Recovery Of Intestinal Peristalsis Research Articles

The Effect of Chewing Gum on the Recovery of Intestinal Peristalsis in Post Partum Sectio Caesarea Mothers

Post-cesarean section surgery can cause a decrease in bowel movements. Dr. Data Hospital. Abdul Rivai, in August 2023 there were 66 caesarean section deliveries (51.2%) with a permanent decrease in intestinal peristalsis, namely 6 cases. Chewing gum is a form of sham feeding to stimulate the intestinal recovery process after surgery. Preliminary study at RSUD dr. Abdul Rivai Berau, it is known that there are cases of post-caesarean section mothers who experienced decreased intestinal peristalsis or did not increase intestinal peristalsis. To determine the effect of chewing gum on the recovery of intestinal peristalsis in post partum caesarean section mothers. Pre-experimental research type and One Group Pre-Test – Post-Test Design. The population is all post partum caesarean section mothers in the Postpartum Room at RSUD dr. There were 66 Abdul Rivai in Berau Regency in August 2023, based on the Lameshow formula with a sample of 35 people studied in December 2023. Instruments included a stethoscope, Xylitol gum and observation sheets. The sampling technique uses consecutive sampling. Data analysis used the Wilcoxon test. Frequency score of intestinal peristalsis before chewing gum in post partum caesarean mothers with a median of 2 times per minute and after chewing gum the median was 4. Obtained p value = 0.000 < ? : 0.05, meaning there is an effect of chewing gum on restoration of intestinal peristalsis. Chewing gum can improve the recovery of intestinal peristalsis in post partum caesarean section mothers.

The preventive effect of oral 76% Meglumine Diatrizoate for the postoperative ileus

ABSTRACT After emergency surgery for intestinal obstruction caused by colorectal cancer, postoperative ileus (POI) is more likely to occur in the early-stage oral intake. POI incited the occurrence of postoperative complications and prolongs hospital stay. Reducing the occurrence of POI will Enhance Recovery After Surgery (ERAS). Aim: The aim of this study is to observe and evaluate the preventive effect of postoperative oral administration of 76% Meglumine Diatrizoate in reducing the incidence of POI and promoting intestinal absorption during the recovery of intestinal peristalsis in patients after intestinal obstruction surgery. Methods: From October 2018 to December 2021, 94 patients (47 vs 47) with intestinalobstruction were rolled. Patients with an ASA score of 4 or higher and gastrointestinal perforation with peritonitis were excluded. After 24 hours of surgery, the patients were divided into experimental group and control group disposed of with an opaque airtight envelope method, patient-side single blind. After intestinal peristalsis recovery (2.45 ± 0.62 d vs 2.60 ± 0.68 d, P > 0.05), the experimental group was given 76% Meglumine Diatrizoate 20 ml orally 9am and the control group was given 10% glucose 20 ml for three consecutive days. POI cases, the time taken to achieve full daily oral calorie and discharge days were counted. Results: The time required to achieve full daily oral calorie (11.04 ± 2.70 d vs 14.09 ± 3.74 d, p < 0.05), POI cases (10/47 vs 20/47, p < 0.05) and discharge days (14.00 ± 4.89 d vs 16.77 ± 5.94 d, p < 0.05) are significantly different between the two groups. Conclusions: Oral 76% Meglumine Diatrizoate is safe and effective, which can reduce the occurrence of POI, promote the recovery of intestinal absorption and shorten the length of hospital stay effectively.

PENGARUH PEMBERIAN MOBILISASI DINI TERHADAP PEMULIHAN PERISTALTIK USUS PADA PASIEN POST OPERASI LAPARATOMI DI RUMAH SAKIT GRANDMED LUBUK PAKAM

Surgery is performed by taking certain body parts, with the aim of improving the body that has abnormalities such as laparotomy. This action can disable the sound of the prism with the state of the body that is anesthetized. Early mobilization is one of the effective ways to re-stimulate bowel function and produce normal peristaltic sounds and patients can be selected. The purpose of this study was to determine the effect of early mobilization on the recovery of intestinal peristalsis in post-laparatomy patients at Grandmed Lubuk Pakam Hospital. This study used a one-group pretest-posttest design, with pre-experimental pre-test (early stage) and post-test (final stage) with a sample of 27 respondents while the research instrument used an observation sheet. Data analysis used bivariate analysis, namely the Paired Sample T-Test. The results of the bivariate test with Paired Sample T-Test proved that there was an effect of early mobilization on increasing intestinal peristalsis before and after the procedure, as evidenced by the p-value = 0.00 &lt; 0.05. As early as possible, early mobilization doing in post-laparatomy patients, the faster the intestinal peristaltis recovery process will be.

Pemberian kompres hangat efektif untuk pemulihan peristaltik usus pasien post operasi dengan anestesi umum

Background: Almost every patient with major surgery or surgery who uses general anesthesia after surgery does not take any action to help with intestinal peristalsis. Giving warm compresses is one way to reduce muscle spasms, increase and increase blood flow.Objectives: The purpose of this study was to study the solution of warm compresses to postoperative intestinal peristalsis recovery with general anesthesia.Methods: The design of this study was a quasi-experimental design with nonequivalent control group design, a sample of 16 respondents who were taken by consecutive sampling technique. The research was conducted at the Meuraxa Hospital Hospital Banda Aceh in 2019. The data was processed using statistical tests using paired sample t-test.Results: The results of the study have shown that there is the effectiveness of giving warm compresses to the recovery of peristalsis in the experimental group with a value of p= 0.000 (p &lt; 0.05), and the independent t-test shows that there is a significant difference in intestinal peristalsis between the experimental group and the control group in post patients. surgery under general anesthesia with a value of p= 0.022 (p &lt; 0.05).Conclusion: The effectiveness of warm compresses on the recovery of intestinal peristalsis in the experimental group and the control group in postoperative patients with general anesthesia. It is hoped that patients and nurses can apply warm compresses after surgery with general anesthesia

The efficacy and safety of laparoscopy combined with gastroscopy positioning in treating gastric stromal tumours: A systematic review and meta-analysis.

Background and Objectives:The objective was to assess the efficacy and safety in treating gastric stromal tumours by laparoscopy combined with gastroscopy positioning surgery.Methods:The randomised controlled trials (RCTs), which are about the efficacy and safety of laparoscopy combined with gastroscopy positioning surgery in treating gastric stromal tumours were searched from the PubMed (1998–1990–2018.6), Wanfang Data (1990–2018.6), China National Knowledge Infrastructure (1979–2018.6) and International Statistical Institute (1998–2018.6). The data were extracted from these trials, and the meta-analysis was made through from RevMan 5.3 software.Results:Six RCTs involving 451 patients were included in the study (227 patients in the laparoscopy combined with gastroscopy positioning group and 224 patients in laparoscopic surgery group). Compared with laparoscopic surgery group, this meta-analysis showed that laparoscopy combined with gastroscopy positioning group could shorten the post-operation hospital stay (P < 0.05) and reduce the intraoperative blood loss (P < 0.05). However, there was no significant difference in others between the two groups, such as operation time (P > 0.05), post-operative time of recovery of intestinal peristalsis (P > 0.05) and the total hospital stay (P > 0.05).Conclusion:Compared with laparoscopic surgery group, the better total effect occurs in laparoscopy combined with gastroscopy positioning group for the treatment of gastric stromal tumours is better. Laparoscopy combined with gastroscopy positioning group for the gastric stromal tumours is acceptable.

MOBILISASI DINI TERHADAP PEMULIHAN PERISTALTIK USUS DAN SKALA NYERI PASIEN POST PEMBEDAHAN

Postoperative complications such as pain, malnutrition, delayed wound healing and ileus were frequently found and become a challenge for health workers. Early mobilization is recognized as an approach that may help in preventing as well as decreasing the further effect of those complications. However, the implementation of early mobilization in hospitals were still limited to verbal commands without providing direct assistance to postoperative patients. Therefore, this study tries to give evidence-based nursing in PKU Muhammadiyah Gamping Hospital in improving nursing care to postoperative patient outcomes by giving early mobilization. The purpose of this study was to find the effect of early mobilization on the recovery time of intestinal peristalsis and pain scale in post-operative patients. This research was pre-experimental research using a static group comparison research design with a cross-sectional approach. The sampling technique used purposive sampling with specific criteria who was in adult age and received regional anesthesia. This study found 40 subjects consisting of 20 subjects in the intervention group and 20 subjects in the control group. The Mann-Whitney statistical test proved a significant effect on early mobilization on intestinal peristalsis recovery (p = 0.000) Gand pain scale (p = 0.001).

Comparison of laparoscopy combined with gastroscopy positioning and open resection for gastric stromal tumours: A meta-analysis.

Background and Objectives:The aim of the study was to assess the efficacy and safety in treating gastric stromal tumours by laparoscopy combined with gastroscopy positioning surgery.Methods:I searched the randomized controlled trials (RCTs) about the efficacy and safety of laparoscopy combined with gastroscopy positioning surgery in treating gastric stromal tumours from the PubMed (1998～2018.06), Wanfang Data (1990～2018.06), China National Knowledge Infrastructure (1979～2018.06) and International Statistical Institute (1998～2018.06). I extracted the data from these trials, and I got the meta-analysis from RevMan 5.3 software.Results:Twenty-six RCTs involving 1710 patients were included (870 patients in the laparoscopy combined with gastroscopy positioning group and 840 patients in openresection group).Compared with open resection group, this meta-analysis showed that laparoscopy combined with gastroscopy positioning group could reduce the intraoperative blood (P < 0.05), shorten the post-operative time of recovery of intestinal peristalsis (P < 0.05), shorten the diet recovery time (P < 0.05), reduce the incidence of the incision infection, intestinal obstruction and pneumonia and also shorten the post-operation hospital stay (P < 0.05). However, there was no significant difference in the operation time (P > 0.05).Conclusion:Compared with open resection group, the total effect of laparoscopy combined with gastroscopy positioning group in the treatment of gastric stromal tumours is better. Laparoscopy combined with gastroscopy positioning group for the gastric stromal tumours is acceptable.

Analysis of the surgical treatment of the patients operated on by using laparoscopic and classic splenectomy due to benign disorders of the spleen.

Laparoscopic splenectomy became the standard surgical procedure in the 1990s. The goal of this study was to analyze the outcome of the patients who underwent laparoscopic splenectomy for the benign hematologic diseases of the spleen and compare its results with open splenectomy. The study was conducted as a retrospective cohort study analyzing and comparing the data obtained from 196 patients' case records in the Clinic for Digestive Surgery, Clinical Center of Serbia, for the benign disorders of the spleen, divided into two groups: patients operated with laparoscopic technique and patients in whom classic splenectomy was performed. The analyzed parameters were divided into three groups as preoperative, intraoperative and postoperative. In the laparoscopic splenectomy group, less intraoperative blood loss, lower incidental intraoperative complications and a shorter duration of surgery were recorded. The incidence of postoperative complications and reoperations was higher in the group of classically operated patients. Postoperative recovery, expressed by the duration of postoperative abdominal drainage, recovery of intestinal peristalsis and length of postoperative hospitalization, was significantly shorter in the laparoscopic group. Laparoscopic splenectomy is an effective and safe surgical procedure in the treatment of many benign diseases of the spleen. Improvement of the laparoscopic technique of surgical teams and technical improvement of the laparoscopic equipment can lead to even wider application of laparoscopic splenectomy as standard operative procedure, and thus to safer and better quality treatment of patients with wider spectrum diseases of the spleen.

Comparation of laparoscopic splenectomy for regional portal hypertension using the anterior versus the posterolateral approach

Objective To study the anterior versus the posterolateral approach for laparoscopic splenectomy for patients with chronic pancreatitis-induced regional portal hypertension (PRPH). Methods The retrospective cohort study was carried out on 62 patients who underwent laparoscopic splenectomy for PRPH at the People's Hospital of Zhengzhou University from Jan 2010 to Jun 2016. The patients were divided into 2 groups: the anterior approach group and the posterolateral approach group, and to compare the differences. Results The operation time, amounts of intraoperative non-splenic blood loss, duration of recovery of intestinal peristalsis, duration of drainage, and duration of postoperative hospital stay were (135.0±12.8) min vs (126.0±13.1) min, (323.7±50.9) ml vs (245.1±35.0) ml, (25.5±2.5) h vs (23.5±3.3) h, (5.7±1.0) d vs (3.2±1.3) d and (9.3±1.5) d vs (7.3±1.2) d in the anterior approach laparoscopic splenectomy group versus the posterolateral approach laparoscopic splenectomy group. These differences were significantly different (all P<0.05). On follow-up of the 62 patients, improvements in the varicose veins of the lower esophagus and fundus of stomach at 3 month postoperatively were observed. All these patients recovered well from surgery. Conclusion The posterolateral approach laparoscopic splenectomy approach significantly improved the treatment results in patients with chronic pancreatitis-induced regional portal hypertension. Key words: Portal hypertension, regional; Laparoscopic splenectomy; Posterolateral approach; Chronic pancreatitis

LAPAROSCOPIC ACCESS IN THE TREATMENT OF ADHESIVE INTESTINAL OBSTRUCTION

OBJECTIVE. Improvement of surgical treatment of patients with adhesive intestinal obstruction. MATERIAL AND METHODS. This article shows the analyzing results of surgical treatment of 73 patients with adhesive intestinal obstruction. The main group consisted of patients with adhesive intestinal obstruction; adhesiolysis was performed for them laparoscopically. The comparison group included patients who underwent laparotomy. RESULTS. Conversions to laparotomy were not noted in the main group. There is no significant difference in the number of complications in the compared groups. In the main group, the duration of the operative intervention was significantly less, the level of postoperative pain was lower, the recovery of intestinal peristalsis was faster, the hospital stay was shorter (p<0.05). CONCLUSION. Laparoscopic access in comparison with laparotomy for patients with adhesive intestinal obstruction has several advantages, and can be used in this category of patients.

Application of rapid rehabilitation process under multidisciplinary collaboration mode in gynecologic malignancies patients

Objective To discuss the application effects of rapid rehabilitation process under multidisciplinary collaboration mode in gynecologic malignancies patients. Methods A number of 50 gynecologic malignancies patients hospitalized in our hospital from January to December 2015 were assigned as control group and received perioperative routine care. Another 50 gynecologic malignancies patients hospitalized between January and December 2016 were assigned as experimental group and received rapid rehabilitation process under multidisciplinary collaboration mode. The stress response, intestinal peristaltic recovery time, hospitalization time, complications and serum albumin changes of patients were compared between the two groups. Results At 1 h before surgery and 8 h after surgery, heart rate (HR) , systolic blood pressure (SBP) , SAS score of patients in the experimental group were lower than the control group, with statistically significant differences between two groups (P<0.05) . At 2 d and 7 d after surgery, the serum albumin level of patients in the experimental group was higher than the control group. Intestinal peristalsis recovery time and hospital time of patients in the experimental group were significantly shorter than those in the control group (P<0.05) . After the surgery, the incidence of complications of patients in the experimental group was lower than the control group. There were statistically significant difference between two groups (P<0.05) . Conclusions Rapid rehabilitation process under multidisciplinary collaboration mode can effectively alleviate the stress response of gynecological malignant tumor patients, improve the nutritional status of the body, promote postoperative recovery and reduce the incidence of complications, and is worthy of further clinical promotion. Key words: Neoplasms; Gynecology; Multidisciplinary collaboration mode; Rapid rehabilitation process

Systematic review of curative effect between laparoscopic and open repair for perforated gastroduodenal ulcer

Background and Objectives: The effectiveness and safety of laparoscopic operation for perforated gastroduodenal ulcer remains controversial. To provide the evidence of rational operations for both doctors and patients by systematically reviewing the curative effect of laparoscopic and open repair for perforated gastroduodenal ulcer. Methods: The Randomized Controlled Trials (RCTs) about the curative effect of laparoscopic surgery and open repair for perforated gastroduodenal ulcer were electronically searched from the Cochrane Library, PubMed, China National Knowledge Infrastructure (CNKI), International Statistical Institute (ISI). The standard of literature enrolment and exclusion was made, according to which the literatures were selected. Jadad scale was used to evaluate the chosen study. Data were extracted from these trials and data meta-analysis was performed by RevMan 5.2 software. Results: Thirteen RCTs involving one thousand and eighteen patients were included (505 patients in the laparoscopic repair group and 513 patients in the open repair group). Meta-analysis showed that compared with conventional open repair group, laparoscopic repair group could reduce the intraoperative blood (P<0.00001)the postoperative time of recovery of intestinal peristalsis (P<0.00001), the off-bed time (P<0.00001), the use of analgesia after operation (P=0.0002), the chance of wound infection after operation (P<0.00001), the ileus after operation (P=0.02), the postoperation hospital stay (P<0.00001). But there was no statistically significant difference in the other curative effect between the two groups, including the operation time (P=0.49), pneumonia after operation (P=0.68), the abdominal abscess after operation (P=0.07), death after operation (P=0.20), the total expense of hospital (P=0.21). Conclusion: The overall curative effect of laparoscopic repair group in the treatment of perforated gastroduodenal ulcer is better than that of conventional open repair group. Laparoscopic repair for perforated gastroduodenal ulcer is an acceptable alternative.

Application effects of shen que acupoint cupping in postoperative gastrointestinal dysfunction of patients with thoracolumbar tuberculosis

Objective The clinical effects of shen que acupoint cupping in the treatment of postoperative gastrointestinal dysfunction in patients with thoracolumbar tuberculosis, and provide scientific references for the promotion of traditional Chinese medicine (TCM) nursing in clinical practice. Methods Totally 60 patients with thoracolumbar tuberculosis undergoing anterior debridement, posterior internal fixation and self-bone graft were divided into the observation group and the control group, 30 cases respectively. Patients in the control group received the routine treatment, while patients in the observation group received additional shen que acupoint cupping at 6 hours post operation. After the operation, the intestinal peristalsis recovery time, the first exhaust time, the first defecation time and number of indwelling feeding tubes were compared between two groups. Results The time for the recovery of intestinal peristalsis, exhaust and defecation in the observation group were (30.93±8.37) h, (80.10±6.44) h and (24.33±5.51) h, which were significantly shorter than the time in the control group (t=15.396, 9.688, 8.079; P<0.05) . There were four persons with indwelling gastric tubes in the control group, while there was no indwelling gastric tube in the observation group. Conclusions Shen que acupoint cupping can effectively improve the recovery of gastrointestinal dysfunction in postoperative patients with thoracolumbar tuberculosis and is worthy for promotion in clinical practice. Key words: Thoracolumbar tuberculosis; Shen que acupoint; Cupping; Gastrointestinal dysfunction

Observation on the effect of the acupuncture point massage to improve the intestinal peristalsis recovery of patients with colorectal cancer radical surgery

Objective To explore the effect of the acupuncture point massage on the intestinal peristalsis recovery of patients with colorectal cancer radical surgery. Methods A total of 80 cases of patients with colorectal cancer radical surgery were randomly divided into observation group and control group.The control group was given routine nursing care, while the observation group was given the acupuncture point massage on zusanli, shangjuxu and hegu alternately 6 hours after operation on the basis of conventional nursing care.The intestinal peristalsis recovery of patients of the two groups were compared. Results The differences in terms of the situation of intestinal peristalsis, anal exhaust time defecation time for the first time, postoperative condition of defecation and reliance on drugs between the two groups was statistically significant (P<0.05). Conclusions Acupoint massage can obviously reduce the recovery time of intestinal function of patients with colorectal cancer radical surgery after operation, and meanwhile the operation is simple, so it is worthy of clinical popularization and application. Key words: Acupuncture point massage; Colorectal cancer; Intestinal peristalsis recovery

Effect of elevated intra-abdominal pressure on acute gastrointestinal injury in laparoscopic colorectal surgery: a prospective study

Effect of elevated intra-abdominal pressure on acute gastrointestinal injury in laparoscopic colorectal surgery: a prospective study

The special features of perioperative period in patients after antireflux surgery

The aim of this work was the study of the special features of intraoperative and early postoperative period course in patients with gastroesophageal reflux disease after antireflux surgery carried out from laparoscopic and traditional laparotomy approach. Materials and methods. There were analyzed the results of examination and surgical treatment of 136 patients with gastroesophageal reflux disease treated at SI A.A. Shalimov “National Institute of surgery and transplantology” NAMSU from 2005 to 2015 year. The main group included 93 patients who underwent laparoscopic surgery, the control one – 43 patients who underwent surgery by traditional open method. There was carried out monitoring of the main parameters of vital functions every three hours after surgery, recovery terms of intestine peristaltic activity, pain syndrome intensity, analyzed the dynamics of changes of the typical GERD complaints, its intensity, the development of early postoperative complications. The results of research. Duration of laparoscopic surgeries did not differ from the open ones but intraoperative hemorrhage and prolonged artificial pulmonary ventilation, postoperative patient day were less than in the control group. At the same time the main parameters of the organism vital functions (systolic and diastolic arterial pressure, respiration rate, heart rate, oxygen blood saturation) were better in patients of the main group. In the group of patients operated by laparascopic approach intensity and duration of pain syndrome were less than in patients operated by open approach and also was noticed an early activation and recovery of intestinal peristalsis in these patients. Conclusions. Both laparoscopic and open approaches at antireflux surgeries in early postoperative period are effective. The received data testifies to the less traumatism, less duration of recovery period at videoendoscopic surgeries that by-turn decreases the risk of postoperative complications development, reduces the necessity of medicaments prescription. Laparoscopic surgeries are the method of choice at the surgical treatment of patients with GERD

Microscopically Assisted versus Standard Laparotomy L5–S1 Circumferential Fusion

Introduction Microscopically assisted retroperitoneal laparotomy is a minimally invasive modification of a standard approach for anterior lumbar interbody fusion (ALIF). In this study, we compare the peri- and immediate postoperative results of standard versus microscopically assisted L5–S1 interbody fusion. Patients and Methods A total of 20 patients with low back pain because of the degenerative disc disease and/or spondylolisthesis were included in the study. Overall, 10 patients were submitted to a single-stage microscopically assisted left-retroperitoneal interbody fusion and 10 patients were submitted to a single-stage standard left-retroperitoneal interbody fusion. All patients were instrumented posteriorly with screw and rod system. Data were collected for vascular and visceral injuries, blood loss, operating time, walk-out-of-bed time, peristalsis recovery, and initial 48 hours pain levels. Results Significant differences were found for vascular lesion and blood loss between the two groups with the standard laparotomy group being on the worse side. Furthermore, patients subjected to a microscopically assisted approach showed a more rapid recovery of intestinal peristalsis, a reduced walk-out-of-bed time, and a lower intensity of perceived pain in the first 48 hours after the surgery. Conclusion The results of this study indicate the minimally invasive approach for ALIF as an equally efficient but much safer approach as compared with the standard laparotomy approach. Reduction of complications and a shorter in-hospital stay contribute on lowering the costs of the treatment making it not only clinically, but also economically more suitable surgical choice.

TGF-β1, Ghrelin, Neurexin, and Neuroligin are Predictive Biomarkers for Postoperative Prognosis of Laparoscopic Surgery in Children with Hirschsprung Disease

The study was set to analyze the predictive values of transforming growth factor β1 (TGF-β1), Ghrelin, Neurexin, and Neuroligin protein expression on postoperative prognosis of laparoscopic surgery in children with Hirschsprung disease. 281 cases of children with Hirschsprung disease, admitted into Guangdong Women and Children Hospital and Guangzhou women and children's medical center from March 2009 to March 2014, were treated with laparoscopic radical surgery for Hirschsprung disease. They were divided into the good and the poor prognosis groups according to their recuperation and complications. Protein expressions of TGF-β1, Ghrelin, Neurexin, and Neuroligin were prospectively analyzed. The correlations between the expressions of these proteins and the prognosis were analyzed. There were 129 cases of children with poor prognosis, accounting for 45.9 %. There were no significant differences in the expressions of TGF-β1 mRNA and proteins within the group in both the groups (p > 0.05). TGF-β1 mRNA and protein expressions of the poor prognosis group were significantly higher than those of the good prognosis group in each segment of intestine (p < 0.05). Protein detection results manifested that Ghrelin protein expression gradually increased along narrow segment, transitional segment, and expansion segment in both groups. Ghrelin protein expression of the poor prognosis group was significantly lower than that of the good prognosis group in each segment of intestine (p < 0.05). There were significant differences in the protein expressions of Neurexin and Neuroligin within the group. The protein expressions of Neurexin and Neuroligin in expansion segment were the highest. Neurexin and Neuroligin protein expressions of the poor prognosis group were significantly lower than those of the good prognosis group in each segment of intestine (p < 0.05). Increasing expression of TGF-β1 protein, decreasing expressions of Ghrelin, Neurexin, and Neuroligin proteins can induce the loss or dysfunction of ganglion cells in distal intestinal canal, which is closely correlated with the occurrences of adverse prognosis, such as increased intestinal peristalsis recovery time, increased complication rate etc., in children. It has a high value for predicting prognosis of children patients with Hirschsprung disease after surgical intervention.

Observation of ropivacaine combined morphine or fentangl for controlled epidural analgesic on intestinal peristalsis

Objective To investigate the effects of patient controlled epidural analgesic(PCEA) used ropivacaine and different analgesic drugs on recovery of postoperative intestinal peristalsis.Methods 105 patients of abdominal surgery undergoing selection operating,ASA Ⅰ,Ⅱ grade.Every section was randomly divided into three groups according to the content of drugs.Morphine group:0.125％ ropivacaine + 0.005％ morphine + 0.005％ droperidol.Fentanyl group:0.125％ ropivacaine +0.0005％ fentanyl +0.005％ droperidol.Control group is not used PCEA.All patients were taken PCEA for 36 hours.The pain scores of visual analog scale ( VAS),sedative scores of Ramsay scale,respiratory and hemodynamic paremeters,and side effects were recorded at 4,8,12,24,36 hours postoperatively.The time of the recovery of intestinal peristalsis was also recorded.Results Good analgesic effect could be found in morphine group and fentanyl group,the VAS grades were significantly lower in morphine group and fentanyl group than that in control group( P ＜ 0.01 ).The time of the recovery of intestinal peristalsis was shorter in fentanyl group than that in morphine group and control group respectively ( P ＜ 0.05 ).Conclusion Compound solution with low concentration of ropivacaine and morphine or fentanyl can be used for postoperative analgesia,and ropivacaine combined with fentanvl can shorten the time of the recovery of intestinal peristalsis. Key words: Gastrointestinal motility; Morphine; fentanyl; Ropivacaine