论文部分内容阅读
目的:观察吴茱萸炒粗盐外敷腹部对膀胱癌根治术后胃肠功能恢复的影响。方法:将68例行膀胱癌根治术的患者按照随机对照的临床试验原则分为治疗组和对照组,每组34例。对照组给予西医常规方法治疗,治疗组在此基础上,给予吴茱萸炒粗盐外敷腹部辅助治疗。比较两组治疗后主要临床指标恢复时间以及治疗前后临床症状积分和免疫功能指标的变化情况,并评估临床疗效。结果:治疗组治疗后临床总有效率显著高于对照组(P<0.05),肠鸣音恢复时间、第1次排气时间及第1次排便时间均显著低于对照组(P<0.05);两组治疗后腹痛、腹胀及恶心呕吐症状积分均显著降低(P<0.05),且治疗组治疗后上述指标改善情况均显著优于对照组(P<0.05);两组治疗后CD3~+、CD4~+、CD4~+/CD8~+及NK水平均显著升高(P<0.05),且治疗组治疗后各细胞免疫指标改善情况均显著优于对照组(P<0.05)。结论:采用吴茱萸炒粗盐外敷腹部对膀胱癌根治术后患者进行治疗,能够有效调节患者术后胃肠功能障碍症状,促进胃肠功能快速恢复,并能显著改善患者术后免疫功能状况,疗效确切,且操作简单,经济安全。
Objective: To observe the effects of crude Evodia Rutaecarb on the recovery of gastrointestinal function after radical operation of bladder cancer. Methods: Sixty-eight patients undergoing radical resection of bladder cancer were divided into treatment group and control group according to randomized controlled clinical trial principle, with 34 cases in each group. The control group was treated by conventional western medicine. On the basis of this, the treatment group was given adjuvant abdomen supplemented with crude crude salt of Evodia rutaecarpa. The recovery time of main clinical indexes and clinical symptom scores and immune function indexes before and after treatment were compared between the two groups, and the clinical efficacy was evaluated. Results: The total effective rate of the treatment group after treatment was significantly higher than that of the control group (P <0.05). The recovery time of bowel sounds, the first discharge time and the first defecation time were significantly lower than those of the control group (P <0.05) The scores of abdominal pain, abdominal distension and nausea and vomiting decreased significantly in both groups after treatment (P <0.05), and the improvement of the above indexes in the treatment group was significantly better than that in the control group (P <0.05). After treatment, CD3 + , CD4 ~ +, CD4 ~ + / CD8 ~ + and NK levels were significantly increased (P <0.05), and the improvement of immune parameters of the treatment group were significantly better than the control group (P <0.05). CONCLUSION: The treatment of patients with radical mastectomy of urinary bladder cancer with Evodia Roxburghii topical abdomen ablation can effectively adjust the postoperative gastrointestinal dysfunction symptoms, promote the rapid recovery of gastrointestinal function, and can significantly improve the postoperative immune function, efficacy Exact, and easy to operate, economic security.