cancer surgery.

Key words： Fast track surgery Acupuncture rehabilitation Colorectal cancer Gastrointestinal function

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	LIANG Zunxiao YANG Jia WANG Zhenzhai ZHANG Chengsheng

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LIANG Zunxiao YANG Jia WANG Zhenzhai ZHANG Chengsheng. Effect of fast track surgery concept combined with acupuncture on gastrointestinal function recovery after colorectal cancer surgery[J]. 中国医药导报, 2020, 17(25): 125-128,140.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I25/125

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