Chinese patent medicine oral preparation promoting recovery of postoperative gastrointestinal motility

Abstract

The invention discloses a Chinese patent medicine oral preparation promoting recovery of postoperative gastrointestinal motility. The Chinese patent medicine oral preparation is prepared from poria cocos, rhizoma atractylodis macrocephalae, rhizoma alismatis, rhizoma zingiberis, rhizoma zingiberis recens, rhizoma pinelliae, cortex magnoliae officinalis, liquorice root, fructus amomi, and pericarpium citri reticulatae through decocting and concentrating, wherein 20g of fructus amomi is used and 50g of pericarpium citri reticulatae is used. In treatment, a patient takes no food and no water andreduce pressure of the stomach and intestinal tract constantly, thereby enabling the stomach to rest thoroughly; the patient needs to lie with face downward and raise the lower part of the body, so asto eliminate pressure on the horizontal part of the dodecadactylon, further, 0.5mg of neostigmine is injected into muscle for six times each day; fluid infusion for maintenance, aqueous electrolyte is corrected and acid-base balance is kept, enough heat, protein, vitamin and trace element are supplemented, and negative nitrogen balance is corrected; the preparation is decocted and concentrated to350-500ml according to the quantity, the patient takes three preparations each day for three times through a gastric canal or an oral route, and the postoperative gastrointestinal motility function can be recovered after the patient takes 50 preparations consecutively. In terms of treatment of postoperative gastroparesis, the Chinese patent medicine oral preparation has the characteristics of having definite curative effect, being economical, helping recovering overall function of the patient, having no side effects, and having shorter treatment course.

Description

technical field [0001] The invention relates to the technical field of postoperative gastroparesis treatment, in particular to a Chinese patent medicine oral preparation for promoting postoperative gastrointestinal motility recovery. Background technique [0002] Postoperative gastroparesis syndrome refers to a gastric motility disorder syndrome characterized by postoperative gastric emptying disorder and non-mechanical obstruction of gastric outflow tract, referred to as gastroparesis. According to reports at home and abroad, the incidence rate of gastroparesis is 5% to 13%, which mostly occurs after upper abdominal surgery, such as gastrectomy, liver and gallbladder surgery, etc., and can also be caused by lower abdominal surgery, such as obstetrics and gynecology surgery, colorectal surgery . The occurrence of gastroparesis will cause the patient to have nutritional intake disorder after operation, resulting in prolonged recovery time, significantly increased medical exp...

AI Technical Summary

Problems solved by technology

[0008] 6. Psychological intervention: Patients with gastroparesis after abdominal surgery are accompanied by frequent vomiting and abdominal distension. Due to lack of psychological preparation and discomfort caused by long-term indwelling gastric tubes, all patients have varying degrees of worry, tension, irritability and anxiety. In a state of inhibition, the gastrointestinal function is not easy to recover, and thus leads to a vicious circle;

Although erythromycin is effective for gastroesophageal reflux, gastroparesis, intestinal pseudo-obstruction, etc., erythromycin has relatively large side effects and high frequency of nausea, vomiting, and diarrhea, and long-term use can easily cause flora imbalance; It is not only helpful for diagnosis, but also has a stimulating effect on the stomach wall, which is conducive to the recovery of gastric motility. However, in patients with severe gastroparesis, the gastric cavity is filled with liquid, and it is difficult to succeed in gastroscopy and to promote the effect. At the same time, the patient has to endure great pain. pain of

However, the pacemaker was implanted under the gastric serosa through surgery, and exogenous electrical stimulation was used to promote the recovery of gastrointestinal motility. It was found that the therapeutic effect was different with the frequency and intensity of exogenous electrical stimulation; low-frequency and high-energy electrical stimulation can not only Restoring the slow wave can also improve gastric emptying and relieve symptoms; high-frequency and low-energy electrical stimulation has obvious effects on improving symptoms such as nausea and vomiting, but has a limited effect on gastric emptying. The curative effect of stroke is still inconclusive, and a lot of research is needed to elucidate its mechanism of action and curative effect

[0011] To sum up, Western medicine alone has a long course of treatment and large side effects in the treatment of postoperative gastroparesis. At the same time, parenteral nutrition takes a long time, costs patients a lot, and is not conducive to the recovery of patients' overall function; the risk of surgical treatment is bigger