The Research Of Protect Anal Rectal Cancer Postoperative Anal Function Evaluation And Comprehensive Treatment To Promote The Anal Function Recovery

1.Through Anorectal Dynamics detecting and discussing the influence after protect anal rectal cancer surgery, and evaluate the operation is good or bad.2. When using biofeedback therapy, Traditional Chinese Medicine (TCM)syndrome differentiation and biofeedback plus TCM syndrome differentiation countermeasures of comprehensive to treat, observing the anxoaction of anal function rehabilitation after protect anal rectal cancer surgery.Methods:Choosing48rectal cancer patients who were conformed to the standard in North Sichuan Medical College affiliated hospital in October2011to October2012. The patients were randomly divided into four groups, A is control group and not do any intervention,B is biofeedback therapy group,C is TCM syndrome differentiation group,D is biofeedback plus TCM syndrome differentiation group.Four groups of patients in the preoperative and postoperative1,3,6months to survey4times anorectal pressure. Four groups patients of subjective anal function using Wexner grading.Four groups postoperative are for the same regular chemotherapy. When1month after surgery,group A postoperative don’t do any intervention, group B were did biofeedback therapy,group C were did TCM syndrome differentiation,group D were did biofeedback plus TCM syndrome differentiation countermeasures. Pressure testing results and Wexner score using SPSS16.0statistical software to analysis, and compared the indicators change according to the results of the analysis of preoperative and postoperative1,3,6months.Results:1. The anal function of protect anal rectal cancer postoperative1month and preoperative have statistical significance (P<0.05).2. Protect anal rectal cancer postoperative3months, the anal function recovery level is minimum in A,more in B and C, maximum in D. There is a significant difference between A、B、C and preoperative. D have a significant difference with postoperative1month, and the difference was not significant with preoperative(P>0.05), indicates that the group is close to preoperative indicators.A and B、C、D have significant difference,D and B、 C have significant difference,B and C have little difference.3. Protect anal rectal cancer postoperative6months,the anal function recovery amplitude is still minimum in group A,still more in B and C,still maximum in D.A having the significant difference with preoperative and postoperative1month, indicates that the group A has recovered but has not yet reached the preoperative indicators.B and C have a significant difference with postoperative1month,but have no significant difference with preoperative, indicate that B and C is close to preoperative indicators.D has a significant difference with postoperative1month,but no significant difference with preoperative.A and B、C、D have significant difference, D and B、C have no significant difference, B and C have no significant difference.Conclusion:1. protect anal rectal cancer surgery can affect the anus function integrity, but it can be recovered..2, The anal function recovery has effect when independently using biofeedback and TCM syndrome differentiation to treat rectal protect anal rectal cancer postoperative.3. Biofeedback treatment and syndrome differentiation of traditional Chinese medicine both at the same time, using comprehensive treatment can make protect anal postoperative anal function in patients with rectal cancer basic rehabilitation in a certain period to preoperative levels...