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Zhishi Xiaopi pill on perioperative orthopedic treatment of elderly patients with constipation efficacy

Anesthesia, without gastrointestinal tract disease, postoperative bed rest, ambulation prohibited. 2 traditional Chinese medicine treatment 2.1 Zhishi Xiaopi Pill: vent fan leaves 12g,[link widoczny dla zalogowanych], Magnolia Sunburn 12g, citrus aurantium 15g, ginger 6g, Zhi Gan Cao 6g, malt 10g, Divine Comedy, 15g, Poria 1Og, Bai Zhu 6g, Ban Xia 9g, Ginseng 12g, Coptis 6g, 2 times with water to cook, 2 liquid condensed combined is about 150ml, morning and evening hours service, a / d. 1 were observed daily and recorded the clinical symptoms of tongue, pulse and adverse reactions. Addition and subtraction rather than ① qi, chest and abdomen swelling swelling of the liver can be Zhuojia wood, betel nuts, in order to increase qi addition to inflation,[link widoczny dla zalogowanych], dredge the power of catharsis; ② in the heat syndrome, plus rhubarb (post below) to strengthen the In addition to full catharsis Xiere; ③ blood stasis and qi stagnation, Tianjin desperately dry, plus a large hemp seed, peach seed, angelica to enhance blood circulation laxative. 2.2 nursing diet nursing: Well eat high-calorie, high protein, high fiber, vitamins and more slowly as possible eating the food every time, to avoid rapid swallowing, swallowing more air and cause gastrointestinal bloating; after each days of regular bowel movements; Regulating Emotions: the timely knowledge of the patient's psychological state before and after surgery to patients to explain the precautions to eliminate the fear of surgery and psychological injury. 3 Results The reduction in the number of patients according to bowel movement, there is no regularity, stool dry and hard, often accompanied by 115 of constipation, and no self-3d after defecation. The Pill Zhishi Daozhi after treatment, only 1 case of constipation, while patients will be required enema intended to help purge the other constipation, abdominal distension in patients after taking the 1 ~ 5d abdominal swelling of the liver within the abdominal swelling eliminated stool. 4 fractures constipation has been a discussion of ancient physicians attached great importance to the clinical problem. Postoperative constipation is a worry to many elderly patients in bed to recover a normal life with the disease is one big problem, therefore, how to solve the perioperative period in elderly patients, the disease's early resumption of the important role that can not be ignored. Through clinical observation, orthopedic perioperative elderly patients with major causes of constipation: ① trauma, the initial cause of disease or surgery, the patient is a different degree of injury, serious bodily injury to any part of, the gas stagnation blood stasis, qi deficiency, gastrointestinal motility and absorption will be inhibited; ② bedridden elderly patients after orthopedic lack of activity, blood is bad, the spirit gradually consumption, weakening of activity in bowel movements; ③ injury of the gas along the spleen and stomach damage, reduced sodium food, too little food and water consumption of crude fiber, not pay attention to protein and fiber, vitamin supplement; ④ neglect will be Italy, bed and defecation in some patients worry about more, try to control the bowel, causing dry stool; ⑤ psychological factors, bowel movement is done by reflex, anxiety, fear, despair and other psychological factors can cause constipation. Bedridden patients and disease due to environmental changes caused by the sympathetic nervous excitement, bowel movements slow down, the formation of constipation. When the body subjected to external force elderly patients, broken bones after a tendon injury, blood stasis, qi or blood deficiency Du blocked,[link widoczny dla zalogowanych], yin and yang imbalance, leading to internal organs and caused no constipation, bowel disadvantage in terms of distance between extended . Although the main reason for injury caused stagnation of qi and blood, but also, and in patients with diet, physical fitness, injury, location, and pain are closely linked, it must be carried out in the treatment of syndrome differentiation. Through the past, the treatment of elderly patients on orthopedic observation,[link widoczny dla zalogowanych], with the license to plus or minus Zhishi Xiaopi pill, can promote bowel movements, regulate gastrointestinal function and postoperative functional recovery in favor,[link widoczny dla zalogowanych], while the vigor of the body recovery, conditioning with blood important role. Author: 33OOO3 Fourth Affiliated Hospital of Nanchang University (state Jun); Jiangxi Traditional Chinese Medicine

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