Clinical Research On Zusanli Point Application Of Magnolia Powder In Farting After Abdominal Operation

BackgroundThe stimuli of Anesthesia and the operation inhibit gastrointestinal motility after abdominal operation. Clinically, abdominal distention, abdominal pain, non-farting and other a range of gastrointestinal disorders mainly appear. This Status can directly affect the recovery of patients,and sometimes can produce serious consequences. Therefore, the early recovery of gastrointestinal function is very important for the prevention of postoperative complications.ObjectivesThrough the study, we hope to be able to scientifically,Systematically evaluate the influence and security of Zusanli point applicatoion in Magnolia powder for postoperative recovery of gastrointestinal function. We will form the Specification of technical operation and lay a foundation for the spread of the whole country.MethodsThe subject is the randomized controlled trial design. The surgical patients for meeting the inclusion criteria and exclusion criteria are randomly assigned to Point Application group and control group. We record the number of bowel sounds, abdominal distention level and waist size after abdominal surgery. After the collection of cases we establish a database by EPIDATA, and then import SPSS17.0 software for statistical analysis.ResultThe study included 56 cases of patients, due to surgery more than 6 hours, do not meet the exclusion criteria, excluding the remaining 54 cases of 2 patients, the treatment group of 27 patients in the control group of 27 patients. Between the two groups in age, sex, operation time, anesthesia time, benign and malignant disease, the use of laparoscopy, postoperative analgesia pump the use of statistics shows no difference(P> 0.05) in baseline characteristics of the two groups. Between the two groups recovery time of bowel sounds, the first exhaust time and the first bowel movement are not significant difference (P> 0.05). From the surgical procedure, benign and malignant disease, the use of postoperative analgesia pump three indicators of gastrointestinal motility in the face of the three stratified analysis, between the two groups is not open surgery and postoperative analgesia pump in patients with bowel Beep recovery time was statistically different (P<0.05). Two cases of abdominal distension after the most serious level of the first time to compare the outcome of the statistically significant (P<0.05), Treatment group and control group compared the maximum degree of abdominal distention, the outcome was not significant (P> 0.05). Two groups of patients after the time the first time to compare the maximum abdominal circumference, the outcome was statistically significant (P<0.05), maximum abdominal circumference value of the two groups were compared, the outcome was statistically significant (P<0.05). That the largest treatment group than the control group of small abdominal circumference, indicating that the treatment of postoperative abdominal distension and effective relief. Two groups of patients at each time point comparison of indicators for monitoring of gastrointestinal function, can be seen from the line, the treatment group were abdominal distension is greater than the average in control group, especially after 44 hours after the difference between the average level of more bloating Is obvious. The control group after 44 hours from the start, the average degree of abdominal distension significantly increased to 68 hours after surgery, the average levels are significantly decreased abdominal distention; treatment group were similar in the control group did not significantly increase the average degree of abdominal distension, average distention reduce the overall level of smooth. Treatment group and control group was the most severe degree of abdominal distention occurred at an average of 56 hours after surgery; treatment group overall, the average abdominal circumference smaller than the control group.Conclusion Magnolia powder sticking to alleviate the full three years after abdominal surgery plays a significant role for abdominal distension; the treatment plays a significant role for bowel sound return of open surgery and postoperative analgesia pump use in treatment group without bowel sounds can promote recovery; the treatment plays no significant role in promoting postoperative exhaust and postoperative defecation.