Clinical Observation Of Huangqi Decoction In The Treatment Of Gastrointestinal Dysfunction And Qi Deficiency Syndrome In Elderly Patients With Thoracolumbar Vertebral Compression Fractures After PVP/PKP

Objective:To study the effect of Astragalus Decoction on the improvement of gastrointestinal dysfunction and qi deficiency syndrome after PVP/PKP surgery for thoracolumbar compression fracture in elderly patients,to reduce postoperative complications,improve the quality of life of patients after surgery,reduce the pain of patients,and save hospitalization costs.Methods:A total of 60 elderly patients who underwent thoracolumbar PVP/PKP fracture surgery in the Spinal Surgery Department of the Third Affiliated Hospital of Traditional Chinese Medicine of Hunan Province from January 01 to December 31,2016 were randomly selected.They had gastrointestinal dysfunction after surgery,mainly manifested by qi deficiency syndrome and constipation.The participants were randomly divided into control group and observation group according to random number table method,with 30 people in each group.The control group was treated with oral lactilose oral solution(15ml,orally,twice a day),and the observation group was treated with Astragalus Decoction(1 dose/day,two warm doses in the morning and evening)for consecutive 7 days.VAS score,defecation time and interval time of defecation pain before and after treatment were recorded in the two groups,and treatment effects were compared between the two groups.Statistical software SPSS25.0 was used for statistical data.Results:Patients in both groups completed the 7-day treatment cycle,and completed the statistics of relevant indicators.1.Before treatment,there were no statistical differences in age,gender,constipation symptom score,defecation time,interval time between defecation and VAS score of defecation pain between the two groups(P>0.05),indicating comparability between the two groups.2.Two groups of patients after treatment medication back then,defecation time interval time was shortened,the difference is statistically significant(P<0.05),there was no statistically significant difference between the two groups after treatment(P>0.05),The results indicated that both Huangqi Decoction and Lactulose could improve the gastrointestinal dysfunction of the elderly after thoracolumbar fracture,and the efficacy was similar.3.After treatment,the scores of constipation symptoms in both groups were lower than those before treatment(P<0.05),indicating that both groups had therapeutic effect on postoperative gastrointestinal dysfunction;The scores of constipation symptoms in the Huangqi Decoction group at 3 days after treatment were significantly lower than those of lactilose(P<0.05),indicating that Huangqi Decoction could reduce the constipation symptoms scores earlier,and there was no significant difference in the reduction of constipation symptoms scores between the two groups at 7 days after treatment(P>0.05).4.After treatment,the VAS scores of defecation pain in both groups were significantly decreased(P<0.05),and there was no significant difference between the two groups(P>0.05).5.After treatment,the effective rate of both the treatment group and the observation group was 100%,and there was no statistical difference in the effective rate between the two groups(P>0.05).Conclusion:Astragalus decoction can effectively improve gastrointestinal dysfunction after thoracolumbar fracture surgery,constipation symptoms of Qi deficiency syndrome,improve the quality of life of patients,for the elderly postoperative gastrointestinal dysfunction symptoms is positive,worthy of clinical promotion.