复方五味熨烫包联合ERAS管理模式对原发性肝癌术后胃肠功能恢复的影响

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2025-07-11 DOI:10.1016/j.aimed.2025.100554

Jing Zou, Rao Fu, Lixia Zhang

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引用次数: 0

摘要

目的评价复方武味熨烫包联合ERAS （Enhanced Recovery After Surgery）管理方案对肝癌患者术后胃肠功能恢复的影响。方法采用方便抽样方法，于2023年6月至2024年2月在我院肝胆胰外科病房招募肝癌患者。159例患者随机分为3组：(1)对照组，采用ERAS标准管理；(2)茴香熨烫包组，使用独立的以茴香为基础的理疗配方；(3)复方武味熨烫包组，采用中医科研制的理疗包。这包含有五种传统中药：茴香，干陈皮，金果仁，厚朴皮和麦芽。根据首次排便时间、住院时间、感染发生率和营养指标对各组进行比较。结果复方五味熨烫包组患者首次排便时间和术后住院时间明显短于茴香组和对照组（P均为 <； 0.05）。结论复方武味中药熨烫包与茴香理疗及ERAS标准治疗相比，具有更好的康复效果。缩短住院时间，使用简单，安全，适合临床应用。

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Effects of compound Wuwei ironing pack combined with ERAS management mode on the recovery of gastrointestinal function after primary hepatocellular carcinoma surgery

Objective

To evaluate the impact of the compound Wuwei ironing pack combined with the ERAS (Enhanced Recovery After Surgery) management protocol on postoperative gastrointestinal recovery in hepatocellular carcinoma patients.

Methods

A convenience sampling approach was used to recruit liver cancer patients from the hepatobiliary and pancreatic surgery ward of our hospital between June 2023 and February 2024. A total of 159 patients were randomized into three groups: (1) the control group, which received standard ERAS management; (2) the fennel ironing pack group, which used an independent fennel-based physiotherapy formula; and (3) the compound Wuwei ironing pack group, which utilized a physiotherapy pack developed by the Traditional Chinese Medicine Department. This pack contained five traditional Chinese herbs: fennel, dried tangerine peel, Fructus Aurantii Immaturus, Magnoliae Officinalis Cortex, and malt. The groups were compared based on time to first defecation, length of hospital stay, incidence of infection, and nutritional indicators.

Results

The compound Wuwei ironing pack group demonstrated significantly shorter time to first defecation and postoperative hospital stay compared to the fennel group and the control group (both P < 0.05).

Conclusion

The compound Wuwei traditional Chinese medicine ironing pack demonstrated better recovery outcomes compared to fennel physiotherapy and standard ERAS management. It reduced hospital stay, is simple to use, safe, and suitable for clinical application.

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.