Effect Observation Of Moxibustion Box On Prevention Of Abdominal Distension,Constipation And Urinary Retention After Total Hip Arthroplasty In Elderly Patients With Qi Deficiency And Blood Stasis

ObjectiveIn order to observe clinical efficacy of preventing postoperative abdominal distension,constipation and urinary retention,this study follows the Traditional Chinese Medicine(TCM)’s idea of "preventive treatment of disease",on the basis of syndrome differentiation,uses moxibustion box to intervene the elderly patients after total hip replacement with qi deficiency and blood stasis.It can reduce the nursing complications and be good for the patient’s recovery,and also provide medical data support for the intervention effect and analysis of TCM nursing.MethodsAccording to the admission order of the patients,94 elderly patients with qi deficiency and blood stasis after total hip arthroplasty from Shandong Provincial in a third-grade Hospital of Traditional Chinese Medicine were selected from April 2018 to December 2018,who were randomly divided into the observation group and control group(n=47 case).The patients in both group was given perioperative treatment and nursing,moxibustion box was added in observation group.The time of resuming peristaltic sound,the first exhaust time and defecation time,the first urination time,and the number of postoperative spontaneous bowel movements were observed in both groups;the incidence of abdominal distension,constipation,urinary retention,severity of abdominal distension,and spontaneous urination were evaluated.The relevant data collected from the patients were input into the computer,and the statistical software SPSS21.0 was used for analysis and conclusions were reached.ResultsIn the course of the study,there were one patient in each group with incomplete data due to early discharge;1 patient had postoperative pulmonary infection in control group.A total of 91 cases were collected,including 46 cases in the observation group and 45 cases in the control group.1.Before intervention,there was no significant different in the general information between the two groups,including the general baseline data,relevant clinical data and surgical data,etc(P>0.05).2.After intervention,the time of resuming peristaltic sound,the first time,the first spontaneous defecation time and the first spontaneous urination time were 13.83±1.97h,17.35±2.96h,62.48±11.34h,and 38.04±2.29h in the observation group respectively,and 16.71±2.05h,19.44±3.49h,74.53±12.36h and 41.90±2.06h in the control group,respectively.All the observed indexes have statistically significant difference(P<0.05 or P<0.01).3.After intervention,the incidence of abdominal distension was compared between the two groups at 24 to 48 hours after surgery.The observation group was 4.3%,and the control group was 22.2%.The difference was statistically significant(P<0.05).Among them,There were 44 patients without abdominal distension,1 case with mild abdominal distension,1 case with moderate abdominal distension,0 case with severe abdominal distension in the observation group;35 cases without abdominal distension,6 cases with mild abdominal distension,3 cases with moderate abdominal distension,1 case with severe abdominal distension in the control group.The difference was statistically significant(P<0.05).4.After intervention,the total number of spontaneous defecation in the two groups was compared within 6 days after surgery.The total number of defecation in the observation group was mainly 4 times,accounting for 50.0%,average of 3.30 times;the control group was mainly 3 times,accounting for 44.4%,average of 2.73 times;the difference was statistically significant(P<0.05).In addition,the incidence of postoperative constipation in the two groups were 26.1%and 60%,respectively;the difference was also statistically significant(P<0.05).5.After intervention,compared with the first spontaneous urinary unobstructed degree of two groups,it is found that the observation group consisted of 24 cases normal,13 cases urinary fine lines,6 cases urinary flow intermittent lines,3 cases urine dripping out,while in the control group,16 cases were normal,11 cases were urinary fine lines,4 cases were urinary flow intermittent line,14 cases were urine dripping out;the difference was statistically significant(P<0.05).The incidence of postoperative urinary retention in the two groups was 6.5%and 31.1%,respectively;the difference was highly statistically significant(P<0.01).ConclusionOn the basis of conventional treatment and nursing measures,combined with moxibustion box can more effectively prevent the occurrence of bloating,constipation and urinary retention after total hip arthroplasty in elderly patients with qi deficiency and blood stasis;and moxibustion box is simple,safe,no-toxic and side-effect,patient compliance is good,and it has high clinical application value,which is worth promoting and reference.