Acupoint Catgut Embedding Affect Gastrointestinal Functional Recovery After The Open Abdomen Surgery In Clinical Research

ObjectiveBy surgical trauma, fasting and Intraperitoneal adhesion of perioperative factors are usually result in gastrointestinal dysfunction, intestinal peristalsis slows or disappear and delayed the anus exhaust, which are easy to cause the symptoms of abdominal pain and bloating, nausea and vomiting, which are affect postoperative rehabilitation, create the serious complications such as bacterial infection or intestinal adhesion, increased illness, prolonged hospitalization, increased the economic burden of patients, is a clinical common practical problems. This subject is to study the influence of acupoint catgut embedding affect gastrointestinal functional recovery after the open abdomen surgery, for clinical acupoint catgut embedding provide important basis to promote gastrointestinal function recovery.Methods60 cases were randomly divided into 30 cases of the treatment group and 30 cases of the blank control group. Postoperative routine processing in the control group, in addition to conventional treatment, the catgut embedding group on postoperative 6h to selected the bilateral acupoints of Shangjuxu(ST37), record bowel sounds recovery time, first anal exhaust and defecation time and postoperative symptoms such as abdominal distension, abdominal pain, nausea and vomiting, respectively in the preoperative day in the morning, on the first morning after operation, the third morning after operation and postoperative day 5 in the morning venous blood was rises hollow pumping elbow, test value of two groups of patients’white blood cells (WBC)and neutrophils (NEU)each time. Data processing using t test and chi-square test and rank and inspection of the results for statistical analysis. The quantitative data by using t test and rank and inspection, qualitative data using chi-square test.Results1.There was no statistically significant difference between the two groups on gender, age, BMI, and basic diseases (P＞0.05). Also, The difference of observation indexes including, operation time, blood loss, postoperative analgesia pump, full flow eating time had no statistical significance(P＞0.05)2. After burying line therapy, there was statistically significant difference between the treatment group and control group. Acupuncture point bury quad bowel sounds return to normal time for (45.78±9.19) hours, exhaust time (55.87±13.70) hours for the first time, the first defecation time (77.12 ±14.30) hours, postoperative hospitalization days (10.60±2.58) days, compared with the control group is short, returned to normal bowel sounds were (53.43±10.29) hours, exhaust time (63.84±12.99) hours for the first time, the first defecation time were (88.28±20.72) hours, and postoperative hospitalization days were (11.17±2.79)days;3. Compared with the treatment group and control group, there was no statistical significance (P=0.194＞0.05) in postoperative abdominal distension abdominal pain; The difference of postoperative appear nausea and vomiting instead (P=0.037＜0.05);4. Treatment group and control group of white blood cells (WBC) and neutrophils (NEU) value in the preoperative and postoperative first day and the fifth day after operation, there was no statistically significant difference (P＞0.05), while on the third day after was statistically significant difference (P＜0.05).ConclusionsAcupuncture point bury line therapy after surgery the patient’s normal bowel sounds time, exhaust time for the first time, the first defecation time and postoperative hospitalization days were shorter than that of conventional treatment. In terms of gastrointestinal reaction, the treatment group cases of postoperative abdominal and distension abdominal pain, nausea and vomiting are less than the control group, showed the acupuncture point bury a line therapy to stimulates the recovery of gastrointestinal function after the operation; Comparative laboratory data, the catgut embedding group postoperative day 3 white blood cells (WBC) and neutrophils (NEU) numerical significantly lower than the control group, the difference comparing the two groups have statistical significance, the first postoperative day and fifth day after two groups of white blood cells and neutrophils comparing is no statistical significance, but numerical treatment group is lower than the control group, which illustrated the point embedded wire had a promoting effect on white blood cells back to normal.