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Effects of different frequencies of traditional Chinese medicine acupoint hot compress on promoting the recovery of gastrointestinal function in patients after radical surgery for colon cancer
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DOI   10.11656/j.issn.1672-1519.2024.05.14
Key Words   different frequencies;traditional Chinese medicine hot compress;colon cancer;gastrointestinal function
Author NameAffiliationE-mail
FAN Yidan First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou 510000, China  
WANG Zhenni Department of Rehabilitation Medicine, Wuhan First Hospital, Wuhan 430000, China  
QUAN Xiaoming Department of Nursing, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510000, China  
LIN Xuemei Emergency Center, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510000, China gzlinxm@163.com 
FU Meihua Department of Gastrointestinal Surgery, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510000, China  
LI Nan Department of Otolaryngology-Head and Neck Surgery, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510000, China  
ZHOU Jian Department of Breast, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510000, China  
Abstract
    [Objective] To observe the effects of different frequencies of traditional Chinese medicine (TCM) hot compress on promoting the recovery of gastrointestinal function in patients after radical surgery for colon cancer. [Methods] A total of 108 patients after laparoscopic radical resection of colon cancer who were hospitalized in the Second Surgery Department of the First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2020 to March 2023 were randomly divided into test group A,test group B and control group,each with 36 cases. The control group was treated with routine nursing,and the test group was treated with TCM hot compress intervention under the guidance of the theory of meridian flow on the basis of routine nursing. The frequency of test group A was 90-95 times/min,and the frequency of test group B was 115 to 120 times/min,twice a day from the first day after operation,until anal exhaust and defecation. The recovery of gastrointestinal function,the length of hospital time,the change of the TCM symptomatology scores,and the occurrence of adverse reactions were observed in the three groups,and the clinical efficacy of the three groups was evaluated. [Results] After the intervention,the postoperative bowel sound recovery time and the time of the first anal exhaust were significantly shorter in test group B than in test group A and the control group (P<0.05),and the time of the first defecation and postoperative hospital time were significantly shorter in test group B than in the control group (P<0.01 or P<0.05). The between-group effect,the time effect,and the interaction effect of the TCM symptomatology scores of the patients in the three groups were all significant (P<0.05). The TCM symptomatology scores of the three groups demonstrated a consistent decline over time. After 72 hours of surgery,the TCM symptomatology scores of the test group B were lower than those of the test group A and the control group,and the test group A was lower than that of the control group (P<0.05). The total effectiveness of the clinical treatments of the test group A and the test group B were significantly better than that of the control group(P<0.05). [Conclusion] TCM hot compress can effectively promote the recovery of gastrointestinal function in patients after radical surgery for colon cancer. The overall therapeutic effect is more significant when the frequency of hot compress is 115 to 120 times/min.

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