摘要
目的 分析对新辅助晚期食管癌术后患者应用三仁通腑汤联合热敏灸对于改善便秘的实际价值；方法 以回顾性研究的形式，选取2024年1月至2024年6月我院收治的50例新辅助晚期食管癌患者，其均行食管癌根治术治疗且在术后出现不同程度的便秘症状。以随机数字法分为实验组与对照组，对照组采取鼻饲首荟通便胶囊治疗，实验组采用三仁通腑汤联合热敏灸治疗，比较两组的便秘情况及临床疗效；结果 实验组在排便次数、排便时间等指标上均显优（P<0.05）。治疗后24h及48h，实验组在临床证候评分上优于对照组（P<0.05）；结论 对新辅助晚期食管癌术后患者应用三仁通腑汤联合热敏灸，能够有效缓解患者的便秘症状，提升治疗效果，以此改善患者的预后质量。
关键词： 晚期食管癌；新辅助化疗；便秘；三仁通腑汤；热敏灸
Abstract
Objective To analyze the practical value of using San Ren Tong Fu Tang combined with thermosensitive moxibustion to improve constipation in patients with advanced esophageal cancer after neoadjuvant surgery; Methods In the form of a retrospective study, 50 patients with neoadjuvant advanced esophageal cancer admitted to our hospital from January 2024 to June 2024 were selected. All of them underwent esophageal cancer radical surgery and experienced varying degrees of constipation symptoms after surgery. Divided into an experimental group and a control group using random number method, the control group was treated with nasal feeding Shouhui Tongbian Capsules, while the experimental group was treated with Sanren Tongfu Decoction combined with thermosensitive moxibustion. The constipation situation and clinical efficacy of the two groups were compared; Results The experimental group showed significant improvement in indicators such as defecation frequency and defecation time (P<0.05). At 24 and 48 hours after treatment, the experimental group showed better clinical syndrome scores than the control group (P<0.05); Conclusion The application of San Ren Tong Fu Tang combined with thermosensitive moxibustion can effectively alleviate constipation symptoms and improve treatment efficacy in patients with advanced esophageal cancer after neoadjuvant surgery, thereby improving the quality of patient prognosis.
Key words： Advanced esophageal cancer; Neoadjuvant chemotherapy; Constipation; San Ren Tong Fu Tang; Thermal moxibustion
参考文献 References
[1] 盖磊,常莎,柳华伟,等.穴位贴敷联合热敏灸治疗化疗后胃肠道反应的应用效果[J].大医生,2024,9(20):7-9.
[2] 姜文燕.基于六经辨证的热敏灸联合穴位敷贴在骨质疏松性腰椎压缩性骨折后腹胀便秘护理中的应用[J].全科护理,2024,22(19):3625-3627.
[3] 郭薇.食管癌根治术后患者及照顾者营养支持需求特征及轨迹研究[D].中国人民解放军海军军医大学,2024.
[4] 杨继科,叶兴安,潘素琴.热敏灸联合增液承气汤加味灌肠和大黄贴治疗瘀结型粘连性肠梗阻的临床效果[J].临床合理用药,2024,17(12):170-173.
[5] 杨丽丽,沙静涛,李朝阳,等.三仁通腑汤联合针刺治疗湿秘的临床效果[J].临床医学研究与实践,2023,8(34):94-97.
[6] 许淑珍,杨沛月,杨俊,等.热敏灸联合穴位贴敷治疗痔术后便秘的临床研究[J].江西中医药,2023,54(11):58-60.
[7] 刘澄波,于永魁,周洪.脐灸联合法治疗食管癌术后胃肠道功能紊乱患者的效果[J].河南医学研究,2023,32(18):3406-3408.
[8] 汪仕华,陈静儒,杨慧.优化肠道管理方案在接受食管癌根治术患者术后康复中的作用[J].河南医学研究,2021,30 (25): 4788-4791.
[9] 王培宽,黄黎,王理德,等.三仁通腑汤在胸腰椎骨折早期的应用观察[J].实用中西医结合临床,2021,21(16):29-30.