從實證醫學角度探討胃癌術後中醫治療之療效

An Overview of Chinese Medicine Treatment after Gastrectomy Based on Evidience-Based Medicine

楊淑婷(Shu-Ting Yang) ； 廖唯宇(Wei-Yu Liao) ； 張晉賢(Chin-Hsien Chang)

《中醫藥研究論叢》 23卷1期 (2020/03) Pp. 107-118

https://doi.org/10.6516/TJTCM.202003_23(1).0009

摘要

胃切除手術可能導致術後併發症，儘管目前併發症的發生率相當低。而過去數據顯示，大約四分之一的患者在胃手術後出現明顯症狀，其中有2%至5%的機會，將導致失能。胃癌手術後改變胃腸道的結構和生理功能，術後不適增加住院天數，相對消耗更多醫療成本。本文將針對胃癌術後患者接受中醫介入治療，從實證研究分析，包括中藥、針灸、以及病患接受度更高的非侵入性的外治療法和經皮電刺激穴位的研究，藉由改善胃腸蠕動、促進胃排空，和降低術後疼痛，達成促進術後復原的目標，對於胃癌患者提供新的治療選擇，以期待中醫介入未來也能廣泛應用於其他腹部外科手術。

關鍵字

胃癌 ； 胃切除 ； 腸阻塞 ； 中藥 ； 針灸

並列摘要

Although complications are considerably less common today, historical data would suggest that approximately one in four patients reports significant symptoms after gastric surgery; in 2 to 5 percent, these symptoms are disabling. Gastrointestinal surgery alters the structure and physiological function of the gastrointestinal system, probably affects patient recovery, prolongs hospital stay, and increases cost. Therefore the purpose of this review is to search various ways, including Chinese medicine, acupuncture, and non-invasive treatment of transcutaneous electro acupuncture and external treatment for patient after gastrectomy treatment and enhancing the recovery rate through the survey of Chinese Medicine literature. So it will probably provide patient and doctor with different Complementary and Alternative Medicine to accelerate bowel function recovery and reduce hospital stay, which satisfies the concept of enhanced recovery after surgery. Besides, Chinese Medicine could be considered to be applied on other abdominal surgeries as well.

並列關鍵字

gastric cancer ； gastrectomy ； ileus ； Chinese medicine ； acupuncture

參考文獻

衛生福利部統計處，107 年國人死因統計結果。取自：https://www.mohw.gov.tw/cp-16-48057-1.html；引用 2019/08/07。

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