首页|中药熏洗联合经自然腔道取标本手术对低位直肠癌患者术后疼痛及排尿功能的影响

中药熏洗联合经自然腔道取标本手术对低位直肠癌患者术后疼痛及排尿功能的影响

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目的 探讨中药熏洗联合经自然腔道取标本的腹腔镜下低位直肠癌切除术对肛门功能及疼痛指标的影响.方法 选取2020年9月至2022年10月我院收治的94例男性低位直肠癌患者,根据随机数字表法进行分组,对照组采用腹腔镜标本经自然腔道标本取出术,研究组在对照组的基础上采用中药熏洗干预.比较两组患者排尿功能、术后吻合口狭窄发生率、吻合口瘘发生率、疼痛程度视觉模拟疼痛评分.结果 干预后,研究组视觉模拟疼痛评分显著低于对照组(t=3.592,P<0.001),最大尿流率时逼尿肌压力及最大尿道闭合压均优于对照组(P<0.05).结论 中药熏洗干预能有效减轻经自然腔道取标本的腹腔镜下低位直肠癌切除术男性患者的术后疼痛,同时改善其排尿功能及术后康复质量.
Effect of traditional Chinese medicine fumigation and washing combined with natural orifice specimen extraction surgery on postoperative pain and urination function in patients with low rectal cancer
Objective To investigate the effect of traditional Chinese medicine(TCM)fumigation and washing combined with laparoscopic natural orifice specimen extraction surgery on posterior anal function and pain index in patients with low rectal cancer.Methods A total of 94 male patients with low rectal cancer admitted to our hospital from September 2020 to October 2022 were selected.The patients were divided into two groups according to random number table method.The control group was treated with laparoscopic natural orifice specimen extraction surgery,and the study group was treated with TCM fumigation and washing intervention based on the control group.The urination function,incidence of postoperative anastomotic stenosis and anastomotic fistula and visual analogue pain score were compared between the two groups.Results After the intervention,the visual analogue pain score of the study group was significantly lower than that of the control group(t=3.592,P<0.001),and the detrusor pressure at maximum flow rate and the maximum urethral closure pressure were better than those in the control group(P<0.05).Conclusion TCM fumigation and washing intervention can effectively reduce the postoperative pain of male patients with laparoscopic resection of low rectal cancer,and improve their urination function and postoperative rehabilitation quality.

traditional Chinese medicine fumigation and washinglaparoscopic natural orifice specimen extraction surgerypostoperative rehabilitationlaparoscopic surgeryprophylactic stomy

贺爱军、曹波、李小宝、任羽

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延安大学附属医院胃肠外科,陕西延安 716000

延安大学附属医院血液内科,陕西延安 716000

中药熏洗 腹腔镜下经自然腔道取标本手术 术后康复 腹腔镜手术 预防性造口

2024

世界临床药物
上海医药工业研究院

世界临床药物

CSTPCD
影响因子:0.849
ISSN:1672-9188
年,卷(期):2024.45(12)