The Therapeutic Observation Of The Moxibustion Treatment Of Postoperative Fatigue Syndrome

ObjectivesThis research is the clinical observation of the weary condition who is experienced the gynecological abdominal surgery at the waist hard joint anaesthesia. To understand the gynecology abdominal surgery patients condition of fatigue and relevant factors, which is to provide basic data for rapid recovery after clinical treatment plan and to further enrich the theoretical connotation of traditional Chinese medicine intervention for the modern surgical intervention in the perioperative period, providing clinical evidence and exploring the effective method for the postoperative fatigue syndrome treatment.MethodsThis study had collected160women patients who had underwent the waist hard joint anesthesia gynecological abdominal surgery in Guangdong hospital of traditional Chinese medicine during2009,12-2011,12, and exists postoperative fatigue syndrome,with deficiency syndrome of TCM. And then use the adopt, randomized, controlled single-blind method, according to1:1, randomly divided the patients into:control group (group A), moxibustion treatment group (group B). Group A:routine postoperative therapy, symptomatic treatment, with no any other interventions. Group B:based on postoperative therapy, give them the moxibustion intervention measures, with the clinical operation to ai box, treatment time:postoperative sticks to the first2days to7days, every15minutes; Treatment frequencies:twice a day; Moxibustion meridians: bilateral acupoints ST40, BL20and BL23. To detect the transferrin’s level on preoperative day1, postoperative day3,7days; Preoperative1day, Observe and compare the degree of the postoperative fatigue in postoperative day1,3,7,14,30,60days (written quantity by Christensen’s Fatigue scoring, BPOMS, and ICFS). To evaluate the postoperative fatigue of the collection of surgery patients and analyze the influence factors. Data processing uses the SPSS17.0package, while statistical methods use the rank and inspection, t test, etc.Result1. The fatigue scores of gynecological abdominal surgery patients after1,3,7, and14days are higher than the preoperative, and are gradually reduced. The fatigue of the scores30and60days after surgery are lower than the preoperative level, the difference was statistically significant (P<0.05). The patient who is experienced the gynecological abdominal surgery exists postoperative fatigue phenomenon for a month and has a self-healing tendency.2. The control group patients in postoperative day3,7, and14,30days of VAS, BPOMS, ICFS scale fatigue scores are higher than the moxibustion group patients in the same period, the difference was statistically significant (P<0.05). Moxibustion bilateral acupoints ST40, BL20and BL23can effectively relieve postoperative fatigue, especially in postoperative two weeks.3.Postoperative day3, two groups of transferrin preoperative level is lower than preoperative day1, and the control group reduce more obvious, the difference was statistically significant(P<0.05). Postoperative day7, the two groups of transferrin level are resumed. The treatment group is more obvious and close to preoperative levels, the difference was statistically significant(P<0.05). Moxibustion therapy can improve nutritional status.4.The difference of first off the bed time between the two groups is no significant (P>0.05), no statistical significance. Compare the two groups’first exhausttime, the timo of moxibustion group aro is5h earlier than in the blank group, with significant difference (P<0.05), Moxibustion therapy is helpful for gynecology abdomen postoperative recovery from gastrointestinal function fatigue.5. The postoperative sleep time has no difference between the Lwo groups, with no statistically signif icance(P>0.05). The moxibustion therapy has no obvious improvement action to sleep in the postoperative. ConclusionThe patients after gynecological abdominal surgery exist fatigue phenomenon, lasting fatigue time for a month, which have a self-healing tendency. Moxibustion bilateral acupoints ST40, BL20and BL23can effectively relieve the postoperative fatigue, shorten the recovery time, with obvious curative effect in the first two weeks. And it is helpful to the gynecology abdominal surgery patients with the recovery of gastrointestinal function fatigue, which can improve the nutritional status also.