To Observe The Clinical Effect Of Yiqi Jianpi Infiltration Method On Wound Healing In Abdominal Surgery

ObjectiveAs the changes of people' s diet and living environment,the incidence of gastrointestinal diseases becomes higher and higher.And the continuous development of modern medicine and surgery technology unceasing progress,more and more patients seek surgery to curing disease.After surgical treatment,postoperative incision healing and the overall recovery of the patrent are closely related.Promote healing of postoperative abdominal incision,prevent and reduce the happening of the poor healing of postoperative incision are attention by more and more people,and the corresponding research and methods,has obtained the certain effect in clinical,but each has advantages and disadvantages.Think this study related to the pathogenesis of abdominal postoperative always belongs to the weak spleen and stomach,deficiency of qi and blood,or both wet-blood stasis symptoms,treatment by oral Chinese medicine tomifying qi spleen,tonify deficiency with blood and seepage action such as dampness,promoting blood circulation to remove blood stasis promote the healing of incision and prevent the happening of the poor healing of postoperative incision.This study through the observation and three Chinese medicine atractylodes scattered flavored oral to the degree of postoperative abdominal incision pain,bleeding and swelling pain symptoms disappear,incisional drainage drainage time of healing,infection of incision,rating index observation,to explore the treatment effects on postoperative abdominal incision healing.MethodAll observed cases from May 2017 to February 2018 in the first affiliated hospital of guangzhou university of TCM surgery hospitalization,conform to the standard of abdominal postoperative patients,a total of 60 cases,using a random number table method were divided into treatment group and control group 30 cases each.Control group in the conventional treatment(parenteral nutrition support treatment,wound dressing,infrared radiation,traditional Chinese medicine(TCM)packet,abdominal bandaging,etc.),the treatment group on the basis of conventional treatment,oral Chinese medicine dialectical lingya atractylodes powder,one hundred ml each time,two times daily,continuous treatment for a week.By observing the patients postoperative incision pain,bleeding,swelling scleroma,drainage,drainage time,incision healing,infection of incision,incision dehiscence,compared two groups of curative effect,score and statistical analysis.SPSS22.0 statistical analysis software was used to analyze all the observed data.ResultsAfter statistics analysis,two groups of patients with preoperative general information(gender,age,BMI,basic diseases,disease category,anesthesia,incision length,category,surgical incision length,use of electric knife,etc.)has no obvious statistical significance(P>0.05).After statistics analysis,the treatment group patients with postoperative pain score for 3 days(5.17±1.23),the control of postoperative pain score for 3 days(5.10±1.30),the t test,two groups of patients were compared with no significant statistical significance(P>0.05).Treatment group patients with postoperative swelling drainage score for 3 days(2.00±1.26),the control of postoperative swelling drainage score for 3 days(2.00±1.31),the two groups of patients were compared with statistical significance(P 0.05).After the treatment,the treatment group patients with postoperative pain score for 7 days(1.97±1.27),the control of postoperative pain score for 7 days(3.67±1.54),two groups of patients were compared with statistical significance(P<0.05).On the 7th day after surgery,the seepage rate of the redness and swelling was compared between the two groups,and the two groups were statistically significant(P<0.05).The wound drainage days,in the comparison of the treatment group the wound drainage days for(3.00±1.23),the control group the wound drainage days for(3.93±1.46),two groups of patients were compared with statistical significance(P<0.05).In the evaluation of healing grade,the rank and test of the two groups were statistically significant(P<0.05).During the 7th day of postoperative observation and follow-up of one month after surgery,no incisional infection,incision,sinus incision and incisional hernia were observed in both groups,so the two groups were not statistically significant.During the follow-up of other adverse reactions to the incision in a month,the two groups were statistically significant(P<0.05).ConclusionAnd three atractylodes scattered beneficial gas excess or insufficiency of spleen,nourishing blood and moisture penetration,after abdominal surgery,patients with oral Chinese medicine can to a certain extent,reduce the feeling of pain,can accelerate the absorption of drainage time,promote the healing of incision,less poor healing of incision from happening,and no obvious side effects,safe and effective,recovery has a positive significance for the patient,at the same time expanded the application scope of Chinese medicine,easy to use,worth clinical promotion.