The Clinic Research About Gastrointestinal Dysfunction Complications After Cardiacsurgery With Pinprick Treatment

ObjectiveGastrointestinal dysfunction complications exist obviously after cardiacsurgery. It is a worthwhile job which measure is prominence in curing gastrointestinal dysfunction complications. The purpose of this topic is exploring curative effect in gastrointestinal dysfunction with needle therapy. Des i gnpreceding study Sett i ngEr-Sha Heart Center in GuangDong Province Hospital of TCM Patients:45 patients who had accepted cardiacsurgery in our center from September, 2005 to April, 2006. Diagnostic standard: zhenghou(referring to standard that XuZheng of the Chinese medicine which edited by the meeting about combine herbalist doctor in Western medicine ) . InterventionsThe pinprick treatment. MethodIt is divided into 45 sufferers random 3 set: the stomach needle set, the pinprick set, the blank set. The improvement of gastrointestinal function after the cardiacsurgery is observed. The whole data were dealt with computer by the SPSS 11.0 software, the count variable by X~e test, calculate the data use One-Way AN0VA, α =0.05. Result1. Symptom ChangeAccording to the standard of the curative effect: the stomach needle set shows the example of cure as 6, the effect is 5, valid is 3, invalid for l;the pinprick set shows the example of cure as 2, the effect is 6,valid is 5, invalid is 2;the blank set shows the cure and effect as 0, valid is 6, invalid is 9 example;By Jf test, P <0. 05, accurative effect of the stomach needle is obvious better than the pinprick set and blank set. The pinprick set is better than the blank set. 2. Barium RemainThe number of the barium remain contains obvious difference that pinprick set, the stomach needle set and the blank sets take barium after 24h ( FKO. 05): the stomach needle is 6. 9 + 3. 4, the pinprick number isl2. 6 ±4.3, the blank number is: 18.8 + 2.7. Obviously, all patients after cardiacsurgery can appear the light paralysis of stomach. Round the period of surgery, we give the aggressive pinprick treatment that can promote stomach and intestines exercise, with a curative effect of the stomach needle is the most obvious. The colons circulate result of three group after 72h as follows: the number of the barium remain about the stomach needle is 6. 3 + 3. 9, the pinprick is 10. 6+4. 5, the blank sets is 17.9 +3. 2, K0. 05. We can see from the above-mentioned result that the stomach needle peristalsis is the quickest in the three sets. And the barium remain number of the stomach needle behind 72h is the lest, the pinprick set is less and the blank set is the most. 3. Gastrointestinal IncretionThe gastrointestinal incretion compared before operation of 3 sets: the stomach needle is(544. 6 ±258. l)ng/L, the pinprick set is(554.1 + 327. 0)ng/L, the blank set is(520. 8 ± 305. 0)ng/L. The gastrointestinal incretion have no obvious difference of 3 sets before operation. The gastrointestinal incretion before treatment of 3 sets compared with it after treatment. The front of treatment of the stomach needle is (300.0 ±232. 5)ng/L and the after of treatment of it is (539. 0±282. 3)ng/L, the pinprick set is(462. 0 + 320. 8)ng/L and (688. 2±332. 7) ng/L, the blank set is (417.1±298.1)ng/L and (446. 5±305. 6)ng/L The gastrointestinal incretion have no obvious difference of 3 sets before cure. But the gastrointestinal incretion after therapy of 3 sets is obviously higherthan before therapy and the 3sets show the evidence difference (KO. 01). The gastrointestinal incretion before cure descend obviously after the operation and it cause the peristalsis of stomach and intestines reduce slowly, the bowel ding sound die down, the time of defecate extension, and gastrointestinal dysfunction complications occurs in the end. The gastrointestinal incretion after treatment of 3 sets show the difference evidently after we gave 3 sets processing differently round the operation period. The gastrointestinal incretion of the stomach needle set and pinprick set higher than the blank set evidently. It indicate that we give the pinprick treatment after operation can speed the instauration of stomach and intestines hormone and improvement the empty of gastrointestinal. ConclusionAdopted pinprick or stomach needle therapy after surgery in early days can obviously ease symptom of gastrointestinal dysfunction complications, promote the stomach and intestines row empty and speed the stomach and intestines hormone to recover normally, the curative effect ion with the stomach needle is distinct especially. The therapy of stomach needle take the point accurate, make the prescription standardization, not only safe valid, and have no pain or only tiny pain. Because the quality of compliance is high and the impact is fine, it is easy to operation in clinic with deserving the further expansion application.