The Clinical Observation Of Retention Enema Of Dahuang Mudan Decoction Combined Thunder-Fire Moxibustion To The Recovery Of Gastrointestinal Function After Appendectomy

Objective:Through the Dahuang Mudan decoction combined with Thunder-Fire Moxibustion of retention enema to treat gastrointestinal dysfunction after acute appendicitis surgery.To observe the clinical comprehensive curative effect and adverse reaction,which aims at making a comprehensive evaluation of the clinical efficacy and safety of Thunder-Fire Moxibustion combined with enema.Methods:The study used randomized controlled trials,chosen our hospital as Clinical trial center and unified the observation criteria.There was 120patients with acute appendicitis were randomly divided into four equal number groups(30 cases):Thunder-Fire Moxibustion group,retention enema of Dahuang Mudan decoction combined Thunder-Fire Moxibustion group,retention enema of Dahuang Mudan decoction group and control group,which included in the standards-compliant according to the criteria of inclusion and exclusion.The 4 groups were treated at 10 hours after operation until the recovery of anus defecate function,then observed the change of laboratory examination before and after treatment by(WBC,NEU%,CRP)level.Keep a record of the relevant data of observation target,which includes the time of the first anal exhausting and defecation time,postoperative recovery of bowel sounds,abdominal bloating,and other clinical total efficacy to make a statistical analysis and evaluate the effects of the retention enema of Dahuang Mudan decoction combined Thunder-Fire Moxibustion on recovery of gastrointestinal function after surgery forappendicitis.Results:(1)Through four groups of gender,age,pathological type distribution,operation time,etc.to statistical analysis,consistent with the four groups at baseline were comparable.(2)After treatment,the WBC,NEU%and CRP of each group were lower than before.Through the analysis of variance,the changes of WBC and NEU%before and after treatment in the four groups were statistically significant(~#P<0.05);but there was no statistically significant difference in the CRP levels.(*P>0.05);And there was no statistically significant difference between the four groups(P>0.05).(3)The recovery of postoperative bowel sounds in the four groups was compared.In the first day after operation,the retention enema of Dahuang Mudan decoction combined Thunder-Fire Moxibustion group was compared with the control group,P<0.05,there was significant difference.The four groups were compared with the first,second and third,P<0.05,there was significant difference.(4)Postoperative of the four group after exhaustion and defecationtime were compared,P<0.05,there was significant difference.(5)Compared the treatment effects of the four groups,P<0.05,there was significant difference.Then chosed the blank group to compare with Thunder-Fire Moxibustion group,retention enema of Dahuang Mudan decoction combined Thunder-Fire Moxibustion and retention enema of Dahuang Mudan decoction,P<0.05,there was significant difference.Thunder-Fire Moxibustion group and retention enema of Dahuang Mudan decoction combined Thunder-Fire Moxibustion,P<0.05,there was significant difference;retention enema of Dahuang Mudan decoction combined Thunder-Fire Moxibustionand and retention enema of Dahuang Mudan decoction group,P<0.05,there was significant difference.Thunder-Fire Moxibustion group and retention enema of Dahuang Mudan decoction Group comparison,P>0.05,the difference was not statistically significant.Conclusion:In summary:(1)Retention enema of Dahuang Mudan decoction combined Thunder-Fire Moxibustion group is better than thunder-Fire Moxibustion group or retention enema of Dahuang Mudan decoction group,which can promote the recovery of bowel sounds,reduce postoperative abdominal distension,shorten the first exhaust time,defecation time,and improve the quality of life of patients.(2)There is no significant reference value of WBC,NEU%and CRP biochemical indicators in the absence of acute appendicitis Specificityt,only as an excessivereference.