The Randomised Control Trial Of The Moxibustion Treatment Of Postoperative Fatigue Syndrome

ObjectivesPostoperative fatigue syndrome refers to that in the process of postoperative healing, the patients appears a different length, degree of tired feeling, which has a high incidence, and is the ubiquitous problem in the postoperative recovery process. At present its cause is not entirely clear, and has no specific treatments. Otherwise moxibustion in the antifatigue effects have good historical origin and modern clinical data support, and has the advantages of cheap, quick, is expected to become a conventional therapy in the postoperative fatigue of the waist hard joint anesthesia gynecological abdominal surgery.This topic through hard to clinical observation of the patients who is through the waist hard joint anesthesia gynecological abdominal surgery in Guangdong Hospital of Traditional Chinese Medicine, preliminarily discussed the nutritional status assessment by the moxibustion, and explore the effctive treatment methods of postoperative fatigue syndrome.MethodsThis study had collected 50 women patients who had underwent the waist hard joint anesthesia gynecological abdominal surgery in Guangdong hospital of traditional Chinese medicine during 2009,12～2011,3, and exists postoperative fatigue syndrome,with deficiency syndrome of TCM. And then use the adopt, randomized, controlled single-blind method, according to 1:1, randomly divided the patients into:control group (group A), moxibustion treatment group (group B). Group A:routine postoperative therapy, symptomatic treatment, no any other interventions. Group B:based on postoperative therapy, give them them the moxibustion intervention measures, with the clinical operation to ai box, treatment time:postoperative sticks to the first 2 days tto 7 days, every 15 minutes;Treatment frequencies:twice daily; Moxibustion meridians:Zusanli, shenshu,pishu. Preoperative 1 day, postoperative day 3,7 days detect transferrin's level; Preoperative 1 day, Observe and compare the degree of the postoperative fatigue in postoperative day 1,3,5,7,14,30,60 days (written quantity by Christensen 's Fatigue scoring, BPOMS, and ICFS).Result1.The control group after 1st,3th,5th,7th,14th days, the fatigue ICFS scores are higher ratings, but with a gradual decline tendency.While of 30,60 days ICFS fatigue score, the score is below preoperative levels, all these are statistically significant difference (P< 0.05), intimating that gynecological abdominal surgery patients after surgery, phenomenon of fatigue existing in 14-duration between 30 days, and have a self-healing tendency.2. The 1st,3th days BPOM scores which of the patients who underwent the control group are higher than the preoperative and postoperative has a gradual decline tendency. While the scores of 7th,14th,30th,60th days of BPOM scores are below preoperative levels.All these differences are statistically significant (P< 0.05). Also the mood changes and emotional state of preoperative patients with significantly higher than postoperative recovery operation. Intimating that this stimulus indicating the psychological impact of patients focused mainly on postoperative and postoperative 3-5 days. And the fatigue phenomenon may relate to the gynecological abdominal surgery patients's mental state.3. The postoperative intervention group's scores of VSA,BPOM,ICFS in 2nd,4th,6th days are less than control group, which has significant difference (P<0.05). Intimating that moxibustion groups's postoperative fatigue degree is better the the blank group, moxibustion Zusanli,shenshu,pishu can effectively relieve postoperative fatigue degree.4. The drof of VAS,BPOM,ICFS'score in moxibustion group are larger than blank group, with significant difference0(P<0.05), suggesting the same date moxibustion therapy group began fatigue recovery than control group, moxibustion Zusanli,shenshu,pishu can improve gynecological abdominal surgery relief speed. 5. The scores of VAS, ICFS two weeks after surgery have no significant difference (P> 0.05) compare to the preoperative scores of the moxibustion group, while the blank group is contrary with significant difference (P> 0.05). Which means the moxibustion group has recovered from the postoperative fatigue in two weeks later. In other words moxibustion Zusanli,shenshu,pishu can shorten postoperative recovery time, with the two weeks curative effect is obvious.6. Compare the two groups'first exhausttime, the timo of moxibustion group aro much earlier than in the blank group, with significant difference (P< 0.05), and combining the numerical, which suggest moxibustion treatment group's recovery of gastrointestinal function time is shorter than the blank group. And moxibustion Zusanli,shenshu,pishu is healpful for gynecology abdomen postoperative recovery from gastrointestinal function fatigue.7.One week later than the surgery, the moxibustion group's transferrin value is significantly higher than blank group with significant difference (P< 0.05), suggesting moxibustion treatment may improve the nutritional status of postoperative fatigue patients's postoperative function.ConclusionGynecological abdominal surgery patients after surgery, the fatigue phenomenon always exists duration in 14～30 days between, and a self-healing tendency. Surgical stimulation of patient psychological impact focus mainly on postoperative and postoperative 3-5 days, gynecological abdominal surgery patients with mental state postoperative fatigue phenomenon related. Moxibustion Zusanli,shenshu and pishu treatment can effectively relieve postoperative fatigue degree, enhancing gynecological abdominal surgery, shorten the alleviate fatigue speed recovery time, and in two weeks the efficacy is obvious. And it is helpful to the gynecology abdominal postoperative recovery of gastrointestinal function fatigue patients of gynecological abdominal surgery, patients have improved postoperative fatigue nutritional status of function.