恶性肠梗阻个体化姑息治疗的实践
高聚伟,甄利波,陈培丰
摘要(Abstract):
<正>目前普遍认为恶性肠梗阻(MBO)的治疗原则是以改善生活质量为目标的个体化姑息治疗,但治疗方式选择复杂,临床中需量体裁衣制订个体化方案。中医药在肠梗阻的治疗中有显著疗效,但在MBO的姑息治疗中如何应用,如何规范地进行中西医结合个体化姑息治疗,临床报道并不多见。笔者对1例晚期
关键词(KeyWords): 恶性肠梗阻;姑息治疗;中西医结合疗法
基金项目(Foundation):
作者(Author): 高聚伟,甄利波,陈培丰
参考文献(References):
- [1]Woolfson RG,Jennings K,Whalen GF.Management of bowel obstruc-tion in patients with abdominal cancer[J].Arch Surg,1997,132:1093.
- [2]Campagnutta E,Cannizzaro R.Percutaneous endoscopic gastrostomy(PEG)in palliative treatment of nonoperable intestinal obstructiondue to gynecologi ccancer:areview[J].Eur J Gynaecol Oncol,2000,21(6):397.
- [3]Ripamonti C,Mercadante S,Groff L,et al.Role of octreotide,scopo-lamine butylbromide and hydration in symptom control of patients withinoperable bowel obstruction having a nasogastric tube.A prospectiverandomized clinical trial[J].J Pain Symptom Manage,2000,19(1):23-34.
- [4]Glare P,Pereria G,Kristjanson LJ,et al.Systematic review of the effi-cacy of antiemetics in the treatment of nausea in patients withfaradanced cancer[J].Support Cancer,2004,12(6):432-440.
- [5]陈玉堂,邵国良,郑家平,等.鼻肠减压管在中晚期恶性肿瘤性小肠梗阻综合治疗中的应用价值[J].介入放射学杂志,2009,18(6):474-476.
- [6]周浩,郑坚,沈克平.辨证应用中药导管滴入结合化疗治疗癌性不完全性肠梗阻临床研究[J].上海中医药杂志,2008,42(6):37-39.
- [7]许春明,顾红芳,丁令池,等.中药灌肠加针灸治疗癌性肠梗阻56例[J].南京中医药大学学报,2008,24(6):419-420.
- [8]姜敏,左明焕,刘传波,等.中药灌肠治疗恶性肠梗阻106例临床观察[J].辽宁中医杂志,2009,36(10):1729-1730.