| ObjectiveResearch on pain, bloating, bowel sounds, flatus and bowel changes nausea and vomiting in postoperative lumbar clinical research based on animal experiments of Xiangbin prescription, by comparison with placebo, Xiangbin prescription to clarify the impact of recovery of gastrointestinal function after lumbar spine surgery further improve the clinical path, characteristic of Chinese medicine to play advantage finding the entry point.MethodsThere are 60 cases of lumbar fusion surgery patients operating on single or double segment collected in the inpatient department of Guangdong Provincial Hospital. According to the research on the subject of the order, they are randomly divided into two groups including the experimental group and the control group, both of which have 30 cases. All of patients need examinating something about bowel sounds, flatus and defecation one day before surgery. In the first day after surgery the two groups began to be administered after conventional treatment based on the experimental group taking the medicine Xiangbin prescription (betel nut lOg ginseng 9g, Lindera l0g, Amomum 6g, peach kernel l0g) treatment, the control group was given a placebo until postoperative day 7. A day, twice, at 9:00 in the morning were taken,4:00 pm. Respectively after 6h (17:00-1:00), the first day (1:00-9:00), the first postoperative day (9:00-17:00), after the first 1 day (17:00-1:00), after day 2 (1:00-9:00), after day 2 (9:00-17:00), after day 2 (17:00-1: 00), the first three days after surgery, postoperative day 4, after the first 5 days after the first 6 days,7 days after recording the activities of bowel sounds, recorded for the first time anal flatus and the first defecation time after surgery; changes in the gastrointestinal tract record of postoperative abdominal distention, nausea and vomiting, and by perioperative postoperative gastrointestinal function evaluation standard evaluation scale, the establishment of data, statistical data SPSS13.0 software for data dealing with.Results1. bowel sounds mean recovery time of two groups were 17.99h and 25.12h, a statistically significant difference. (P= 0.000, p<0.01);2. The average of the two groups after the first flatus time was 16.87h and 20.42h, a statistically significant difference. (P= 0.049, p<0.05);3. The average of the two groups after the first defecation time was 60.26h and 75.7h, a statistically significant difference. (P= 0.002, p<0.01);4. The perioperative postoperative gastrointestinal function evaluation criteria scale experimental group from the first day (9:00-17:00) after the surgery to the seventh days after the surgery, the average score for each time period were higher than that in the control group, the difference was statistically significant, that is, p<0.01, the experimental group after day 1 (9:00-17:00), (17:00-1:00) and postoperative day (1:00-9:00) three time periods, the average score in the experimental group were between 60-79 points lower than the control group, the average score of 60 points, the average score of the experimental group than the control group, and the two groups the difference was statistically significant (P<0.01); in the second postoperative day (9:00-17:00), the experimental group, the average score of 80 points was higher than that in the control group, the average score is less than 60 minutes to show the two groups have significant difference that was statistically significant (P<0.01); in the second postoperative day (17: 00-1:00) to the fourth postoperative day, the experimental group, the average score was higher than the control group remained below 60 points, and the difference was significant statistically significant (P<0.01); postoperative day 5, the average score was higher in the experimental group, the experimental group, the average score of 90 points was higher than the control group, the average score of between 60-79 between the two groups and the differences were statistically significant (P<0.01); in the sixth day and the seventh day after surgery, the average score was higher in the experimental group, the average of the experimental group scored beyond 90 points was higher than which of the control group, the average score of 80 points, there are differences with statistical significance (P<0.01).5. There are no headache, dizziness, skin rashes or other adverse events take place on all patients after full course of treatmentConclusionXiangbin prescription can promote lumbar fusion surgery postoperative recovery of bowel sounds, flatus and bowel movement earlier time, which has good clinical efficacy on the whole and worth poplarizing by people. |
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