Therapeutic Effect Of Traditional Chinese Medicine On The Recovery Of Gastrointestinal Function In Patients With Qi Stagnation Syndrome After Non-gastrointestinal Surgery

First,literature reviewEarly postoperative gastrointestinal dysfunction has a higher incidence of postoperative patients.PGID of SICU non-gastrointestinal surgery patients not only increase their treatment time and costs in SICU,but also affect the function recovery of their whole body.To solve this problem is meaningful.At present,the understanding of PGID by modern western medicine mainly includes etiology,pathogenesis,classification,diagnosis and treatment.Since current western medicine treatment has no initiative measures to interfere with PGID,Traditional Chinese medicine treatment in this regard may play their own unique advantages.At present,there are many researches on the etiology,pathogenesis and treatment of gastrointestinal dysfunction after surgery.These studies provide a theoretical basis for the clinical study.Second,clinical investigation Object:To discuss the curative effect of additional Houposanwu decoction taken orally and additional Dachengqi decoction taken clysterly on the recovery of PGID,and compare their curative effects.Method:Traditional Chinese Medicine syndrome differentiation was made in postoperative non-gastrointestinal surgerys SICU patients.45 Qijiyongzhi syndrome patients,randomly divided into 3 groups:Chinese medicine decoction oral group,traditional Chinese medicine enema group and control group.All patients were given conventional treatment after surgery,such as,Oxygen inhalation,ECG monitoring,fasting,antibiotic prophylaxis,fluid replacement,acid suppression,pain relief,and electrolyte balance therapy.Since 6th hour after operation,all the patients return to normal eating.Besides,oral medicine group were treated with additional Houposanwu decoction(shenghoupo 24g,shengdahuang 10g,chaozhishi 9g,dangshen 20g),while traditional Chinese medicine enema group with additional Dachengqi Decoction(Shengdahuang 30g,shenghoupo 30g,mangxiao30g,chaozhishi 30g,baishao 30g,zhigancao 10g,chaobinglang 40g,chaolaifuzi 40g).Oral medicine group patients received medicine 200ml each time,enema group 100ml each time,twice a day,until there is a first postoperative exhaust or cacation(if the patient had exhaust or cacation within 12h after surgery,then removed the case).The observation lasted until the 48th hour after operation.Recorded each patient's first exhaust time,first cacation time,bowel sounds recovery time.Scored each patient according to the signs and symptoms before and after treatment,then calculated curative effect index.Result:? The recovery time of bowel sound after the operation were as follows:the control group was 34.32±3.64 hours,oral medicine group 28.92±3.96 hours,enema group 29.02±3.62 hours,compared with the control group and two treatment groups,there was significant difference(P<0.01).There was no significant difference between the two treatment groups(P=0.878>0.05).?The postoperative first exhaust time were as follows:the control group was 37.05±4.55 hours,oral medicine group 29.97±4.12 hours,enema group 31.78±5.22 hours,compared with the control group and two treatment groups,there was significant difference(P<0.01).There was no significant difference between the two treatment groups(P=0.329>0.05).?The first postoperative defecation time were as follows:the control group was 41.45±3.59 hours,oral medicine group 32.17±4.08 hours,enema group 32.03±5.11 hours,compared with the control group and two treatment groups,there was significant difference(P<0.01).There was no significant difference between the two treatment groups(P=0.769>0.05)·?Therapeutic indexes were as follows:the control group was 24.84%±0.10,oral medicine group 69.74%±0.28,enema group 75.02%±0.28,compared with the control group and two treatment groups,there was significant difference(P<0.01).There was no significant difference between the two treatment groups(P=0.225>0.05).?Total effective rates were as follows:the control group was 30.77%,oral medicine group 82.35%,enema group 86.67%.Conclusion:Either additional Houposanwu decoction taken orally or additional Dachengqi decoction taken clysterly can promote the recovery of gastrointestinal function of SICU non-gastrointestinal surgery patients,improving the clinical symptoms and signs of patients with PGID.