肠易激综合征的治疗进展

Effect of external application of traditional Chinese medicine combined with chewing gum on gastrointestinal function in patients after surgery for esophageal carcinoma

AIM

To explore the effect of external application of traditional Chinese medicine combined with chewing gum on the recovery of gastrointestinal function in patients after surgery for esophageal carcinoma (EC).

METHODS

One hundred and eight patients who underwent surgical treatment for EC at our hospital from March 2014 to August 2016 were selected and randomly divided into an observation group (abdominal application of traditional Chinese medicine combined with chewing gum) and a control group (routine treatment and nursing care). Clinical efficacy, the recovery of gastrointestinal function and the levels of gastrin and motilin were compared between the two groups.

RESULTS

The effective rate was 94.44% in the observation group and 85.19% in the control group, and there was a significant difference between the two groups (χ² = 6.635, P < 0.05). Times to first defecation, anal exhaust, and recovery of bowel sounds and hospitalization time were significantly shorter in the observation group than in the control group (49.27 h ± 4.82 h vs 65.83 h ± 5.26 h, 31.45 h ± 3.72 h vs 59.26 h ± 4.01 h, 18.43 h ± 2.83 h vs 24.05 h ± 3.26 h, 8.72 h ± 1.26 h vs 11.45 h ± 2.74 h, P < 0.05). Before treatment, there was no significant difference in the levels of gastrin and motilin between the two groups (P > 0.05). After treatment, the levels of gastrin and motilin in the observation group were significantly higher than those in the control group (108.24 ng/L ± 21.36 ng/L vs 91.38 ng/L ± 22.36 ng/L, 612.79 ng/L ± 42.35 ng/L vs 506.23 ng/L ± 51.25 ng/L, P < 0.05).

CONCLUSION

Abdominal application of traditional Chinese medicine combined with chewing gum can significantly improve clinical symptoms and signs and promote the recovery of gastrointestinal function in patients with EC after surgery.