The Clinical Research Of Promoting The Recovery Of Gastrointestinal Function After The Gynecological Abdominal Surgery By TCM Syndrome Differentiation Treatment

Objectives:Observe the basic law of the recovery of gastrointestinal function after gynecological surgery, and analyze its influencing factors, and put forward some specific clinical interventions. Observe the clinical efficacy by TCM syndrome differentiation treatment, and filter the best effective method of promoting the recovery of gastrointestinal function after the gynecological abdominal surgery, and provide the basis for the rapid rehabilitation.Methods:Included110patients totally, record the general information and the recovery of gastrointestinal function of patients by Case Report Form (CRF) and the patient record card. After the collection of cases, we establish a database and analysis by SPSS17.0software. In the observational research,45patients were only to be by the basic treatment, without any affecting treatment of promoting the recovery of gastrointestinal function. Observe the basic law of the recovery of gastrointestinal function, and analyze its influencing factors by linear regression analysis in different dependent variable (exhaust time and defecation time). In the single-blind randomized controlled study,65patients were randomly divided into two groups:42patients were in the TCM group,23patients were in the placebo group. The patients of TCM group were taken Simo Decoction or new Huanglong Decoction. The placebo was made by baked Licorice, pharmaceutical bitter agent, edible caramel and edible starch. The patients in the single-blind randomized controlles study were taken the decoction every4hours totak of3times in the postoperative8-12h.Compare the Gastrointestinal function recovery between the two groups to explore the clinical efficacy of TCM synrome differentiation treatment.ResultIn the observational research,the recovery time of the bowel sounds was33.76±13.925h,the exhaust time was32.74±15.968h,the defecation time was67.34±20.976h. Analyze its influencing factors by linear regression analysis in different dependent variable (exhaust time and defecation time), the surgical approach, blood loss, postoperative potassium, the usage time of antibiotics, postoperative anemia and operative time were statistically significant (P<0.05). In the comparison of laparoscopy group and laparotomy group, the recovery time of the bowel sounds, the exhaust time, the defecation time, postoperative costs and postoperative hospital stay were statistically significant (P<0.05). In the TCM group of the single-blind randomized controlled study, the recovery time of the bowel sounds was21.50±6.171h, the exhaust time was22.21±9.916h, the defecation time was59.99+24.892h. In the placebo group of the single-blind randomized controlled study, the recovery time of the bowel sounds was25.71±10.526h, the exhaust time was25.09+13.902h, the defecation time was59.99±19.931h. The recovery time of the bowel sounds was statistically significant (P<0.05). the exhaust time and the defecation time were not statistically significant (P>0.05). There were7cases of TCM group abdominal distension happened (16.7%), vomiting3cases (7.1%) while the placebo group abdominal distension occurred in9(39.1%), vomiting7Case (30.4%), two groups of comparisons were statistically significant (P<0.05).Conclusion:Without any affecting treatment of promoting the recovery of gastrointestinal function, the recovery time was in the postoperative48-72h mostly. The way of promoting the recovery of gastrointestinal function further was choosing the appropriate surgical approach, reducing blood loss as far as possible, appropriate potassium, control the usage time of antibiotics properly, or shorter the operative time. The recovery time of gastrointestinal function and postoperative hospital stay of the laparoscopy group were shorter than the laparotomy group. TCM can shorten the recovery of the bowel sounds, and promote the peristalsis of the gastrointestinal. TCM can reduce the incidence of abdominal distension and vomiting.