| Background:Postoperative Gastrointestinal Disorder(PGID),also known as postoperative gastrointestinal dysfunction,is a physiological or pathological gastrointestinal reaction that is difficult to avoid after laparoscopic surgery.It can cause abdominal pain,bloating,or exhalation.Discomfort,such as the disappearance of defecation,affects the postoperative quality of life of patients.If they are not dealt with in time,they may cause serious complications such as intestinal stickiness and intestinal obstruction,aggravating the patient's condition,prolonging hospitalization time,and increasing the medical burden and the economic burden of the patient.Moxibustion is widely used in clinical practice as a traditional Chinese medicine treatment of postoperative gastrointestinal dysfunction with the advantages of exact curative effect,low cost,simple and easy operation,and increased communication between doctors and patients.However,different moxibustion timing points produce different moxibustion effects.,The right time for moxibustion intervention will achieve a multiplier effect.Therefore,this study aimed to evaluate the clinical efficacy of moxibustion at different timings after laparoscopic general anesthesia and to find the best intervention intervention opportunity.Objective:To evaluate the clinical efficacy of moxibustion after laparoscopic surgery in patients with bilateral Zusanli points on postoperative gastrointestinal dysfunction,and to find the best intervention opportunity for moxibustion treatment of gastrointestinal disorders after laparoscopic surgery,so as to facilitate clinical promotion.Methods:From February 2017 to June 2017,106 patients undergoing laparoscopic general anesthesia at the General Surgery Department of Jiangsu Provincial Hospital of Traditional Chinese Medicine were randomly divided into preoperative moxibustion group(36 cases)and postoperative moxibustion group(35 cases).The control group(35 cases).Patients in the control group received routine care after laparoscopic surgery.Preoperative moxibustion group and postoperative moxibustion group were treated with moxibustion on the basis of the control group from 1 day before surgery and 6 hours after operation,respectively,until the patient had exhausted or defecate for the first time.That is,stop the intervention.Record the first time of spontaneous exhaust or defecation time,tolerance to solid food time,postoperative 1-3 d visual analogue scale(VAS)abdominal pain score,preoperative and postoperative gastrointestinal symptom grading scale(GSRS)scores,and interventions.Adverse reactions during the period.Compare the clinical efficacy of moxibustion at different times and find the best timing for moxibustion.Results:(1)Compared with postoperative moxibustion group and control group,the time of first postoperative voluntary defecation or defecation after operation and the time of first solid food tolerance after operation were significantly advanced in the preoperative moxibustion group,and the difference was statistically significant;On the first day,the second day and the third day,the VAS abdominal pain scores were significantly decreased,and the difference was statistically significant.The GSRS scores on the hospital admission were balanced(P>0.05).The GSRS score on the third day after operation was significantly lower and the difference was statistically significant.significance.(2)Compared with the control group,the time of first postoperative voluntary defecation or defecation in the postoperative moxibustion group and the time of first solid food tolerance were all advanced,but the difference was not statistically significant;On day 3 and day 3,VAS abdominal pain scores were significantly reduced,and the difference was statistically significant.On admission,the GSRS scores were balanced(P>0.05).On the third day after surgery,the GSRS scores decreased,and the difference was not statistically significant.(3)There were no adverse reactions in all groups.Conclusions:(1)Preoperative moxibustion can effectively shorten the time of first discharge or defecation after laparoscopic general anesthesia,first time of solid food tolerance after operation,relieve postoperative abdominal pain,improve postoperative gastrointestinal symptoms,and promote postoperative Gastrointestinal function is restored and safe and reliable.(2)Moxibustion has an effective therapeutic effect on postoperative abdominal pain in patients undergoing laparoscopic general anesthesia.Preoperative moxibustion has better analgesia.(3)Preoperative moxibustion can safely and effectively treat gastrointestinal dysfunction in patients undergoing laparoscopic general anesthesia and is worthy of clinical promotion or further study. |
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