| ObjectiveThe aim of this study was to investigate the effect of this therapy on the recovery of gastrointestinal function after laparoscopic gastrointestinal surgery by using thermostatic moxibustion coordinated with Midnight-midday Ebb-flow theory to promote gastrointestinal function recovery after laparoscopic gastrointestinal surgery.To further study how to promote gastrointestinal function recovery after laparoscopic gastrointestinal surgery,reduce postoperative complications and promote the early recovery of postoperative patients to find simple and effective method and provide data support and guidance.MethodsThis study has passed the examination and approval of Ethics Committee of Guangdong Provincial Hospital of Traditional Chinese Medicine,approval number:Y2017-072-01.This study collected 163 patients after gastrointestinal surgery in Guangdong Provincial Hospital of Traditional Chinese Medicine Gastrointestinal Surgery(Second Division)from May 2017 to August 2017 as the research object.The 163 patients were randomly divided into the group of control group 81 cases and observation group 82 cases.Patients in the observation group were given thermostatic moxibustion coordinated with Midnight-midday Ebb-flow theory on the basis of routine nursing.Intervention method:Moxibustion was started on the first day after operation,and if the patient was operated from 0:00 to 8:00 on the same day,as long as the patient' s conscious recovery,he was available to accept the moxibustion treatment on that day,the time of moxibustion was at 7 am-11 am,moxibustion acupuncture points Zusanli,Shangjuxu,Xiajuxu,Hegu(taking Acupuncture Positioning According to "National Standards of the People' s Republic of China,Acupoint Location"),20 minutes per time,one time a day,until the first exhaust and defecation through the anus.The duration of postoperative bowel sounds recovery,the time of the first anal exhaust,the time of first defecation,the time of first feeding of liquid or semi-liquid,the nausea and vomiting,abdominal distension and postoperative complications were observed.All the data in this study were processed by SPSS17.0 statistical software with the test level P<0.05.The continuous data were expressed as mean ± standard deviation.Normality tests and homogeneity of variance tests were performed first to meet the requirements,then the two independent T-test sample data analysis,non-normal distribution or variance is the use of rank sum test;enumeration data were expressed as constituent ratio(%),using the chi-square test;ordered rank data is analyzed with rank sum test.Results1.In this study,168 patients after gastrointestinal surgery were randomly divided into control group(n=84)and observation group(n=84).During the study period,2 cases in the observation group eliminated,because they can not accept the moxibustion smoke smell and shedding,and the rest of the patients were required to complete the entire research process.In the control group,3 patients fell into disuse because they were postoperatively transferred to Department of Intensive Care,other patients completed the whole study according to the researchers' requirements.Finally,a total of 163 cases were actually included in the study,of which 82 cases were observed in the observation group,including 21 cases after appendectomy,14 cases after gastrectomy,32 cases after intestinal tumor resection,15 cases after hernia surgery;and 81 cases in control group,including 20 cases after appendectomy,14 cases after gastrectomy,33 cases after intestinal tumor resection,14 cases after hernia surgery.2.There was no significant difference between the basic data of two groups of patients(age,gender,length of surgery,blood loss during surgery,fluid volume during surgery,and type of surgery were not statistically different)(P>0.05),so the data of two groups of patients were comparable.3.Postoperative gastrointestinal function:The time of bowel sounds recovery,the time of first exhaust,the time of first defecation and the time of first feeding of liquid or semi-liquid of the observation group patients are shorter than that of the control group(P<0.05).For different types of gastrointestinal surgery,The time of bowel sounds recovery,the time of first exhaust,the time of first defecation and the time of first feeding of liquid or semi-liquid of the observation group patients are shorter than that of the control group(P<0.05).4.Postoperative complications:The incidence of complications(nausea,vomiting,abdominal pain,abdominal distention)was lower in the observation group than in the control group(P<0.05).For different types of laparoscopic gastrointestinal surgery,there was no significant difference in the incidence of postoperative nausea between the two groups(P>0.05).There was no significant difference in the incidence of vomiting between two groups after laparoscopic gastrectomy and laparoscopic bowel tumor resection(P>0.05).The incidence of vomiting of the observation group was lower than that of the control group after laparoscopic appendectomy and laparoscopic hernia surgery(P<0.05).After appendectomy,gastrectomy,and hernia surgery,there was no significant difference in the incidence of postoperative abdominal pain between the two groups(P>0.05).The incidence of abdominal pain of the observation group was lower than that of the control group after laparoscopic bowel tumor resection(P<0.05).In four different types of laparoscopic gastrointestinal surgery,there was no significant difference in the incidence of bloating after operation between the two groups(P>0.05).Comparing the postoperative nausea and vomiting classification between the two groups,the degree of postoperative nausea and vomiting in the observation group was lighter than that in the control group(P<0.05).For different types of laparoscopic gastrointestinal surgery,the degree of nausea and vomiting of the observation group was lighter than that of the control group(P<0.05).The abdominal pain scores in the observation group were lower than those in the control group(P<0.05).For different types of laparoscopic gastrointestinal surgery,The scores of abdominal pain in the observation group were lower than those in the control group.(P<0.05).The abdominal circumference difference in the observation group was smaller than that in the control group(P<0.05).For different types of laparoscopic gastrointestinal surgery,The abdominal circumference differences in the observation group were smaller than those in the control group(P<0.05).5.Economic indicators:There was no difference in length of stay and hospitalization between the two groups(P>0.05).The satisfaction of the observation group was higher than that of the control group(P<0.05).6.Safety:There was no difference in the incidence of adverse events between the two groups(P>0.05).Conclusion1.Thermostatic moxibustion coordinated with Midnight-midday Ebb-flow theory can effectively promote the recovery of gastrointestinal function after laparoscopic gastrointestinal surgery.2.Thermostatic moxibustion coordinated with Midnight-midday Ebb-flow theory can effectively reduce the incidence of laparoscopic gastrointestinal complications.3.Thermostatic moxibustion coordinated with Midnight-midday Ebb-flow theory has the characteristics of low raw material price,convenient operation,saving manpower and material resources,reliable curative effect and non-invasiveness.This is a non-drug-based,non-side-effect safe therapy and worthy of being popularized and applied in clinical practice. |
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