中药溻渍疗法配合中药食疗治疗肿瘤患者化疗所致便秘的疗效观察
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摘要
目的:探讨中药溻渍疗法配合中药食疗对肿瘤患者化疗所致便秘的疗效观察。方法:选择我院在2016年3月至2017年7月收治的肿瘤化疗患者80例,随机分为治疗组和对照组各40例,对照组给予常规治疗和饮食护理,治疗组在对照组治疗和护理的基础上采用中药溻渍疗法和中药食疗。结果:治疗组患者化疗所致便秘发生率低于对照组,出现纳差、腹胀、疼痛、大便干结的不良反应发生率较对照组也减少,两组差异均有统计意义(P <0. 05)。结论:中药溻渍疗法配合中药食疗可减轻化疗的不良反应,有效改善化疗所致便秘。
Objective: To explore the effect of Chinese medicine Ta stains combined with Chinese medicine diet on treatment for constipation caused by chemotherapy in patients with cancer. Methods: 80 cases of tumor chemotherapy in our hospital from March 2016 to July 2017 were selected and randomly divided into treatment group and control group,respectively. Both groups contained 40 cases. The control group was given regular treatment and diet care,and the treatment group was treated with Chinese medicine Ta stains combined with Chinese medicine diet based on the routine care and diet of the control group. Results: The incidence rate of constipation in the treatment group was lower than that in the control group,and the incidence rate of adverse reactionssuch as anorexia,bloatingand pain,and dry stool was reduced compared with that in the control group,and the difference between the two groups was statistically significant( P < 0. 05). Conclusion: Chinese medicine Ta stains combined with Chinese medicine diet can effectively reduce the incidence rate of constipation and adverse reactions on treatment for constipation caused by chemotherapy in patients with cancer.
Objective: To explore the effect of Chinese medicine Ta stains combined with Chinese medicine diet on treatment for constipation caused by chemotherapy in patients with cancer. Methods: 80 cases of tumor chemotherapy in our hospital from March 2016 to July 2017 were selected and randomly divided into treatment group and control group,respectively. Both groups contained 40 cases. The control group was given regular treatment and diet care,and the treatment group was treated with Chinese medicine Ta stains combined with Chinese medicine diet based on the routine care and diet of the control group. Results: The incidence rate of constipation in the treatment group was lower than that in the control group,and the incidence rate of adverse reactionssuch as anorexia,bloatingand pain,and dry stool was reduced compared with that in the control group,and the difference between the two groups was statistically significant( P < 0. 05). Conclusion: Chinese medicine Ta stains combined with Chinese medicine diet can effectively reduce the incidence rate of constipation and adverse reactions on treatment for constipation caused by chemotherapy in patients with cancer.
引文
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[15]Fu MQ,Xiao GS,Wu JJ,et al. Studies on chemical basis of digestion promoting function of pericarpium citri reticulatae[J]. Journal of Chinese Institute of Food Science and Technology,2018,18(01):56-64.[傅曼琴,肖更生,吴继军,等.广陈皮促消化功能物质基础的研究[J].中国食品学报,2018,18(01):56-64.]
[2]Yuan YP,Deng BM. Research development of evaluation on chemotherapy-related digestive symptom in tumor patients[J]. J Mod Med Health,2017,33(09):1281-1284.[袁玉平,邓本敏.肿瘤患者化疗消化道症状评估研究进展[J].现代医药卫生,2017,33(09):1281-1284.]
[3]Wang F,Xue P,Zhou L,et al. TCM syndrome differentiation and treatment of constipation in cancer patients[J]. Acta Chinese Medicine,2018,33(02):203-206.[王芳,薛鹏,周磊,等.中医辨证治疗肿瘤患者便秘[J].中医学报,2018,33(02):203-206.]
[4]Zhang L. Application of evidence-based nursing intervention in improving opioid-related constipation in cancer patients[J].Journal of Clinical Medicine in Practice,2018,22(04):69-71,75.[张兰.循证护理干预改善肿瘤患者阿片类药物相关性便秘症状中的探讨[J].实用临床医药杂志,2018,22(04):69-71,75.]
[5]Lin LZ,Liu HJ,Yang GZ. The clinical observation on application of the self-made Chinese traditional medical food-therapy to patients with constipation after chemotherapy[J]. Chinese Journal of Modern Nursing,2010,16(9):1032-1034.[林兰珍,刘海军,杨桂珍.自制中药食疗对肿瘤患者化疗所致便秘的临床观察[J].中华现代护理杂志,2010,16(9):1032-1034.]
[6]Thompson WG,Longstreth GF,Drossman DA,et al. Functional bowel disorders and functional abdominal pain[J]. Gut,1999,45(Suppl 2):43-47.[汤普森,朗斯特拉斯,德罗斯曼,等.功能性肠病和功能性腹痛[J].胃肠病学,1999,45(2):43-47.]
[7]Zhang AL. Prevention effect of lactulose oral solution on constipation after subarachnoid hemorrhage[J]. Chinese Journal of Modern Nursing,2008,14(4):441-442.[张阿兰.口服乳果糖溶液对蛛网膜下腔出血后便秘的预防[J].现代护理,2008,14(4):441-442.]
[8]Wen LY,Chen CX,Wang J,et al. Study on the correlation between diet habit and the aged constipation[J]. Chinese Journal of Modern Nursing,2008,14(8):955-956.[温丽雅,陈长香,王静,等.饮水量及摄入蔬菜种类与老年人便秘相关性研究[J].中华现代护理杂志,2008,14(8):955-956.]
[9]Wang S,Yang X,Zhang J. The clinical analysis of acupoint massage combined with fu-fu mixture for the treatment of postoperative constipation of breast cancer[J]. Nei Mongol Journal of Traditional Chinese Medicine,2017,36(06):127-128.[王珊,杨侠,张静.穴位按摩联合通腑合剂治疗乳腺恶性肿瘤术后便秘的临床分析[J].内蒙古中医药,2017,36(06):127-128.]
[10]Zhou XQ,Yan QY,Tan CL. Causes and nursing of postoperative constipation in patients with gastrointestinal malignancies[J].Modern Clinical Nursing,2017,16(06):76-81.[周晓琪,颜巧元,谭翠莲.胃肠道恶性肿瘤患者术后便秘的原因及治疗护理进展[J].现代临床护理,2017,16(06):76-81.]
[11]Hou W,Ren LJ,Liu CY. Effect of self-made Ronghuang catharsis umbilical paste on constipation in patients with malignant tumor[J]. Journal of Nursing Science,2017,32(15):41-42.[侯伟,任立瑾,刘春燕.自制蓉黄通便脐贴防治恶性肿瘤患者便秘[J].护理学杂志,2017,32(15):41-42.]
[12]Sheng JY,Liu LD,Gao YX. Nursing on constipation of patients who suffer stroke and keep the bed[J]. Chinese Journal of Modern Nursing,2008,14(3):311-312.[盛京艳,刘丽丹,高玉霞.脑卒中卧床病人便秘的护理研究[J].现代护理,2008,14(3):311-312.]
[13]Wu GY. Symptoms and nursing care procedures[M]. Beijing:Peking University Medical Press,1997:170-171.[吴光煜.症状与护理-护理程序途径[M].北京:北京大学医学出版社,1997:170-171.]
[14]Zhang YJ. Clinical curative effect of dietary therapy combined with traditional chinese medicinein the treatment of gastric ulcer with blood stasis type[J]. Guangming Journal of Chinese Medicine,2017,32(2):215-216.[张英杰.食疗配合中药治疗瘀血型胃溃疡的临床疗效[J].光明中医,2017,32(2):215-216.]
[15]Fu MQ,Xiao GS,Wu JJ,et al. Studies on chemical basis of digestion promoting function of pericarpium citri reticulatae[J]. Journal of Chinese Institute of Food Science and Technology,2018,18(01):56-64.[傅曼琴,肖更生,吴继军,等.广陈皮促消化功能物质基础的研究[J].中国食品学报,2018,18(01):56-64.]