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中医药研究论丛
 231.9 从实证医学角度探讨胃癌术後中医治疗之疗效
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TJ TCM.23(1) : 107-118, 2020
DOI : 10.6516/TJTCM.202003_23(1).0009
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从实证医学角度探讨胃癌术後中医治疗之疗效
An Overview of Chinese Medicine Treatment after Gastrectomy Based on Evidience-Based Medicine
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杨淑婷1 廖唯宇1,2 张晋贤1,2,3*
1 财团法人恩主公医院中医部，新北，台湾
2 长庚科技大学化妆品应用系，桃园，台湾
3 中国医药大学中医学系，台中，台湾
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【摘要】
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胃切除手术可能导致术後并发症，尽管目前并发症的发生率相当低。而过去数据显示，大约四分之一的患者在胃手术後出现明显症状，其中有2%至5% 的机会，将导致失能。胃癌手术後改变胃肠道的结构和生理功能，术後不适增加住院天数，相对消耗更多医疗成本。本文将针对胃癌术後患者接受中医介入治疗，从实证研究分析，包括中药、针灸、以及病患接受度更高的非侵入性的外治疗法和经皮电刺激穴位的研究，藉由改善胃肠蠕动、促进胃排空，和降低术後疼痛，达成促进术後复原的目标，对於胃癌患者提供新的治疗选择，以期待中医介入未来也能广泛应用於其他腹部外科手术。
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【关键词】胃癌、胃切除、肠阻塞、中药、针灸
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Shu-Ting Yang1Wei-Yu Liao1,2Chin-Hsien Chang1,2,3*
1Department of Traditional Chinese Medicine, En Chu Kong Hospital, New Taipei City, Taiwan
2Department of Cosmetic Science, Chang Gung University of Science and Technology, Taoyuan, Taiwan
3School of Chinese Medicine, China Medical University, Taichung, Raiwan, Taichung, Taiwan
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【Summary】
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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.
Keywords：gastric cancer, gastrectomy, ileus , Chinese medicine, acupuncture
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