Effect of Warming-Needle Moxibustion on Intestinal Flora and Anal Function in Patients with Colorectal Cancer After Enterostomy
10.13359/j.cnki.gzxbtcm.2024.09.021
- VernacularTitle:温针灸对结直肠癌肠造口还纳术后患者肠道菌群及肛门功能的影响
- Author:
Qian ZHOU
1
;
Ning MENG
;
Jian-Duo XU
Author Information
1. 石家庄市人民医院,河北石家庄 050000
- Keywords:
colorectal cancer;
warming-needle moxibustion;
enterostomy;
intestinal flora;
anal function;
intestinal microecology;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(9):2367-2373
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of warming-needle moxibustion on intestinal flora and anal function in patients after enterostomy.Methods A total of 94 patients with colorectal cancer enterostomy were randomly divided into observation group and control group,47 cases in each group.The control group was given routine treatment after operation,and the observation group was given warming-needle moxibustion treatment on the basis of the control group.Both groups were treated for two weeks.After two weeks of treatment,the changes of the relative abundance of Enterococcus,Escherichia coli,Lactobacillus,Bifidobacterium before and after treatment in the two groups,as well as the first exhaust time,the first feeding time and the hospitalization time were observed.The changes of constipation score scale(Wexner),low anterior resection syndrome(LARS)score,tumor necrosis factor α(TNF-α),interleukin 8(IL-8)and C-reactive protein(CRP)were compared before and after treatment between the two groups,and the incidence of complications in the two groups was evaluated.Results(1)The first exhaust time,first feeding time and hospitalization time in the observation group were significantly less than those in the control group,and the differences were statistically significant(P＜0.05).(2)After treatment,the relative abundance of Enterococcus,Escherichia coli,Lactobacillus,Bifidobacterium in the two groups was significantly improved(P＜0.05),and the observation group was significantly superior to the control group in improving the relative abundance of Enterococcus,Escherichia coli,Lactobacillus,Bifidobacterium(P＜0.05).(3)After treatment,the Wexner score and LARS score of anal function in the two groups were significantly improved(P＜0.05),and the improvement of Wexner score and LARS score of anal function in the observation group was significantly superior to that in the control group,the differences were statistically significant(P＜0.05).(4)After treatment,the levels of serum TNF-α,IL-8 and CRP in the two groups were significantly improved(P＜0.05),and the improvement of serum TNF-α,IL-8 and CRP levels in the observation group was significantly superior to that in the control group,the differences were statistically significant(P＜0.05).(5)The total incidence of complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion The treatment of warming-needle moxibustion for patients after enterostomy can effectively shorten the postoperative recovery time,regulate intestinal flora,improve anal function,and reduce the incidence of complications such as peristomal infection,with significant clinical effect.
