The Clinical Observation Of Moxa Cone Moxibustion On Rapid Recovery After Laparoscopic D2 Radical Gastrectomy

ObjectiveTo evaluate the safety and effectiveness of moxa cone moxibustion in promoting the rapid recovery after laparoscopic D2 radical gastrectomy.MethodsPatients who met the inclusion criteria were randomly assigned to the treatment group and control group.The control group received perioperative management according to Chinese consensus and clinical guidelines for Enhanced Recovery After Surgery(2018 editon).On the basis of the control group,the treatment group was additionally treated with moxa cone moxibustion on bilateral Zusanli,Sanyinjiao and Shangjuxu,moxibusting 3 points at each point from the first day to the fifth day after operation.The baseline data we collected contained the age,sex,body mass index(BMI)and American Society of Anesthesiologists(ASA)score,preoperative basic diseases,preoperative hemoglobin,preoperative albumin,operation method,operation time,intraoperative blood loss,tumor TNM stage.The main outcome measures of the study were the time of first postoperative exhaust and defecation.The secondary effect indexes were postoperative hospital stay,incidence of early postoperative complications,percentage of leukocytes and neutrophils on the 1st,3rd and 5th day after operation.SPSS 23.0 software package database was used for statistical analysis.ResultsA total of 64 patients were included in this study,including 32 cases in the treatment group and 32 cases in the control group.During the study,no patients were excluded or dropped out,and all patients successfully completed the study.There was no significant difference in gender,age,BMI,ASA score,preoperative basic disease,preoperative hemoglobin,preoperative albumin,operation method,operation time,intraoperative blood loss,tumor TNM stage between the two groups(P>0.05).In terms of the main efficacy indicators,the first postoperative exhaust time and the first postoperative defecation time of the treatment group were earlier than those of the control group(P<0.05).Subgroup analysis showed that the first postoperative exhaust time of the treatment group was shorter than the control group,regardless of the age<60 years old or>60 years old.But there were no significant differences(P>0.05).For patients with age≥ 60,the first defecation time in treatment group was significantly shorter than the control group(P<0.05).For patients with aged<60,there was no significant difference in the first defecation time between the two groups(P>0.05).Among the patients whose operation time was more than 4 hours,the first exhaust time and defecation time of the treatment group are statistically shorter than the control group(P<0.05).In patients with operation time ≤4h,there was no significant difference in postoperative exhaust time between the two groups(P>0.05).In terms of postoperative first defecation time,the treatment group was shorter than the control group,and the difference was statistically significant(P<0.05).In terms of secondary research indicators,there were no significant differences in postoperative hospital stay,incidence of postoperative complications,percentage of leukocytes and neutrophils on the 1st,3rd and 5th day after operation between the two groups(P>0.05).ConclusionMoxa stick moxibustion can promote the recovery of gastrointestinal function after laparoscopic radical gastrectomy,effectively shorten the time of first exhaust and defecation,promote the recovery of patients,and will not increase the occurrence of early postoperative complications,so it can be used in clinical practice.