通讯作者: 陈漂漂, 502807382@qq.com

DOI：10.12201/bmr.202606.00068

Study on the Effect of Medicinal Diet Based on the Theory of “Strengthening Spleen and Harmonizing Stomach”on Postoperative Gastrointestinal Function Recovery in Patients with Gastric Cancer-Spleen Qi Deficiency Syndrome

• 摘要：目的 探究基于“健脾和胃”理论的药膳方在促进胃癌-脾气虚证患者术后胃肠功能恢复的临床疗效。方法 选取腹腔镜下胃癌根治术后的患者80例，采用随机数字表法分为两组，每组各40例。对照组给予常规饮食护理，试验组在其基础上给予药膳疗法，两组干预疗程均为10d。比较两组患者术后胃肠功能恢复指标、中医症候积分、护理满意度。结果 试验组的总有效率为72.5%，高于对照组的42.5%（P＜0.05）。试验组术后肠鸣音恢复时间、首次排气及排便时间均短于对照组（P＜0.05）。试验组术后胃脘痛、纳呆、嗳气、乏力等中医证候积分均低于对照组（P＜0.05）。结论 药膳疗法能有效促进胃癌术后脾气虚证患者的胃肠功能恢复，改善中医证候，提高护理满意度。

  关键词： 胃癌; 胃肠功能恢复; 药膳; 四君子汤; 脾气虚证; ; ; 

   

  Abstract: Objective To investigate the clinical efficacy of medicinal diets based on the theory of “invigorating the spleen and harmonizing the stomach”in promoting the recovery of gastrointestinal function in postoperative gastric cancer patients with spleen-qi deficiency syndrome. Methods Eighty patients undergoing laparoscopic radical gastrectomy for gastric cancer were selected and divided into two groups using a random number table method,with 40 cases in each group. The control group received routine dietary nursing,while the experimental group was additionally treated with medicinal diet therapy on this basis.The intervention course for both groups was 10 days.The postoperative gastrointestinal function recovery indicators, TCM syndrome scores, and nursing satisfaction of the two groups were compared.Results The total effective rate of the experimental group was 72.5%, which was higher than 42.5% of the control group(P<0.05).The recovery time of bowel sounds, the time to first flatus and defecation in the experimental group were shorter than those in the control group(P<0.05).The scores of Traditional Chinese Medicine (TCM) syndrome patterns such as epigastric pain, anorexia, belching, and fatigue after surgery were all lower in the experimental group compared to the control group.(P<0.05).Conclusion Medicinal diet therapy can effectively promote the recovery of gastrointestinal function, improve traditional Chinese medicine syndromes, and enhance nursing satisfaction in postoperative gastric cancer patients with spleen-qi deficiency syndrome.

  Key words: Gastric; cancer,gastrointestinal; function recovery, medicinal; diet,Si; Jun Zi; Tang,spleen; qi deficiency; syndrome

  提交时间：2026-06-22

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2026-04-14	10.12201/bmr.202606.00068V1	下载

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