肿瘤科特色 Oncology Feature
术后康复指导 Post-operative rehabilitation guidance
Rehabilitation guidance after tumor operation
After surgery, the tumor patients will have a long recovery stage. Cancer rehabilitation is to arouse the doctors and patients, family and society, comprehensive use of various technical measures to help patients with the greatest degree of recovery of physical and mental health, and active social occupation ability. Tumor rehabilitation involves a wide range of subjects, including psychological, drug, exercise, diet and life.
In recent years, the incidence of lung cancer is increasing rapidly, and people's vigilance against lung cancer is also increasing. As lung cancer screening technology is getting more and more advanced, moreearly lung cancer patients can be diagnosed and treated by surgery. Persistent cough and decreased respiratory function after pneumonectomy are common clinical symptoms after lung cancer surgery.
(1) The occurrence of persistent cough may be related to bronchial traction, lymph node dissection, diaphragm elevation, gastro esophageal reflux and other factors. Although postoperative cough can help expectoration and remove airway secretions, frequent and severe cough has a serious impact on the quality of life of patients. Western medicine in the treatment of the chronic cough, etiology, treatment of commonly used antitussive and expectorant treatment therapy, but the treatment effect of single target, limited clinical efficacy. TCM treatment based on syndrome differentiation is of great significance for cough after lung cancer operation. We Division in the long-term clinical practice summed up the "Kangfei Sanjie Decoction", according to the patients with dialectical type appropriate chemical process, achieved good curative effect in the treatment of complications of lung cancer surgery. For patients with stubborn cough of lung cancer, they can cooperate with "Zhike Pingchuan powder" point application and Chinese medicine diet therapy, which can relieve cough symptoms to varying degrees.
(2) Respiratory function is an important factor in determining the quality of life of lung cancer patients. As part of the lung tissue was removed, the effective ventilation area was reduced, the lung mechanics and pulmonary ventilation function were destroyed, and the exercise tolerance of the patients decreased. At present, there are few clinical researches on lung rehabilitation after lung cancer surgery, and the sample size is small, which has not been popularized in China. And Chinese medicine in improving respiratory function, combined with internal and external therapies, the curative effect is outstanding. We usually desirable TCM eight Duanjin exercise, acupuncture therapy (acupoints bilateral chize, Neiguan and Zusanli), both on pulmonary function of patients is improved.
Surgery is the first choice for radical treatment of gastric cancer. In addition to common complications such as infection and bleeding, there will be emptying disorder, bile reflux, dumping syndrome, biliary and pancreatic disease and long-term malnutrition, which often brings pain and trouble to the patients. The causes of these symptoms are the operation of the vague nerve in the operation, which leads to the decrease of the secretory function of the organs such as the liver, the bile, the pancreas and the intestines, the decline of the contractile function of the gallbladder, the obstruction of emptying, the deficiency of all kinds of digestive fluid in the intestine, the deficiency of various digestive enzymes, and the weakening of the intestinal peristalsis, which makes the digestion and absorption of protein and fat.Therefore, diet care is very important for gastric cancer after operation. First select the digestible, high protein, low sugar, the amount of fat, stick a little, avoid excessive accumulation of gastrointestinal meal, so as not to cause indigestion, dilute apart. The principle of eating mild food is to achieve reasonable collocation and balanced nutrition and avoid irritating, hypersensitive, hypertonic foods and supercoiled and hypothermal food.
TCM believes that deficiency syndrome is most common after gastric cancer surgery, mostly manifested as deficiency of spleen and stomach qi, deficiency of Qi and blood, deficiency of Qi and Yin, etc. Because of the fact that the disease is not real, it may not be eliminated, or it has been left, or has been transferred. There are many kinds of pathogenic factors, such as qi stagnation, blood stasis, dampness heat, toxin and so on. According to our department, "Jianwei Sanjie Decoction" can play the role of strengthening the body and expelling evil, strengthening the spleen and the stomach. In addition, We also summed up the "spleen invigorating recipe", mainly using medicine and food homologous drugs such as yam, coix seed, Chen PI, and so on, effectively alleviated the malnutrition of most patients due to postoperative nausea, the common electronic moxibustion at Zusanli, the Shen que, Qi Hai, Guan Yuan and other acupoints can be cultured in the kidney, moxibustion at Zusanli, Zhong Wan and inside. Such points can Qi and stomach flatulence; for the dialectic of spleen and kidney yang deficiency patients can also choose the umbilical moxibustion therapy, which the spleen and stomach, shengqingjiangzhuo, xingqizhitong; Pinellas powder Shenque Jiangni vomiting etc..
3. Liver Cancer
Keratectomy is a complex and dangerous operation. Postoperative complications and mortality are relatively high. After hepatectomy, the patients' symptoms such as insomnia, pain, decrease of liver function and gastrointestinal dysfunction make the quality of life of the patients decrease and the patients recover after the operation for a long time. Therefore, it is particularly important to control the above symptoms early after the operation in order to promote the recovery of liver cancer after resection. First of all, our department used "Yugan Sanjie Decoction" and cut Spleen Qi, can Shugan Lidan therapy after surgery, Qi and blood deficiency, liver stagnation and spleen deficiency symptoms has very good curative effect. In view of insomnia, we use the Wang bu liu xing ear point pressure bean, which has the function of nourishing heart, invigorating the spleen, benefiting the kidney and regulating the liver. The Chinese herbal medicine foot bath is used to process fine powder and flush the foam feet with hot water, so that the effective ingredients can penetrate into the skin by the help of heat and be sucked into the blood circulation system to reach the blood circulation system. God, to improve the physique; also can use the “Huayuzhitong” powder topical pain Sanjie analgesic; for abdominal distension constipation, can use traditional Chinese medicine Dachengqi Decoction "rectal instillation laxative.
Breast cancer is the most common malignancy in women, and its incidence has been on the rise in the past 20~30 years. Improved clinical routine radical mastectomy for breast cancer are needed to axillary lymph node dissection in breast cancer postoperative ipsilateral upper limb lymphedema become the most common complication of breast cancer surgery. In view of this complication, we formulate rehabilitation combined with traditional Chinese medicine acupuncture and acupoint massage therapy can restore limb function of patients, reduce the incidence of postoperative disability rate, improve the quality of life. In addition, microwave therapy is used to relieve pain and local swelling after chest pain.
Rehabilitation treatment period after breast cancer surgery, in order to righting evil spirits as the treatment principle, emphasis on stage medication, syndrome differentiation and emotional adjustment, and throughout. Emotion is an important factor to affect the quality of life of patients after radical resection of breast cancer and metastasis recurrence. The patients with breast cancer have more anxiety, fear, depression and pessimism, which are very bad for the rehabilitation of the disease. We use traditional Chinese medicine music therapy in clinical. The main intervention method is based on the different physique of the patients of Chinese medicine. Exquisite style of music. The clinical observation of traditional Chinese medicine and music therapy can significantly reduce breast cancer after surgery in patients with self rating Anxiety Scale and self rating depression scale score.
The ultimate goal of postoperative rehabilitation is to maximize the quality of life of patients and make them have the most ideal social function. Every tumor patient in the stage of rehabilitation should not think of himself as a patient and "raise disease" at home all day. It should change the role in time, return to work as soon as possible, actively participate in some social activities, reintegrate into the family and society, and realize the value of his life. Through clinical observation, the tumor patients can improve the immune function of the body and control the recurrence of the tumor to the maximum extent, as long as they keep good mood, tranquil and living, and adjust the balance between yin and Yang, as long as they are guided by the theory of traditional Chinese medicine.
主攻方向 Main attack direction
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