Perioperative Research Team, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510000, Guangdong Province, China.
The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510000, Guangdong province, China.
World J Gastroenterol. 2020 Jun 21;26(23):3271-3282. doi: 10.3748/wjg.v26.i23.3271.
During the perioperative period, the characteristic therapy of traditional Chinese medicine is effective in improving postoperative rehabilitation. In large-scale hospitals practicing traditional Chinese medicine, there is accumulating experience related to the promotion of fast recovery in the perioperative period.
To evaluate the efficacy and safety of Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation technique.
This prospective, multicenter, randomized, controlled study included two groups: Treatment group and control group. The patients in the treatment group and control group received Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation technique and routine treatment, respectively. Clinical observation regarding postoperative recovery of gastrointestinal function was performed, including the times to first passage of flatus, first defecation, and first normal bowel sounds. The comparison between groups was conducted through descriptive analysis, , , and rank-sum tests.
There was a statistically significant difference in the time to postoperative first defecation between the treatment and control group (87.16 ± 32.09 109.79 ± 40.25 h, respectively; < 0.05). Similarly, the time to initial recovery of bowel sounds in the treatment group was significantly shorter than that in the control group (61.17 ± 26.75 79.19 ± 33.35 h, respectively; < 0.05). However, there was no statistically significant difference in the time to initial exhaust between the treatment and control groups (51.54 ± 23.66 62.24 ± 25.95 h, respectively; > 0.05). The hospitalization expenses for the two groups of patients were 62283.45 ± 12413.90 and 62059.42 ± 11350.51 yuan, respectively. Although the cost of hospitalization was decreased in the control group, the difference was not statistically significant ( > 0.05). This clinical trial was safe without reports of any adverse reaction or event.
The rapid rehabilitation technique with integrated traditional Chinese and Western medicine promotes the recovery of postoperative gastrointestinal function and is significantly better than standard approach for patients after colorectal surgery.
围手术期，中医特色疗法在促进术后康复方面具有良好的效果。在开展中医的大型医院中，在围手术期促进快速康复方面积累了一定的经验。
评价益口四紫散热熨神阙穴联合快速康复技术对促进结直肠术后胃肠功能恢复的疗效及安全性。
本研究为前瞻性、多中心、随机、对照研究，共纳入两组患者，治疗组和对照组分别接受益口四紫散热熨神阙穴联合快速康复技术和常规治疗。观察术后胃肠功能恢复情况，包括首次肛门排气、首次排便及肠鸣音恢复时间。组间比较采用描述性分析、 、 检验和秩和检验。
治疗组患者术后首次排便时间明显短于对照组[（87.16 ± 32.09）h比（109.79 ± 40.25）h， ＜0.05]。治疗组肠鸣音恢复时间[（61.17 ± 26.75）h]也明显短于对照组[（79.19 ± 33.35）h， ＜0.05]，但首次肛门排气时间差异无统计学意义[（51.54 ± 23.66）h比（62.24 ± 25.95）h， ＞0.05]。两组患者住院费用分别为 62283.45 ± 12413.90 元和 62059.42 ± 11350.51 元，对照组住院费用略低于治疗组，但差异无统计学意义（ ＞0.05）。本临床试验过程安全，无不良反应或事件发生。
益口四紫散热熨神阙穴联合快速康复技术可促进结直肠术后患者胃肠功能的恢复，疗效显著优于常规西医治疗。
