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中西医结合加速康复外科方案在结直肠癌围手术期应用的依从性研究
引用本文:赫兰晔,陈楠,武爱文,杨宇飞,贾小强,吴娜,李嘉俊. 中西医结合加速康复外科方案在结直肠癌围手术期应用的依从性研究[J]. 世界中医药, 2021, 16(9): 1380-1385
作者姓名:赫兰晔  陈楠  武爱文  杨宇飞  贾小强  吴娜  李嘉俊
作者单位:中国中医科学院西苑医院,北京,100091;北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心三病区,北京,100142;中国中医科学院广安门医院,北京,100053
基金项目:国家中医药管理局-重大疑难疾病中西医临床协作试点项目[国中医药办医政函(2018)275]
摘    要:目的:探究结直肠癌根治性手术的患者对于中西医结合加速康复外科方案干预的依从性以及中西医结合加速康复外科方案对结直肠癌患者术后康复的影响.方法:选取2020年9月至2021年2月就诊于北京大学肿瘤医院胃肠肿瘤中心三病区接受根治性手术的结直肠癌患者216例作为研究对象,其中直肠癌120例,结肠癌96例.在围手术期应用中西医...

关 键 词:中西医结合  穴位贴敷  结直肠癌  根治术  肠道功能  依从性  加速康复外科  并发症
收稿时间:2021-03-10

Study on the Compliance of Enhanced Recovery after Surgery Combined with Integrated Traditional Chinese and Western Medicine in Patients with Rectal Cancer Undergoing Curative Surgery
HE Lanye,CHEN Nan,WU Aiwen,YANG Yufei,JIA Xiaoqiang,WU N,LI Jiajun. Study on the Compliance of Enhanced Recovery after Surgery Combined with Integrated Traditional Chinese and Western Medicine in Patients with Rectal Cancer Undergoing Curative Surgery[J]. World Chinese Medicine, 2021, 16(9): 1380-1385
Authors:HE Lanye  CHEN Nan  WU Aiwen  YANG Yufei  JIA Xiaoqiang  WU N  LI Jiajun
Abstract:To explore the compliance of patients undergoing radical surgery for colorectal cancer to the intervention of the fast-recovery surgical intervention of integrated traditional Chinese and western medicine, and the influence of the fast-recovered surgery combined with traditional Chinese and Western medicine on the postoperative recovery of colorectal cancer patients. Methods:A total of 216 patients with colorectal cancer who underwent radical surgery in the third ward of the Gastrointestinal Cancer Center of Peking University Cancer Hospital from September 2020 to February 2021 were selected as the research objects, including 120 cases of rectal cancer and 96 cases of colon cancer. During the perioperative period, the rapid rehabilitation surgical plan of integrated traditional Chinese and Western medicine was used to intervene, and the time of postoperative exhaust qi, defecation recovery, and perioperative complications were recorded. At the same time, the patient''s compliance information was evaluated. Results:The correlation between the postoperative recovery time of exhaust and defecation and patient compliance is statistically significant. The better the compliance, the shorter the recovery time of exhaust and defecation (P<0.05); the younger the age, the better the compliance was (r=0.162, P=0.017); patients with preoperative neoadjuvant treatment experience had better compliance (r=-0.162, P=0.019); there was no correlation compliance with subjects'' gender, disease stage, and occurrence of complications (P>0.05). Conclusion:Postoperative colorectal cancer patients have better compliance with the integrated traditional Chinese and western medicine rapid rehabilitation surgical plan, and the postoperative recovery of intestinal function is related to compliance.
Keywords:Integrated traditional Chinese and western medicine   Acupoint application   Colorectal cancer   Radical operation   Intestinal function   Compliance   Enhanced recovery after surgery   Complication
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