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Objective: To observe the abdomen after surgery patients enteroparalysis recovery situation, evaluation of five grinding role in promoting the recovery of gastrointestinal function after abdominal surgery umbilical paste; observation of the patient's blood gastrointestinal hormone vasoactive intestinal peptide and calcitonin gene-related peptide explore the five ground umbilical paste mechanism. Method:, select meet the study inclusion criteria and exclusion criteria, 40 patients (40 patients, both during the period October 2006 - April First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, a surgical patient) to control random into principle will be incorporated into the research object is divided into the five mill umbilical paste the treatment group and the control group, the number of patients the ratio of 1:1. Instruct patient early ambulation of the control group, and do not use any pro-gastrointestinal drugs; five mill umbilical paste the treatment group given the five grinding umbilical paste topical umbilical Shenque point immediately after the surgical wound closure after 12 hours if no exhaust, need to replace until until postoperative anal exhaust observed and recorded by the person responsible, abdominal auscultation once every three hours, record observed in patients with postoperative bowel sound recovery time and postoperative anal exhaust time and treatment group, the process of medication range skin The surface changes, and surgery came to the ward after the third postoperative day blood measurements of vasoactive intestinal peptide content and procalcitonin content. Results: 1, postoperative bowel sounds recovery time and postoperative anal exhaust time group compared five mill umbilical paste the time of the treatment group was significantly shorter than the control group, the difference was statistically significant (p <0.01); , vasoactive intestinal peptide content before treatment compared to five grind umbilical paste the treatment group and the control group had no significant difference (p> 0.05); vasoactive intestinal peptide content after treatment, the treatment group, five grinding umbilical paste content is lower than the control group , the difference was significant (p <0.05); five mill umbilical paste vasoactive intestinal peptide were significantly higher than after treatment before treatment, the difference was significant (p <0.01). Treatment of procalcitonin content, five grinding umbilical paste was no significant difference (p> 0.05) in the treatment group and the blank control group; after treatment calcitonin content, five grinding umbilical paste treatment group content is less than the control group, the difference was statistically significant (p <0.05); five mill umbilical paste calcitonin content of the treatment group before treatment than in therapy, the difference was significant (p <0.01). Conclusion: Five grinding umbilical paste can significantly promote the recovery of the abdominal postoperative bowel significantly shorter anal exhaust time, the mechanism may be VIP, for by five mill umbilical paste after treatment inhibited the secretion of CGRP, the serum of patients with VIP indicators of CGRP decreased, thereby contributing to the recovery of the stomach and intestines relevant.
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