| ObjectiveEffect of colorectal cancer patients due to anesthesia or surgical trauma and other factors on the body, may lead to a temporary imbalance of gastrointestinal function in the body. In order to recovery of postoperative gastrointestinal function of the patients as soon as possible, in the clinical treatment, often using oral drugs, early enteral nutrition, acupoint catgut embedding, and these are different degrees of side effects and disadvantages. The topic for the auricular plaster therapy combined with acupuncture at Zusanli on promote systematic study the clinical efficacy of gastrointestinal function after colorectal cancer surgery, is expected to promote gastrointestinal function recovery, reduce the postoperative complications, shorten the hospitalization time, promote early recovery of patients and so on.MethodsSelect 60 cases from June 2014 to September 2015 in Guangdong Province Traditional Chinese Medical Hospital anorectal for radical resection of colorectal cancer patients, the patients were randomly divided into treatment group and control group, the ratio of 1:1, namely 30 cases in each group. The control group was given routine postoperative treatment and nursing, postoperative fasting, continuous gastrointestinal vacuum, oxygen, ECG, replacement and nutritional support, in order to maintain the body of water, electrolyte and acid-base balance, early postoperative activities. While patients in the treatment group based on the use of Auricular Pressure Combined with acupuncture treatment, two groups were recorded the recovery time of bowel sounds, the first exhaust time, start eating liquid time, first defecation time, the incidence of abdominal distension, extubation time, postoperative hospital stay, postoperative blood routine and two groups of 12h,24h,36h, 48h,60h,72h symptom scale. After the end of the experiment will be adopted Set data were input into the database for statistical analysis, according to the statistical results, the analysis and evaluation of auricular paste pressure combined with acupuncture at Zusanli on the curative effect of the recovery of gastrointestinal function after colorectal cancer surgery.ResultsThrough statistical analysis, this study included 60 cases, including 30 cases of treatment group,30 cases in the control group. The treatment group and the control group of gender, age, pathological stage, surgical approach, operative time comparison of baseline data statistical analysis showed no statistically significant difference (P> 0.05), with comparable. After the auricular pressure combined with acupuncture treatment, treatment group patients recovery time of bowel sounds, the first exhaust time, eating time and first defecation time fluid was significantly shorter than the control group, the difference was statistically significant (P<0.05); 72h after surgery, all patients were abdominal distension, average the control group changes the patients body (4.02±1.84) cm, abdominal distention in 10 cases, the incidence rate was 33.33%(10/30), the average change in patients with treatment of abdominal circumference (2.58±1.32) cm, abdominal distention in 2 cases, the incidence rate was 6.67%(2/30), two patients with varying abdominal circumference The degree and incidence of abdominal distension was compared, the difference was statistically significant (P＜0.05). Two groups of patients with gastric extubation time, the treatment group was slightly shorter than the control group, by t test, P＞0.05, the two groups were not statistically significant. Two groups of patients with postoperative hospital stay was shorter than the treatment group the control group, by t test, P <0.05, the difference was statistically significant. Byx2 test,X2=5.9 were compared between the two groups and the efficiency, and improve the efficiency of P is more than 0.05, no significant difference between the two groups, P < 0.05 were compared between the two groups of good efficiency, so the treatment group was significantly better than the control group on the recovery of gastrointestinal dysfunction after operation, there are significant differences between the two groups. The safety index were observed before and first days after operation, there were no significant differences between the main indicators of third days in blood, and not because of the treatment of adverse reactions, allergic reactions.ConclusionAuricular point sticking therapy is hard and smooth drug seed pressing ear, a method to achieve the therapeutic effect, applicable to all kinds of pain, inflammatory diseases and disorders, allergy and allergic diseases, endocrine and metabolic diseases. Health is the human body Acupoint Zusanli acupoint is one of the important. Yangming foot, Chinese medicine, often massage Zusanli or regulate the human body immunity, enhance the body resistance to disease, and spleen and stomach, Buzhong Yiqi, dredging meridians, dispelling wind and dampness, rousing effect, many clinical and experimental data have proved Zusanli on promoting gastrointestinal function has obvious curative effect.In order to promote gastrointestinal function of patients after colorectal cancer surgery as soon as possible and effective to prevent postoperative complications, clinical often use oral medication, early enteral nutrition, catgut embedding, and These are different degrees of side effects and disadvantages. In this study, the auricular pressure combined with acupuncture can significantly shorten the patient’s recovery time of bowel sound of colorectal cancer after operation, anal exhaust time, eating time and liquid for the first time defecation time, and patients can reduce the incidence of abdominal distension, hospitalization shorten the time of postoperative patients with good efficiency in the treatment group was significantly higher than the control group, can effectively promote the colorectal cancer patients of postoperative recovery of gastrointestinal function. The auricular acupuncture and neither aggravate gastrointestinal burden, but also can gas Huoxue Tongfu, promote the recovery of gastrointestinal function, play the characteristics of Chinese medicine, and its operation simple and safe, low cost, easy to be accepted by patients. |
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