中药联合心理干预对结肠癌术后患者精神、心理健康状况及自理能力的影响

摘要

目的 探讨结肠癌术后患者采用药物联合心理干预治疗临床效果.方法 回顾性分析绍兴第二医院胃肠外科2014年1月~2016年1月60例经手术组织病理学诊断为结肠癌患者临床诊治资料,所有患者均采用手术治疗,其中术后以化疗、热疗治疗者为对照组;于对照组治疗基础上辅以中药扶正消癌汤、心理干预治疗者为观察组,每组各30例.结果 2组患者治疗后各项生活质量指标评分、自我护理能力评分明显高于治疗前,观察组各项生活质量指标评分、自我护理能力评分明显高于对照组,比较差异有统计学意义(P<0.05);2组患者治疗后肿瘤标志物CEA、CA199、CA242水平明显低于治疗前,观察组各项肿瘤标志物水平明显低于对照组,比较差异有统计学意义(P<0.05).观察组治疗后中医证候积分、VAS评分明显低于对照组,比较差异有统计学意义(P<0.05);观察组治疗总有效率73.33%,明显高于对照组43.33%(P<0.05);观察组治疗后精神心理健康状况明显低于对照组(P<0.05).结论 中药扶正消癌汤联合化疗及心理干预治疗结肠癌术后效果显著且安全.%Objective To explore the clinical effect of drug combination psychological intervention in colorectal cancer patients.MethodsRetrospective analysis of 60 cases surgical histopathology diagnosis of colorectal cancer patients with clinical diagnosis and treatment data from January 2014 to January 2016 in the Shaoxing Second Hospital, all patients were treated with surgery, including postoperative chemotherapy, hyperthermia treatment as the control group;In the control group based on supplemented by traditional Chinese medicine Fuzheng Xiao′ai Tang, psychological intervention for the observation group, each group of 30 cases.ResultsThe scores of quality of life and self-care ability of the two groups were significantly higher than those of the control group before and after treatment, and the scores of self-care ability were significantly higher in the observation group than in the control group (P<0.05) The levels of CEA, CA199 and CA242 were significantly lower than those of the control group before and after treatment, the level of tumor markers was significantly lower than that of the control group (P<0.05).The total effective rate was 73.33% in the observation group, which was significantly higher than that in the control group (43.33%, P<0.05).The observation group was significantly higher than the control group (P<0.05) Mental health was significantly lower than the control group,(P<0.05).ConclusionChinese medicine Fuzheng Xiao′ai Tang combined with chemotherapy and psychological intervention in the treatment of colorectal cancer after the effect is significant and safe.