Clinical Study On Ginger-separated Moxibustion Combined With Chewing Gum To Promote The Recovery Of Gastrointestinal Function After Colorectal Cancer Surgery

Objective: to observe the clinical effect of ginger-separated moxibustion combined with chewing gum on the recovery of gastrointestinal function after operation of colorectal cancer,so as to provide basis for promoting postoperative rehabilitation of patients with colorectal cancer.Methods: 188 inpatients with colorectal cancer who met the inclusion criteria and exclusion criteria from March 2017 to December 2018 in the Department of Gastrointestinal surgery,affiliated Cancer Hospital of Guangxi Medical University were randomly divided into three groups.63 patients in the routine group were given routine perioperative nursing measures,and 62 patients in the oral sugar group(62 cases)were given chewing gum three times a day for 7 days on the first day after operation.On the basis of chewing gum group,63 patients in the combined group were given ginger-separated moxibustion at Hegu point,Quchi point,Zusanli point and inner court point twice a day for 20 minutes twice a day for 7 days.The recovery of gastrointestinal function(intestinal sound recovery time,the first anal exhaust time and the first anal defecation time)were compared among the three groups.The pain scores and the use of painkillers were compared among the three groups at 1 day before operation,1 day 3 days after operation and 7 days after operation.The TCM syndrome scores of the three groups were compared on the 1st day and 7th day after operation,the quality of life(Karnofsky score)was compared between the three groups on the 1st day and 7th day after operation,and the hospitalization days of the three groups were compared.All the data were statistically analyzed by SPSS 19.0 statistical software.Results:(1)recovery of gastrointestinal function: in the three groups,There was no significant difference in the recovery time of intestinal sound after operation(P > 0.05).There was significant difference between the first anal exhaust and the first anal defecation after operation(P < 0.05).The duration of the first anal exhaust and the first anal defecation were as follows: combined group < chewing gum group < routine group;(2)three groups.There was no significant difference in the number of painkillers used on the first day and the second day after operation.The number of painkillers used in the three groups on the 3rd and 7th day after operation was in the following order: routine group > chewing gum group > combined group.There was no significant difference in preoperative pain score among the three groups(P > 0 05).There was no significant difference in preoperative pain score among the three groups(P < 0 05).There was no significant difference in preoperative pain score among the three groups(P < 0 05);(3).2There was no significant difference in pain score among the three groups on the first day and the second day after operation,(3)on the third day and the seventh day after operation,the pain scores of the three groups were not significantly different from those of the third day and the seventh day after operation.There was significant difference in pain score among the three groups(P < 0.05).The pain score was in the following order: combined group < chewing gum group < routine group.(4)there was no significant difference in the score of TCM syndrome among the three groups on the first day after operation(P > 0.05).2 on the 7th day after operation,there was significant difference in the scores of TCM syndrome among the three groups(P < 0.05).The order of the scores was as follows: combined group < chewing gum group.< routine group;2 there was significant difference in the total effective rate of syndrome improvement among the three groups(P < 0.05),and the degree of improvement was as follows: routine group < chewing gum group < combined group.(5)there was no significant difference in preoperative Karnofsky score among the three groups,but there was significant difference in postoperative Karnofsky score among the three groups(P < 0.05).The score was in the following order: combined group > chewing gum group > routine group.(6)the length of hospitalization in the three groups was in the following order: combined group < chewing gum group < routine group,but the difference was not statistically significant.Conclusion: through the application of ginger-separated moxibustion combined with chewing gum intervention,the first anal exhaust defecation time of patients with colorectal cancer was significantly shortened,and the postoperative pain was relieved to a certain extent.After operation,TCM syndrome and quality of life have been effectively improved,which is worthy of clinical application.