目的 探讨中药湿热敷联合神阙穴隔姜温灸法在腹部恶性肿瘤术后并发粘连性肠梗阻患者中的应用效果.方法 41例腹部恶性肿瘤术后并发粘连性肠梗阻的患者分为观察组(n=22)和对照组(n=19).对照组给予肠梗阻常规护理,观察组在对照组基础上给予中药湿热敷联合神阙穴隔姜温灸干预.观察2组中医症状改善情况,比较2组高调肠鸣音消失、排便、排气、腹痛消失及腹部透视液平面消失时间.结果 观察组中医症状改善总有效率高于对照组(P<0.05);观察组患者高调肠鸣音消失时间、腹痛消失时间、排气排便时间及腹部透视检查液平面消失时间均短于对照组(P<0.05或P<0.01).结论 针对腹部恶性肿瘤术后并发粘连性肠梗阻患者实施中药湿热敷联合神阙穴隔姜温灸法,对改善症状、促进康复具有积极作用.%Objective To investigate the effect of Chinese herbs wet compress combined with warming moxibustion therapy for patients with adhesive intestinal obstruction after abdominal cancer surgery.Methods A total of 41 patients with adhesive intestinal obstruction after abdominal cancer surgery were assigned to the observation group (n=22)and the control group(n=19).Both two groups received routine care on intestinal obstruction, and the Chinese herbs wet compress combined with warming moxibustion therapy was carried out in the observation group.The TCM syndrome was evaluated after treatment.The time of hyperactive bowel sounds disappearance, defecation, anus exhaust, abdominal pain disappearance and fluid levels disappearance were compared between two groups.Results The overall effective rate of TCM syndrome improvement was higher in the observation group than that in the control group (P<0.05).Patients in the observation group had a shorter time of hyperactive bowel sounds disappearance, defecation, anus exhaust, abdominal pain disappearance and fluid levels disappearance compared with those in the control group (P<0.05 or P<0.01).Conclusion Chinese herbs wet compress combined with warming moxibustion therapy can effectively improve the TCM syndrome and rehabilitation of patients with adhesive intestinal obstruction after abdominal cancer surgery.
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