Clinical Observation Of Umbilical Moxibustion Promoting Gastrointestinal Function Recovery After Laparoscopic Operation Of Right Half Colon Cancer With Deficiency Of Qi And Blood

Objective: Umbilical moxibustion was given to patients with qi and blood deficiency after laparoscopic right hemicolon cancer surgery,and the gastrointestinal function of patients was observed.Methods: Sixty patients with right colon cancer with qi and blood deficiency who met the inclusion criteria were selected and divided into control group and umbilical moxibustion group using random number table method.Patients in the control group were given routine treatment,and patients in the umbilical moxibustion group were combined with umbilical moxibustion therapy.Content: In this observational study,60 patients with Qi-blood deficiency type right half colon cancer were selected from the general surgery ward of Qingdao Hospital of Traditional Chinese Medicine.According to the random number table method,the patients were divided into umbilical moxibustion group and control group,with 30 people in each group.In the course of treatment,1 case fell off in the control group,2 cases fell off in the umbilical moxibustion group,and the remaining 57 patients successfully completed clinical treatment and observation.Patients in the control group could be given anti-infection treatment after surgery to correct the balance of water and electrolyte and supplement nutrition,inform patients of water,fasting,gastrointestinal decompression,etc.,encourage and guide patients to get out of bed early and do appropriate activities to promote gastrointestinal peristalsis.The umbilical moxibustion group and the control group maintained the same routine treatment,and the umbilical moxibustion group combined with umbilical moxibustion treatment.Specific operation: Let the patient take the supine position,fully expose the abdomen,lay the umbilical cord with a single layer of gauze,mix warm water with flour to make a dough circle,wrap the dough circle around the umbilical cord,fill the finished powder into the umbilical cord,lay the moxa cone on the powder in advance,and apply moxibustion 3 times,45 minutes each time.After moxibustion,seal the umbilicus with medical tape,remove the dressing 2 days later,and wash the umbilicus with warm boiling water.Continuous application of moxibustion for 3 days,during the operation,closely observe the patient’s reaction and skin condition to avoid burns.Results:1.All the patients included in the observational study were hospitalized for more than 3 days,1 case dropped off in the control group and 2 cases dropped off in the umbilical moxibustion group.2.The gender,age,operation time,intraoperative blood loss of the two groups of patients,P values above 0.05,there was no significant difference in baseline data,no statistical significance;3.In the control group,the recovery time of bowel sounds was 30.941 ±4.835 hours,and the recovery time of the first bowel sounds was mostly within30-36 hours after surgery.In the umbilical moxibustion group,the recovery time of bowel sounds was 26.189±4.292 hours,and the recovery time of bowel sounds was mostly within 30 hours after surgery.The first exhaust time of the control group was 53.745 ±5.124 hours,and the first exhaust time was mostly concentrated in 54-60 hours after operation.In the umbilical moxibustion group,the first exhaust time was 46.461 ±6.380 hours,and the first exhaust time was mostly concentrated in 48-50 hours.The first defecation time of the control group was 74.310 ±7.230 hours,and the first defecation was mostly concentrated in 66-72 hours after surgery.The first defecation time of the umbilical moxibustion group was 67.236±7.980 hours,and the distribution of the first defecation time was more uniform,which was significantly earlier than that of the control group.There were significant differences between the two groups(P<0.05),indicating that the umbilical moxibustion group was better than the control group in promoting postoperative exhaust,defecation and bowel sound recovery.4.The comparison of gastrointestinal symptom scores between the umbilical moxibustion group and the control group showed that the gastrointestinal symptom scores of the umbilical moxibustion group and the control group before and after treatment were compared within the same group,P < 0.05,and there was a significant difference between the symptom scores of the umbilical moxibustion group and the control group after treatment,t=4.090,P<0.001,P<0.05,the difference was significant.It was statistically significant.Conclusion: For patients with qi and blood deficiency after laparoscopic right hemicolon cancer surgery,umbilical moxibustion therapy can effectively improve the clinical symptoms of patients by promoting the recovery of gastrointestinal function,accelerating the recovery of intestinal peristalsis,promoting exhaust and defecation.The operation is simple and safe,and it is worthy of clinical application.