Qi And Spleen Method On Ultra Low Anterior Resection For Rectal Anastomosis In Patients With Functional Rehabilitation Of The Anus

Objective:To observe the Jianpi method on the function of Ultra low anterior resection of rectal anal anastomosis.Methods:A prospective randomized controlled study, will in Jan.2009-Jan. 2010 Nanjing Chinese medicine hospital stay between the anterior resection of rectal cancer patients met the inclusion criteria of 30 cases,15 cases were randomly divided into experimental group and control group 15 cases. Experimental group patients were treated with traditional Chinese medicine decoction (main square to Shenlingbaizhu San), a daily one,250ml, sooner or later take, continuous for 4 weeks. No control group, no treatment. Were observed at 3 months after defecation, then quality, anus bulge, defecation not the case, while observing whether the stool, abdominal pain, bloating situation. By Zhong-Fa Xu 5 score 10 points on the evaluation of anal function, and to digital rectal examination, fecal incontinence score table on the evaluation of anal function. Through anorectal manometry and surface electromyography assessment of anal function of objective data. Measurement data between the two groups with a mean±standard deviation describes count data between the two groups were compared with chi-square test. Test level is 0.05, all data used SPSS16.0 for windows software for statistical analysis.Results:The patients age, gender, tumor histological type, Duck's stages are comparable, the defecation frequency, then quality, anus bulge, film entirely, bloating score on the test group than the control group were (P<0.05), after no clear stool and abdominal pain, no postoperative wound infections and anastomotic leakage. Digital rectal examination, fecal incontinence score was no significant difference between the two groups (P> 0.05). Zhong-Fa Xu anal function score, the test group was significantly higher (P<0.05). Postoperative anorectal manometry showed a significant difference between the two groups RC (P<0.05), the rest of MSP, RP, FP, MTV no significant difference (P> 0.05). Surface EMG showed two groups of AVG, Maxium and no significant difference compared with normal (P> 0.05), COEFF VAR significant difference (P<0.05), the experimental group compared with the control group, none of the three indicators see significant differences (P> 0.05).Conclusion:The method can significantly improve Jianpi anterior resection of low rectal cancer patients with bowel anastomosis bit more often, water will be, anal bulge, not the stool, abdominal distension and other discomfort, to improve the quality of life of patients. Can improve anal function, but not for anal function of a full recovery.