小茴香热敷对腹腔镜结直肠癌根治术后 胃肠功能恢复的影响

Efficacy of fennel ironing method on the recovery of gastrointestinal function after laparoscopic radical resection with colorectal cancer

摘要:

目的 探讨小茴香热敷对腹腔镜结直肠癌根治术后肠道功能恢复的影响。方法 选取2016 年 12 月—2018 年12 月在湖北医药学院附属随州医院肛肠外科行腹腔镜结直肠癌根治术的患者165 例。按照随 机数字表法分为对照组和研究组。对照组采用常规治疗方法，研究组采用小茴香热敷腹部促进胃肠功能恢复。 对比两组患者的术后首次排气、排便、进食时间、术后住院天数，外周血胃动素（MTL）、胃液素（GAS）水 平及术后肠梗阻并发症发生率。结果 研究组术后排气时间、排便时间、进食时间，术后住院天数及肠梗阻 发生率均低于对照组（P <0.05）。研究组术后2 d 外周血MTL、GAS 水平高于对照组（P <0.05）。对照组患 者术后外周血MTL、GAS 水平较术前低（P <0.05）。结论 小茴香热敷有助于腹腔镜下结直肠癌根治术后胃 肠功能的恢复，值得推广应用。

Abstract:

Objective To investigate the efficacy of fennel ironing method on the recovery of gastrointestinal function after laparoscopic radical resection with colorectal cancer. Methods The Clinical data of 165 patients with colorectal cancer from December 2016 to December 2018 were analyzed. According to the method of random number table, patients were divided into two groups: control group (n = 73) and study group (n = 92). Control group were treated with routine treatment, and the study group was treated with fennel hot compress to promote the recovery of gastrointestinal function. The first time of exhaust, defecation and food intake, postoperative hospitalization days, peripheral blood motilin (MTL), gastrin (GAS) level and postoperative intestinal obstruction complications were compared. Results Compared with the control group, the recovery time of exhaust and defecation, the time of eating, the days of hospitalization and the incidence of postoperative intestinal obstruction complications decreased in the study group (P < 0.05). The second day after operation, the level of MTL and GAS in the peripheral blood of the study group was higher than that of the control group (P < 0.05). The levels of MTL and GAS in the patients in the control group were lower than those in the control group 1 day before the operation (P < 0.05). Conclusions The hot compress of fennel is helpful to the recovery of gastrointestinal function after laparoscopic radical resection of colorectal cancer, which is worth promoting.