大黄溶液灌肠对腹腔镜结直肠癌根治术后胃肠功能恢复的效果研究
摘要
<p indent="0mm">A prospective, randomized controlled study was conducted to evaluate the safety and efficacy of rhubarb solution enema compared to traditional mechanical intestinal preparation before laparoscopic radical resection of colorectal cancer and provide evidence-based medical evidence for traditional Chinese medicine to accelerate recovery of gastrointestinal functions after abdominal surgery. A total of 237 patients who underwent laparoscopic radical resection of colorectal cancer from December 2018 to April 2021 at the Department of General Surgery and Tumor Surgery of Beijing Traditional Chinese Medicine Hospital, affiliated with Capital Medical University, were included. The patients were divided into two groups: traditional mechanical intestinal preparation and rhubarb solution enema groups. The first exhaust time, first defecation time, bowel sound recovery time, hospitalization time and postoperative stay, quality-of-life score on the fifth postoperative day, degree of abdominal pain and bloating on the first and fifth postoperative days, evaluation of intestinal function, and surgical-related complications in both groups were observed. Patients in the preoperative application of rhubarb solution enema intestinal preparation group had significantly shorter postoperative bowel sound recovery and first postoperative defecation times than those in the traditional mechanical intestinal preparation group, and the difference was statistically significant (<italic>P</italic><0.05). The first postoperative exhaust time for the rhubarb solution enema group was shorter than that for the traditional mechanical intestinal preparation group, but the difference was not statistically significant (<italic>P</italic>>0.05). The time for gastric tube removal was earlier in the preoperative rhubarb solution enema intestinal preparation group than in the traditional mechanical intestinal preparation group, and the quality-of-life score on the fifth postoperative