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宣白承气汤联合营养支持对结直肠癌患者术后营养状态及胃肠道功能的影响
陈志飞,孙伟涛,颜廷启,孙江江,石彦科,王军,邸宝千,刘少鹏
邯郸市中心医院急诊外一科河北邯郸 056004;邯郸市中心医院普外科河北邯郸 056004;秦皇岛市中医院河北秦皇岛 066000
摘要:
目的:探究宣白承气汤联合营养支持对结直肠癌(CRC)术后患者营养状态及胃肠道功能的影响。方法:将2022年1月—2024年1月邯郸市中心医院收治的128例CRC患者随机分为对照组与宣白承气汤组,每组各64例。对照组行营养支持治疗,宣白承气汤组在营养支持治疗基础上联合宣白承气汤,比较两组患者胃肠道功能、胃肠道激素、营养状态、血清营养因子、肺功能、免疫功能及并发症发生情况。结果:宣白承气汤组术后首次排气时间、首次排便时间、肠鸣音恢复时间及首次经口进食时间均短于对照组,差异有统计学意义(P <0.05)。治疗后,宣白承气汤组胃动素(MTL)、胃泌素(GAS)水平均高于对照组;患者主观整体营养评估量表(PG-SGA)评分低于对照组,体质指数(BMI)、上臂肌围及白蛋白(ALB)、前白蛋白(PA)、总蛋白(TP)水平及第1秒最大呼气容积(FEV1)、用力肺活量(FVC)均高于对照组,差异有统计学意义(P <0.05)。宣白承气汤组NK细胞、CD3+、CD4+水平均高于对照组,CD8+水平低于对照组,差异有统计学意义(P <0.05)。两组患者并发症发生率比较差异无统计学意义(P >0.05)。结论:CRC术后患者接受宣白承气汤联合营养支持治疗,可有效促进胃肠道功能及营养状态恢复,并改善患者免疫功能。
关键词:  结直肠癌  术后  宣白承气汤  营养支持  营养状态  胃肠道功能
DOI:10.3969/j.issn.1007-6948.2026.04.017
投稿时间:2026-02-19
基金项目:邯郸市科学技术研究与发展计划项目(24422083011ZC)
Effects of Xuanbai Chengqi decoction combined with nutritional support on the nutritional status and gastrointestinal function of patients after colorectal cancer surgery
CHEN Zhi-fei,SUN Wei-tao,YAN Ting-qi
Abstract:
Objective To explore the effects of Xuanbai Chengqi decoction (XBCQD) combined with nutritional support on the nutritional status and gastrointestinal function of patients after colorectal cancer (CRC) surgery. Methods From January 2022 to January 2024, 128 CRC patients who visited our hospital were randomly assigned into the NS group and the XBCQD group. The 64 patients in the NS group received NS therapy, and 64 patients in the XBCQD group took XBCQD on the basis of NS therapy. The gastrointestinal function, gastrointestinal hormones, nutritional status, serum nutritional factors, lung function, immune function and complications were compared. Results The time of first exhaust, defecation time, eating time and recovery time of bowel sounds after surgery in the XBCQD group were all shorter than those in the NS group (P <0.05). After therapy, the levels of MTL and GAS in the XBCQD group were both higher than those in the NS group (P <0.05).The PG-SGA score of the XBCQD group was lower than that of the NS group, while the BMI, upper arm muscle circumference, levels of ALB, PA and TP of the XBCQD group were higher than those of the NS group (P <0.05). The levels of FEV1 and FVC in the XBCQD group were both higher than those in the NS group (P <0.05). The levels of NK cells, CD3+ and CD4+ in the XBCQD group were higher than those in the NS group, while the level of CD8+ was lower than that in the NS group (P <0.05). In addition, the complications were not prominent different between two groups (P >0.05). Conclusion The combined therapy of XBCQD and nutritional support in patients after CRC surgery can effectively promote the recovery of gastrointestinal function and nutritional status, and improve the immune function of patients.
Key words:  Colorectal cancer  postoperative period  Xuanbai Chengqi decoction  nutritional support  nutritional status  gastrointestinal function

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