| Objective:According to the standards to choose the patients with abdominal surger y, then use randomized controlled trials to compare moxibustion at heat-s ensitive points with electric acupuncture, to evaluation moxibustion at h eat-sensitive points have therapeutic effect to recovery gastrointestinal function; observe the patient’s body recovery after the moxibustion at h eat-sensitive points intervention, to study the method to reduce anesthes ia and surgical trauma and postoperative complications; Based on this res earch results, we summarise a method to use moxibustion at heat-sensitive points to recovery gastrointestinal function in patients with abdominal surgery.Methods:1. Grouping method:using SPSS17.0in random sequence generation module p articipants will be divided into two groups:(1) moxibustion at heat-sens itive points and electric acupuncture group (treatment group),30cases;(2) electric acupuncture group (control group),30cases.2. experimental procedure:(1) all patients admitted to hospital do routine inspection, also elimina te tumor and infectious disease patients,(blood, electrocardiogram, et c).(2) collect all patients’basic data.(3) one day before the surgery, to observe the patient’s Christensen fati gue score and ask patient’s daily habits of bowels. Then to probe the he at-sensitive points, during do the treatment, we should avoid the skin wh ich with surgical wound, skin lesions, desquamation, etc. To record all the heat-sensitive points after the probe. 3. Give the two group of patients the correct treatment after the surgery.The detail operation as follow.Treatment group:1. the patient stay recumbent position, use the Φ0.32x25mm or40mm acupuncture needle which is made by suzhou Medical app aratus and instruments factory,75%alcohol routine disinfection the poin ts, needling fast into the points, twisting the needles until the patient s have qi, then connect electric acupuncture machine G6805-2with dilatat ional wave and with the frequency of2Hz/100Hz, the current strength depe nd on patient’s tolerance degree, retaining the needle for30min. We do the electric acupuncture after6hours of the surgery, and do it once a day. The normal points are:PC6, ST36, ST37, ST39, SP6(all both side)(sum mary from references)2. After the electric acupunture, the patient lide on the side, first to probe the points with heat-sensitive, then to do the moxbustion to the heat-sensitive points one by one, until all the points are finished. It may cost about several miuntes to one hour.Control group:the aupoints, position, retaining time, period of treatm ent are all the same with the treatment group.4. outcome measures(1) The general clinical data records:name, age, weight, TCM syndromes a nd syndromes performance, diagnosis, pregnancy history, surgical approach, etc.(2) Collect christensen fatigue score one day before the surgery, the day after the surgery and three days after the surgery.(3) Record the recovery time of bowel sounds, exhaust, defecation.(4) Observe the paitents adverse reactions, like nausea and vomiting, abdo minal pain and distention.Results:1. The comparison of the two groups the patient’s gender, age, weight, be tween the groups was not statistically significant (P>0.05), comparable between the groups.2. Two groups of patients’christensen fatigue score on the day before t he surgery comparison difference has no statistical significance (P>0.05), comparable between the groups. 3. Two groups of patients’operation time have no statistical significan ce (P>0.05).4. Compared with control group, the treatment group recovery time of bowel was20.49%in advance, postoperative difference was statistically signif icant (P<0.05).5. Compared with control group, the treatment group exhaust and defecatio n time in advance, postoperative difference was statistically significant (P<0.05).6. For different kinds of operation, the treatment group’s recovery tim e of bowel, exhaust and defecation time all in advance, postoperative di fference was statistically significant (P<0.05).7. The treatment group of abdominal distension, vomiting were6.67%,3.33%, but the control group’s occurrence rate was13.3%,6.67%, it mains th at the treatment group have effective.Conclusion:This study showed that the moxibustion with heat-sensitive can help to recovery of gastrointestinal function in patients with abdominal surgery; it also can help the patients to recovery fatigue; Compared with control group, the treatment group used the moxibustion with heat-sensitive recov ery time of bowel, exhaust and defecation time all in advance. So the mo xibustion with heat-sensitive adjust gastrointestinal function, helps the body fast recovery after surgery. |
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