Fast Track Surgery In Colorectal With Modified Zhizhu Decoction In Clinical Study On Promoting Gastrointestinal Function Recovery

BackgroundPerioperative rehabilitation intervention on patients of gasttestinal surgery research is focus area, the key point is how to reduce surgical stress and speed up gastrointestinal recovery after surgery. In 2001, Denmark Professor Kehlet fast track since the surgery, colorectal surgery, resulting in a new round of upsurge of study on promoting gastrointestinal function recovery measures, and more and more information on the fast-track surgery of the effectiveness of measures to promote the recovery of gastrointestinal function. Traditional Chinese medicine, has a significant role in the perioperative period of surgical and gastrointestinal function recovery in patients with combined method of Chinese and Western medicine interventions, there is little research in this area. Promote rapid rehabilitation concept in the current, traditional Chinese medicine to promote recovery of gastrointestinal function in the perioperative poses new challenges and opportunities.Classics of traditional Chinese medicine prescriptions of TCM and clinical basis of four classic many records and Qi Xiao PI, laxative formula. The Golden Sinopsis zhizhu decoction after thousands of years of clinical practice, physicians praise. Professor Cai Bingqin is nationwide famous doctors, from the Guangdong provincial hospital academic leaders, zhizhu decoction combined with years of clinical experience in the Party on the basis of concluded with modified zhizhu decoction in treating intestine gas barrier, the results are obvious. Then, with modified zhizhu decoction on postoperative recovery of gastrointestinal function in patients with colorectal surgery is effective, there is a need for relevant clinical research.ObjectiveUsed forward sex random control research method, on I homes 80 routine celiac mirror knot rectal cancer radical operation patients, random is divided into research group (taking plus flavor citrus aurantium operation soup) and control group (not taking plus flavor citrus aurantium operation soup), research two group patients operation hou gastrointestinal function recovery situation, evaluation plus flavor citrus aurantium operation soup in fast rehabilitation knot rectal surgical in the of effect and the meaning, for optimization and extended TCM outside rule method in surrounding surgery period gastrointestinal function recovery in the of application provides relative science of clinical according to.MethodOn meet into conditions patients, through forward sex random control research method, research group (taking plus flavor citrus aurantium operation soup) and control group (not taking plus flavor citrus aurantium operation soup) each 40 cases, from visit depending on period began to operation hu seven days (discontent seven days who by discharged time calculation), respectively records patients operation hu first times independent anal exhaust time, and first times row will time, and bowel sound recovery time, and operation ho u bloating abdominal pain situation, and gastrointestinal reaction situation, and operation hou complications occurred rate (as anastomosis mouth fistula, and lung infection, and operation hou bloating, and incision infection, and Lower limb vein thrombosis), and hospital time, and hospital costs, respectively yu operation qian, and operation hou first days, and operation hou third days, and operation hou fifth days pumping blood inspection patients stomach moving pigment, and vascular activity intestinal peptide, data processing aspects used with t test (meet distribution of measurement information), and variance analysis rank and test method on effect results for statistics analysis, with group between compared with variance analysis analysis its effect differences.Results80 cases of successful integration of this research, excluding cases 5 cases, no drop out cases. Research Group of a total of 38 cases,37 cases in the control group. Two groups of age, sex, duration of surgery, anesthesia, surgery, tumor stage and tumor size, preoperative motilin, vasoactive intestinal peptide, the difference was not statistically significant (P>0.05).After the two groups compared levels of motilin, vasoactive intestinal peptide, P<0.05, there was a statistically significant difference. Evaluation of the postoperative recovery of gastrointestinal function, postoperative bowel sounds return to normal time, first time anal exsufflation. P<0.05, statistical significance.Comparison of postoperative abdominal distention abdominal pain, gastro-in reactions. P<0.05, statistical significance. Surgical complications, postoperative anastomotic fistula, lower extremity venous thrombosis and incidence of gastric retention, urine retention, bloating, P<0.05, was statistically significant.Postoperative pulmonary infection, sore throat, urinary tract infection, no statistically significant difference between the two groups (P>0.05). Hospital stay, hospital cost, P<0.05, was statistically significant.ConclusionPlus flavor citrus aurantium operation soup in celiac mirror knot rectal cancer radical operation patients operation hou can up to promoting gastrointestinal function recovery of role, on reduced patients lung infection, and urinary tract infection, and throat pain no advantage, but can reduced operation hou anastomosis mouth fistula, and lower limb vein thrombosis, and stomach retention, and urinary retention, and bloating, complications of occurred, while improved operation hou bloating abdominal pain, and gastrointestinal reaction, shortened hospital time, and reduced hospital fee, with is currently fast rehabilitation surgical concept effective, and security of measures.