参黄散外敷神阙穴对腹腔镜结直肠癌根治术后胃肠功能不全的疗效观察.pdfVIP

·378·浙江临床医学2025年3月第27卷第3期

·诊治分析·

参黄散外敷神阙穴对腹腔镜结直肠癌根治

术后胃肠功能不全的疗效观察

金海朋鞠海星*应荣彪姚俊

【摘要】目的观察参黄散外敷神阙穴对腹腔镜结直肠癌根治术后胃肠功能不全的疗效。方法选取2021年1月至2022年11月台州市肿

瘤医院行腹腔镜结直肠癌根治术术后胃肠功能不全患者64例。随机分成观察组和对照组，各32例。观察组在常规治疗上加用参黄散外敷神阙

穴，对照组在常规治疗上加用安慰剂贴剂外敷神阙穴。观察两组患者术后首次排气与排便时间、开始流质与半流质饮食时间、术后住院时

间、中医证候和住院费用。结果与对照组相比，观察组患者术后更早出现排气和排便，开始进食流质饮食和半流质饮食时间提前，术后住

PZP=

院时间缩短（0.05）。观察组总有效率（93.7%）高于对照组（84.4%）（=-2.41，0.016）。结论参黄散外敷神阙穴有助于腹腔镜结

直肠癌根治术后患者胃肠功能不全的治疗。

【关键词】结直肠癌胃肠功能不全参黄散穴位敷贴神阙穴

【Abstract】ObjectiveToobservetheefficacyofexternalapplicationofShenhuangpowdetoShenqueongastrointestinaldysfunctionafter

laparoscopicradicalresectionofcolorectalcancer.MethodsSixtyfourpatientswithgastrointestinaldysfunctionafterlaparoscopicradicalresectionof

colorectalcancerinTaizhoutumorhospitalfromJanuary2021toNovember2022wereselected.Theywererandomlydividedintotheobservationgroup

andthecontrolgroup,32casesineachgroup.TheobservationgroupaddedtheexternalapplicationofShenquewithShenhuangpowderpatchontopofthe

conventionaltreatment,andthecontrolgroupaddedtheexternalapplicationofShenquewithplacebopatchontopoftheconventionaltreatment.Observed

thetimeoffirstexhaustanddefecation,thetimeofstartingliquidandsemi-liquiddiet,thetotalnumberofdaysinhospital,thesymptomsoftraditionalChinese

medicine,andthehospitalizationexpensesofthetwogroupsofpatientsaftersurgery.ResultsComparedwiththecontrolgroup,patientsintheobservation

grouphadearlierexhaustanddefecationafteroperation,andthetimetostarteatingliquiddietandsemiliquiddietwasearlier,andthepostoperativehospital

staywasreduced(P0.05).Thet