Liver Principle Spleen Method To Prevent Abdominal Postoperative Gastrointestinal Dysfunction Of Clinical Research

Abdomen early postoperative gastrointestinal dysfunction is a common complication of abdominal surgery. Our department64patients to maintain the integrity of the gastrointestinal tract before and after abdominal surgery, single-blind randomized into two groups, the treatment group, two days before and after surgery, liver and spleen for the application of TCM method, self-flavored Bupleurum decoction flavored Chai Hu Tang department on contracting parties, by shaoyang Cardinal adjust the focus on the promotion of the lift and out of the gas used in the perioperative period in patients with gastrointestinal adverse bowel gas, long-term clinical study confirmed the exact effect.Aim:Observe the preventive medicine intervention in the prevention and treatment of early postoperative gastrointestinal dysfunction in effect, to study Chinese medicine prevention therapy to improve intestinal motility and reduce the amount of endotoxin in the body memory left and the feasibility of time.Methods:This study used a randomized controlled trial design will meet the standards of the64patients, single-blind randomized into two groups:liver and spleen intervention (prevention) group, Western medicine treatment alone (control) group. Give the conventional treatment of hospitalized:water fasting to correct the monitoring and support of water and electrolyte and acid-base level, oxygen, cardiopulmonary and other organ, acid suppression, prevention of infection and nutritional support. Observation of preoperative and postoperative plasma endotoxin, D-lactate levels, plasma motilin levels, restoration of bowel sounds, independent flatus.Results:Taking the liver and spleen in the intervention group patients in both groups plasma motilin levels than a simple Western medicine treatment group, plasma endotoxin levels to reduce the higher level of D-lactic acid, the two groups have significant differences. Bowel sounds and recovery time shorter than the western medicine group, two groups have significant difference, for the first time anal defecation time earlier than the control group, there are differences between the two groups. Patients after oral administration intended flavored Chai Hu Tang, improve clinical symptoms and signs of postoperative abdominal pain, bloating, nausea, vomiting, the incidence of toxic side effects. Conclusion:The application of traditional Chinese medicine the liver and spleen France prevention of abdominal postoperative gastrointestinal disorders with the clinical feasibility and clinical value. For surgical clinical application in the treatment of disease development, sociology and economics value provides a reference.