The Therapeutic Observation Of The Moxibustion Treatment Of Postoperative Fatigue Syndrome

ObjectivesThis research is the clinical observation of the weary condition who is experienced the gynecological abdominal surgery at the waist hard joint anaesthesia. To understand the gynecology abdominal surgery patients condition of fatigue and relevant factors, which is to provide basic data for rapid recovery after clinical treatment plan and to further enrich the theoretical connotation of traditional Chinese medicine intervention for the modern surgical intervention in the perioperative period, providing clinical evidence and exploring the effective method for the postoperative fatigue syndrome treatment.MethodsThis study had collected160women patients who had underwent the waist hard joint anesthesia gynecological abdominal surgery in Guangdong hospital of traditional Chinese medicine during2009,12-2011,12, and exists postoperative fatigue syndrome, with deficiency syndrome of TCM. And then use the adopt, randomized, controlled single-blind method, according to1:1, randomly divided the patients into:control group (group A), moxibustion treatment group (group B). Group A:routine postoperative therapy, symptomatic treatment, with no any other interventions. Group B:based on postoperative therapy, give them the moxibustion intervention measures, with the clinical operation to ai box, treatment time:postoperative sticks to the first2days to7days, every15minutes; Treatment frequencies:twice a day; Moxibustion meridians:bilateral acupoints ST40, BL20and BL23. To detect the transferrin’s level on preoperative day1, postoperative day3,7days; Preoperative1day, Observe and compare the degree of the postoperative fatigue in postoperative day1,3,7,14,30,60days (written quantity by Christensen’s Fatigue scoring, BPOMS, and ICFS).To evaluate the postoperative fatigue of the collection of surgery patients and analyze the influence factors. Data processing uses the SPSS17.0package, while statistical methods use the rank and inspection, t test, analysis of variance, etc.Result1. The fatigue scores of gynecological abdominal surgery patients after1.3,7, and14days are higher than the preoperative, and are gradually reduced. The fatigue of the scores30and60days after surgery are lower than the preoperative level, the difference was statistically significant (P<0.05). The patient who is experienced the gynecological abdominal surgery exists postoperative fatigue phenomenon for a month and has a self-heal ing tendency.2. The control group patients in postoperative day3,7, and14,30days of VAS, BPOMS, ICFS scale fatigue scores are higher than the moxibustion group patients in the same period, the difference was statistically significant (P<0.05). Moxibustion bilateral acupoints ST40, BL20and BL23can effectively relieve postoperative fatigue, especially in postoperative two weeks.3. Postoperative day3, two groups of transferrin preoperative level is lower than preoperative day1, and the control group reduce more obvious, the difference was statistically significant(P<0.05). Postoperative day7, the two groups of transferrin level are resumed. The treatment group is more obvious and close to preoperative levels, the difference was statistically significant(P<0.05). Moxibustion therapy can improve nutritional status.4. The difference of first off the bed time between the two groups is no significant (P>0.05), no statistical significance. Compare the two groups’ first exhausttime, the timo of moxibustion group aro is5h earlier than in the blank group, with significant difference (P<0.05), Moxibustion therapy is helpful for gynecology abdomen postoperative recovery from gastrointestinal function fatigue.5. Different age patients of the control group, the fatigue score is higher with age increased of the preoperative day and postoperative day1,3, with no significant difference(P>0.05); suggests that the age and the postoperative fatigue is without obvious correlation, we still can’t think that age is the influence factor of postoperative fatigue.6. The postoperative day1,3,7,30of fatigue score is increased with the extension of surgery time, with no significant difference(P>0.05).The results suggest that the operation of the length of time and the recent postoperative fatigue was not significantly associated.7.The fatigue scores of patients with fever in postoperative day1are higher than patients with no fever, the difference was statistically significant(P<0.05), prompting the postoperative fever may be the postoperative effects of fatigue factors.8.BPOMS scores of postoperative day1,3,7days are higher than the preoperative, the difference was statistically significant(P<0.05); Preoperative and postoperative1,3,7, and14days BPOMS scores and fatigue scores patients have positive correlation, with significant difference(P<0.05). Postoperative fatigue and psychological conditions of The patients are related, especially in postoperative one week. Surgery psychological change is the effect of patients with fatigue in perioperative period.ConclusionThe patients after gynecological abdominal surgery exist fatigue phenomenon, lasting fatigue time for a month, which have a self-healing tendency. Moxibustion bilateral acupoints ST40, BL20and BL23can effectively relieve postoperative fatigue, shorten recovery time, with the two weeks curative effect is obvious. And it is helpful to the gynecology abdominal surgery patients with the recovery of gastrointestinal function fatigue, which can improve the nutritional status also. Postoperative fatigue and age, the operation of the length of time have no obvious relationship. And Psychological status and postoperative fever may be the effect of postoperative patients recent fatigue factors.