六磨汤加味灌肠法治疗晚期肿瘤性肠梗阻的效果(1)
摘要：目的 探讨六磨汤加味灌肠法治疗晚期肿瘤性肠梗阻的效果及对患者生存质量的影响。方法 选取2017年8月～2019年7月我院收治的晚期肿瘤性肠梗阻患者66例，采用随机数字表法分为研究组和对照组，各33例。对照组采用常规西医治疗，研究组在对照组基础上联合六磨汤加味灌肠法治疗，比较两组生存质量评分与症状缓解时间。结果 研究组干预后生存质量评分为(82.24±3.81)分，高于对照组的(73.65±3.49)分，差异具有统计学意义(P<0.05)。研究组肛门排气恢复时间(3.18±1.16)d、腹胀腹痛消失时间(3.59±3.17)d、恶心呕吐消失时间(2.63±1.52)d，均短于对照组的(5.84±2.03)d、(6.28±2.94)d、(6.11±2.38)d，差异具有统计学意义(P<0.05)。结论 在常规西医治疗的基础上采用六磨汤加味灌肠法治疗晚期肿瘤性肠梗阻，有利于患者生存质量改善及症状缓解。
关键词：六磨汤加味灌肠法;生存质量;肿瘤性肠梗阻
中图分类号：R730.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.06.054
文章编号：1006-1959(2020)06-0160-02
Abstract：Objective To explore the effect of Liumo Decoction plus flavored enema combined with western medicine on advanced tumor intestinal obstruction and its effect on patients'quality of life.Methods 66 patients with advanced tumor intestinal obstruction treated in our hospital from August 2017 to July 2019 were selected and divided into a study group and a control group according to the random number table method，each with 33 cases.The control group was treated with conventional western medicine，and the research group was treated with Liumo Decoction plus flavor enema on the basis of the control group.The quality of life score and symptom relief time were compared between the two groups.Results The quality of life score of the study group after intervention was(82.24±3.81)points，which was higher than the control group(73.65±3.49)points，the difference was statistically significant(P<0.05).The recovery time of anal exhaust in the study group(3.18±1.16)d，the disappearance time of abdominal distension and abdominal pain(3.59±3.17)d，and the disappearance time of nausea and vomiting(2.63±1.52)d were shorter than the control group(5.84±2.03)d，(6.28±2.94)d，(6.11±2.38)d，the difference was statistically significant(P<0.05).Conclusion The treatment of Liumo Decoction plus flavored enema combined with western medicine in the treatment of advanced tumor intestinal obstruction is beneficial to the improvement of patients'quality of life and the relief of symptoms.
Key words：Liumo decoction plus flavored enema;Quality of life;Tumor intestinal obstruction
腫瘤性肠梗阻(tumor intestinal obstruction)亦称癌性肠梗阻，是由癌肿导致的肠梗阻，癌肿可以来自肠道本身，也可来自肠道外如胃癌种植转移，卵巢癌腹腔转移等，癌肿发展到一定程度可阻塞肠道内腔或外压肠壁导致肠腔狭窄或闭塞，出现肠道内容物排除受阻或完全不能通过而产生肠梗阻[1]。肠梗阻除了会对患者的日常生活造成影响外，还会加重其肿瘤病情，严重者甚至危及生命健康[2]。现阶段，药物治疗为临床医师治疗晚期肿瘤性肠梗阻患者的一种重要手段，但单纯西医治疗疗效欠佳，且长期用药可能会引起各种不良反应，影响患者用药依从性，进而对疗效产生不利影响。本研究旨在分析在常规西医的基础上采用六磨汤加味灌肠法治疗晚期肿瘤性肠梗阻的价值，现报道如下。, http://www.100md.com(李东华 孙曦 李睿)
关键词：六磨汤加味灌肠法;生存质量;肿瘤性肠梗阻
中图分类号：R730.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.06.054
文章编号：1006-1959(2020)06-0160-02
Abstract：Objective To explore the effect of Liumo Decoction plus flavored enema combined with western medicine on advanced tumor intestinal obstruction and its effect on patients'quality of life.Methods 66 patients with advanced tumor intestinal obstruction treated in our hospital from August 2017 to July 2019 were selected and divided into a study group and a control group according to the random number table method，each with 33 cases.The control group was treated with conventional western medicine，and the research group was treated with Liumo Decoction plus flavor enema on the basis of the control group.The quality of life score and symptom relief time were compared between the two groups.Results The quality of life score of the study group after intervention was(82.24±3.81)points，which was higher than the control group(73.65±3.49)points，the difference was statistically significant(P<0.05).The recovery time of anal exhaust in the study group(3.18±1.16)d，the disappearance time of abdominal distension and abdominal pain(3.59±3.17)d，and the disappearance time of nausea and vomiting(2.63±1.52)d were shorter than the control group(5.84±2.03)d，(6.28±2.94)d，(6.11±2.38)d，the difference was statistically significant(P<0.05).Conclusion The treatment of Liumo Decoction plus flavored enema combined with western medicine in the treatment of advanced tumor intestinal obstruction is beneficial to the improvement of patients'quality of life and the relief of symptoms.
Key words：Liumo decoction plus flavored enema;Quality of life;Tumor intestinal obstruction
腫瘤性肠梗阻(tumor intestinal obstruction)亦称癌性肠梗阻，是由癌肿导致的肠梗阻，癌肿可以来自肠道本身，也可来自肠道外如胃癌种植转移，卵巢癌腹腔转移等，癌肿发展到一定程度可阻塞肠道内腔或外压肠壁导致肠腔狭窄或闭塞，出现肠道内容物排除受阻或完全不能通过而产生肠梗阻[1]。肠梗阻除了会对患者的日常生活造成影响外，还会加重其肿瘤病情，严重者甚至危及生命健康[2]。现阶段，药物治疗为临床医师治疗晚期肿瘤性肠梗阻患者的一种重要手段，但单纯西医治疗疗效欠佳，且长期用药可能会引起各种不良反应，影响患者用药依从性，进而对疗效产生不利影响。本研究旨在分析在常规西医的基础上采用六磨汤加味灌肠法治疗晚期肿瘤性肠梗阻的价值，现报道如下。, http://www.100md.com(李东华 孙曦 李睿)
参见：首页 > 医疗版 > 疾病专题 > 消化内科 > 肠道疾病 > 肠梗阻