Rapid rehabilitation technique with integrated traditional Chinese and Western medicine promotes postoperative gastrointestinal function recovery

Abstract

BACKGROUND 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. AIM To evaluate the efficacy and safety of Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation technique. METHODS 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, χ 2 , t, F , and rank-sum tests. RESULTS There was a statistically significant difference in the time to postoperative first defecation between the treatment and control group (87.16 ± 32.09 vs 109.79 ± 40.25 h, respectively; P < 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 vs 79.19 ± 33.35 h, respectively; P < 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 vs 62.24 ± 25.95 h, respectively; P > 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 ( P > 0.05). This clinical trial was safe without reports of any adverse reaction or event. CONCLUSION 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.

Acupoint application for rotavirus diarrhea in infants and children

“…The Shenque acupoint (CV8) has an important role in the treatment of digestive system diseases. [ 16 ] Shenque acupoint application of herbal mixtures can improve bowel movement. [ 17 , 18 ]…”

Luteolin potentiates low‑dose oxaliplatin‑induced inhibitory effects on cell proliferation in gastric cancer by inducing G2/M cell cycle arrest and apoptosis

“…The combined herbal medicine and Western medical treatment has been used in many patients for a long time. Owing to the poor prognosis of some cancer types when treated with Western medicine, many patients prefer the option of herbal medicine as the adjuvant therapy, expecting to enhance therapeutic efficiency, reduce adverse effects, and improve quality of life (10,11). Based on the patient-tailored diagnosis and treatment, such a combined therapy has attracted more attention in the clinical setting.…”

Effects of Acupuncture Treatment on Postoperative Gastrointestinal Dysfunction in Colorectal Cancer: Study Protocol for Randomized Controlled Trials

“…Therefore, prevention of PGID in colorectal cancer patient to reduce peri-operative complications and hospitalization cost is of important signi cance [20]. Current western medical interventions such as gastrointestinal decompression and oral administered prokinetic medications have shown unsatisfactory results in patients, leading to the search of alternative treatment options by clinical practitioners, to facilitate early recovery of gastrointestinal functions [7]. Acupuncture is a safe and effective treatment method that could promote gastrointestinal functions while having minimal side effects [13,15].…”

“…Current methods to promote recovery of gastrointestinal function include postoperative conventional treatments and prokinetic drugs such as domperidone and cisapride. However, the therapeutic e cacy of these drugs are less than ideal and accompanied with various side effects, possibly due to over-stimulation of gastrointestinal motility that could affect postoperative recovery negatively [7].…”