Objective: To evaluate the therapeutic effect of infantile massage on intestinal adhesions after abdominal operation and its influence on the recovery of intestinal function. Methods: 60 children with intestinal adhes...Objective: To evaluate the therapeutic effect of infantile massage on intestinal adhesions after abdominal operation and its influence on the recovery of intestinal function. Methods: 60 children with intestinal adhesions after abdominal operation in our hospital from October 2019 to June 2020 were selected and divided into two groups according to different treatment schemes, study group (n = 30) and control group (n = 30). The former was given infantile massage, while the latter was not treated after operation. The incidence of postoperative intestinal adhesion was compared between the two groups, and the results of anal exhaust, defecation time and abdominal pain disappearance time of the two groups were compared. Results: the incidence of postoperative intestinal adhesion in the study group was lower than that in the control group (P < 0.05);compared with the control group, the average time of anal exhaust and defecation, appetite recovery and abdominal pain disappearance in the study group was shorter than that in the control group (P < 0.05). Conclusion: infantile massage after abdominal operation can reduce the incidence of postoperative intestinal adhesion, shorten the time of anal exhaust and defecation, appetite recovery and abdominal pain disappearance, and promote the rapid recovery of intestinal function.展开更多
Background:After major liver resection,the volume status of patients is still undetermined.However,few concerns have been raised about postoperative fluid management.We aimed to compare gut function recovery and short...Background:After major liver resection,the volume status of patients is still undetermined.However,few concerns have been raised about postoperative fluid management.We aimed to compare gut function recovery and short-term prognosis of the patients after laparoscopic liver resection(LLR)with or without inferior vena cava(IVC)respiratory variability-directed fluid therapy in the anesthesia intensive care unit(AICU).Methods:This randomized controlled clinical trial enrolled 70 patients undergoing LLR.The IVC respiratory variability was used to optimize fluid management of the intervention group in AICU,while the standard practice of fluid management was used for the control group.The primary outcome was the time to flatus after surgery.The secondary outcomes included other indicators of gut function recovery after surgery,postoperative length of hospital stay(LOS),liver and kidney function,the severity of oxidative stress,and the incidence of severe complications associated with hepatectomy.Results:Compared with patients receiving standard fluid management,patients in the intervention group had a shorter time to anal exhaust after surgery(1.5±0.6 days vs.2.0±0.8 days)and lower C-reactive protein activity(21.4[95%confidence interval(CI):11.9-36.7]mg/L vs.44.8[95%CI:26.9-63.1]mg/L)24 h after surgery.There were no significant differences in the time to defecation,serum concentrations of D-lactic acid,malondialdehyde,renal function,and frequency of severe postoperative complications as well as the LOS between the groups.Conclusion:Postoperative IVC respiratory variability-directed fluid therapy in AICU was facilitated in bowel movement but elicited a negligible beneficial effect on the short-term prognosis of patients undergoing LLR.Trial Registration:ChiCTR-INR-17013093.展开更多
文摘Objective: To evaluate the therapeutic effect of infantile massage on intestinal adhesions after abdominal operation and its influence on the recovery of intestinal function. Methods: 60 children with intestinal adhesions after abdominal operation in our hospital from October 2019 to June 2020 were selected and divided into two groups according to different treatment schemes, study group (n = 30) and control group (n = 30). The former was given infantile massage, while the latter was not treated after operation. The incidence of postoperative intestinal adhesion was compared between the two groups, and the results of anal exhaust, defecation time and abdominal pain disappearance time of the two groups were compared. Results: the incidence of postoperative intestinal adhesion in the study group was lower than that in the control group (P < 0.05);compared with the control group, the average time of anal exhaust and defecation, appetite recovery and abdominal pain disappearance in the study group was shorter than that in the control group (P < 0.05). Conclusion: infantile massage after abdominal operation can reduce the incidence of postoperative intestinal adhesion, shorten the time of anal exhaust and defecation, appetite recovery and abdominal pain disappearance, and promote the rapid recovery of intestinal function.
基金Nanjing Science and Technology Development Foundation(No.QRX17013)Nanjing Health Commission of Nanjing Municipal Government(No.YKK17084)
文摘Background:After major liver resection,the volume status of patients is still undetermined.However,few concerns have been raised about postoperative fluid management.We aimed to compare gut function recovery and short-term prognosis of the patients after laparoscopic liver resection(LLR)with or without inferior vena cava(IVC)respiratory variability-directed fluid therapy in the anesthesia intensive care unit(AICU).Methods:This randomized controlled clinical trial enrolled 70 patients undergoing LLR.The IVC respiratory variability was used to optimize fluid management of the intervention group in AICU,while the standard practice of fluid management was used for the control group.The primary outcome was the time to flatus after surgery.The secondary outcomes included other indicators of gut function recovery after surgery,postoperative length of hospital stay(LOS),liver and kidney function,the severity of oxidative stress,and the incidence of severe complications associated with hepatectomy.Results:Compared with patients receiving standard fluid management,patients in the intervention group had a shorter time to anal exhaust after surgery(1.5±0.6 days vs.2.0±0.8 days)and lower C-reactive protein activity(21.4[95%confidence interval(CI):11.9-36.7]mg/L vs.44.8[95%CI:26.9-63.1]mg/L)24 h after surgery.There were no significant differences in the time to defecation,serum concentrations of D-lactic acid,malondialdehyde,renal function,and frequency of severe postoperative complications as well as the LOS between the groups.Conclusion:Postoperative IVC respiratory variability-directed fluid therapy in AICU was facilitated in bowel movement but elicited a negligible beneficial effect on the short-term prognosis of patients undergoing LLR.Trial Registration:ChiCTR-INR-17013093.
