| ObjectiveThis topic for the application system evaluation and retrospective research method, literature analysis, both inside and outside of traditional Chinese medicine and cure effect of abdominal postoperative gastrointestinal functional recovery; And summarizes the analysis of external treatment of abdominal postoperative recovery of gastrointestinal function to promote the future clinical application of postoperative external treatment to promote gastrointestinal function recovery play a guiding role.MethodsBased on CBM, VIP, China hownet, Pudmed four database retrieval, collect within 2004-2016 years of Chinese medicine treatment and external treatment of abdominal postoperative gastrointestinal function recovery of clinical randomized controlled trials. To include the quality of the research on methodology of bias risk assessment, and Meta analysis. Guangdong hospital of department of gynaecology of 301 hospitalized cases were retrospectively analyzed, record postoperative syndrome differentiation and oral Chinese medicine external treatment, application of exhaust and defecation postoperative gastrointestinal function score.ResultsAccording to the retrieval strategy and exclusion criteria, eliminate duplicate documents, it is concluded that 967 paper. Strictly according to the inclusion criteria, and ultimately into 5 randomized controlled documents, including the treatment of cupping, acupuncture, Chinese medicine and comprehensive nursing care with Meta analysis to evaluate the effect of the internal and external treatment of gastrointestinal functional recovery, compared with abdominal postoperative routine western medicine treatment, the internal and external treatment combination in improving abdominal postoperative bowel sound recovery, for the first time the exhaust time, defecation time has obvious advantages for the first time (P<0.05). Through a retrospective case analysis, a total of 301 cases of gynecologic abdominal surgery, including differentiation for Yang Ming relieving empirical 54 cases of pixu (spleen deficient) wet sluggish certificate in 2 cases, liver and kidney Yin deficiency syndrome in 1 case,28 cases spleen deficiency, qi deficiency and qi stagnation syndrome in 197 cases,2 cases of qi and blood stasis syndrome, typhoid less Yang syndrome in 2 cases, typhoid Yang as 15 cases; Number of syndrome differentiation treatment:tapping on relieving the 54 class times, tonifying qi qi class 197 times, the spleen yiqi class 28 times, reconciliation drain hot class 2 times; Spleen wet class 2 times, ziyin kidney in class 1, line qi and class 2 times, purging of the new type of 15 dissipation; Use external treatment of 301 cases using acupoints were applied:296 times, traditional Chinese medicine (TCM) hot â… package:291 times.301 clinical cases were found no adverse reactions.ConclusionTCM comprehensive therapy of abdominal postoperative gastrointestinal functional recovery has the efficacy and safety. Commonly used mainly for therapeutic method of tonifying qi qi, capturing on relieving method and spleen yiqi method; Families and commonly used treatment has evodia rutaecarpa â… add salt Fried hot topical lower abdomen and acupoint sticking closed in on both sides, foot three mile;Joint treatment further accelerated the recovery of gastrointestinal function, bring comfort to patients at the same time, reduced the incidence of nausea and vomiting, abdominal pain, abdominal distention, can be widely used in clinical. |