Objective To explore the effect of moxibustion on early feeding tolerance and the levels of hypersensitive C-reactive protein (CRP), tumor necrosis factor (TNF)-α, and plasma D-lactic acid in patients after radical gastrectomy for gastric cancer, and to provide evidence for the implementation of enteral nutrition after radical gastrectomy for gastric cancer. Method A total of 140 patients who underwent radical gastrectomy for gastric cancer in our hospital from April 2023 to June 2025 were selected and randomly divided into a control group (70 cases, excluding 3 cases) and an experimental group (70 cases, excluding 2 cases and dropping out 1 case) using a random number table. The control group received routine postoperative care and early enteral nutrition treatment after radical gastrectomy for gastric cancer, while the experimental group received moxibustion treatment for 30 minutes daily starting from the day of enteral nutrition in addition to the treatment of the control group. The incidence of feeding intolerance (abdominal distension and/or abdominal pain, nausea and/or vomiting, diarrhea), enteral nutrition tolerance score, enteral nutrition compliance rate, time to first anal exhaust and defecation, plasma D-lactic acid, TNF-α, and CRP levels were observed in both groups. Result The incidence of feeding intolerance and enteral nutrition tolerance score (4.35 ± 1.98) in the experimental group were lower than those in the control group, and the enteral nutrition compliance rate (90.12% ± 9.88%) was higher than that in the control group. After treatment, the levels of TNF-α (6.42 ± 1.97) pg/ml, CRP (29.98 ± 9.79) mg/L, and D-lactic acid (4.37 ± 1.27) mmol/L in both groups were lower than those before treatment, and the levels of TNF-α, CRP, and D-lactic acid in the experimental group were lower than those in the control group. The time to first exhaust (64.47 ± 19.96) h, defecation time (76.42 ± 15.14) h, and recovery time of bowel sounds (58.63 ± 12.93) h in the experimental group were shorter than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion Moxibustion can improve early feeding intolerance symptoms after radical gastrectomy for gastric cancer, inhibit the release of inflammatory factors in the body, and promote the repair of intestinal mucosa.
Key words
Moxibustion /
Enteral nutrition tolerance /
Inflammatory factors /
Intestinal mucosal barrier /
Radical gastrectomy for gastric cancer
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