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酉时中药足浴对腹腔镜结直肠癌根治术后患者疲劳程度的影响▲
Effect of traditional Chinese medicine foot bath at Youshi (17:00-19:00) on fatigue in patients after laparoscopic radical resection of colorectal cancer

内科 页码:428-432

作者机构:1 广西中医药大学,广西南宁市 530200;2 广西中医药大学第一附属医院,广西南宁市 530023

基金信息:广西中医药大学自然科学面上项目(2020MS027) 通信作者:黄华勇

DOI:10.16121/j.cnki.cn45-1347/r.2026.04.09

  • 中文简介
  • 英文简介
  • 参考文献

目的 探讨酉时(17:00~19:00)中药足浴对腹腔镜结直肠癌根治术后患者疲劳程度的影响。方法 选取2022年6月至2024年12月在广西中医药大学第一附属医院拟行腹腔镜结直肠癌根治术的80例患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组40例。两组均接受腹腔镜结直肠癌根治术围手术期常规护理,观察组在此基础上于术后第1天开始实施酉时中药足浴,每日1次,连续10 d。分别于术前1 d及术后3 d、7 d、10 d,采用中文版简明围术期疲劳评测量表(ICFS-10)评估两组患者的疲劳程度。结果 两组患者性别、年龄、原发肿瘤-区域淋巴结-远处转移分期、手术时间、术中出血量及术前1 d中文版ICFS-10总分差异均无统计学意义(均P>0.05),基线资料均衡可比。术后3 d、7 d、10 d,观察组中文版ICFS-10总分均低于对照组(均P<0.05)。重复测量方差分析显示,两组中文版ICFS-10总分均随时间呈下降趋势,时间效应、组间效应及交互效应均有统计学意义(均P<0.05)。结论 酉时中药足浴可有效减轻腹腔镜结直肠癌根治术后患者的疲劳程度,具有一定临床推广应用价值。

Objective To explore the effect of traditional Chinese medicine foot bath at Youshi (the hour of the Rooster, i.e., 17:00-19:00) on fatigue in patients after laparoscopic radical resection of colorectal cancer. Methods A total of 80 patients who were scheduled for laparoscopic radical resection of colorectal cancer in the First Affiliated Hospital of Guangxi University of Chinese Medicine from June 2022 to December 2024 were enrolled as research subjects and divided into a control group or an observation group by random number table method, with 40 cases in each group. Both groups received routine perioperative nursing for laparoscopic radical resection of colorectal cancer, based on which, the observation group received traditional Chinese medicine foot bath at Youshi once a day for 10 consecutive days starting from postoperative day 1. The Chinese-version Identity-Consequence Fatigue Scale-10 (ICFS-10) was adopted to assess the fatigue level of patients in the two groups at 1 day before operation, 3 days, 7 days, and 10 days after operation, respectively. Results There was no statistically significant difference between the two groups in gender, age, tumor-node-metastasis stage, operation duration, intraoperative blood loss, or preoperative 1-day Chinese-version ICFS-10 total score (all P>0.05), indicating comparable baseline data. At postoperative day 3, day 7, and day 10, the Chinese-version ICFS-10 total scores of the observation group were lower than those of the control group (all P<0.05). Repeated-measures analysis of variance showed that the Chinese-version ICFS-10 total scores of both groups presented a downward trend over time, while the time effect, intergroup effect, and interaction effect were all statistically significant (all P<0.05). Conclusion Traditional Chinese medicine foot bath at Youshi can effectively relieve postoperative fatigue in patients after laparoscopic radical resection of colorectal cancer, which is worthy of clinical popularization and application.

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