(Jing Chaowen of healthy times reporter / graph) cannot return to normal tardy after the operation exhaust, take food? Feel sorry, this is probable it is bowel " go on strike " .
Recently, cure of assistant dean of Beijing friendship hospital, China learns surgical credit to meet vice director committee member Professor Zhang Zhongtao take the lead, the bowel after be aimed at defer sex art is paralytic (PPOI) the whole world that last a period of time studies 3 years to finish clinical research releases much center of first big sample book as a result, undertook study deep in the round to the occurence rate of Chinese patient PPOI and influencing factor first, can help clinical doctor understand not only and adopt integrated, significant interpose step to reduce the happening of PPOI, more the rehabilitation after hopeful allows method is carried fast.
14% , zhang Zhongtao group first PPOI " Chinese data " fill whole world is blank
To most patient, care most after abdominal surgery when can you have a meal? And return to normal the premise that take food is gastric bowel restores to wriggle. But " want abdominal surgery to enter celiac lay a finger on to be in charge of to bowel only, what can have the alvine function of period of time is abate, namely bowel is paralytic " , professor Zhang Zhongtao explains popularly.
The 3 ～ after the operation below normal circumstance appear inside 5 days bowel cries, exhaust, return to normal gradually eat a mark to wear the refreshment of function of gastric bowel line. PPOI is function of gastric bowel line was not in expect time inside " go back to work " unusual position. The reason that causes PPOI is very much, celiac infection, electrolyte is disorder and the by no means an isolated case such as alvine path oedema.
2007, the United States overcomes Li Fulan college of medicine to take the lead did more than 100 little sample book to investigate, bound of medicine be consideringed as is paying close attention to PPOI respect to try the one half step that the gender strides first. Professor Zhang Zhongtao points out, although foreign attention is earlier, but old since, open to question to the definition of PPOI, understanding is inadequate on international, diagnose without the standard, do not have the precaution that puts forward a specific aim and remedial method more.
Reach its to make clear PPOI occurence rate relevant influencing factor, formulate PPOI diagnoses a standard, try to find out the real intention the PPOI circumstance big data that accords with Chinese national condition, begin from August 2016, by Zhang Zhongtao the professor takes the lead, the whole world that 22 research centers of associated whole nation participate in first big sample book, before case of illness of look up sex registers clinical research project to start, the data that logs onto more than 2000 patient 3 years through last a period of time undertakes statistic is analysed, made clear Chinese abdomen to open occurence rate of operation patient PPOI for 14.13% . At the same time first degrees will " after art 5 days " did not restore alvine function definition to be defer sex bowel place of paralytic diagnose time.
1.5 billion, the United States is annual and additional pay cure of a huge sum to protect should go on strike to bowel
Closely related quality of the rehabilitation after PPOI and art. Professor of silent of surgery poplar Yin expresses general of hospital of one of project group experts, Beijing University. "The patient that produces PPOI has the unwell symptom such as defecate of exhaust of abdominal distension, bellyacke, disgusting, vomiting, defer normally, serious person can cause a series of complication. Serious person can cause a series of complication..
"Clinical on 3 months after the art of the most serious a patient that encounter cannot restore to take food. Be overwhelmed with sorrow. " director of surgery of courage of pancreas of hospital of long sea of project group expert, Shanghai Professor Jin Gang thinks, once produce PPOI, patient body and mind suffers tremendous anguish besides, can bring about rehabilitation time to lengthen more, medical treatment cost raises.
"The United States has specific data, cure of American whole nation protects a system to pay 1.5 billion U.S. dollor every year to be used at the premium that PPOI fetchs more, " Jin Gang expresses. Consider this to also confirm, the patient photograph that restores normally with function of bowel of the stomach after the operation is compared, expenses of number of day of the complication after the patient art that produces PPOI, be in hospital, medical treatment rises apparently.
Accordingly, very important to the inchoate precaution of PPOI and interpose of as soon as possible. General of hospital of friendship of member of project group expert, Beijing professor of bare of surgical Yang Ying thinks, this research achievement gives furnace to conduce to clinical the ideal change that answers PPOI to await active intervention from passivity. And second research is here medium, try to use the medicaments that fights phlogistic detumescence to reduce the oedema of alvine wall first, will promote the refreshment of gastric bowel function, confirm it is better to obtain the effect.
65 years old, the male and big cut operation are easier " bowel goes on strike "
Study through big sample book clinical observation makes clear the critical factor that partial PPOI produces this, length of cut of age of for example patient, operation and fight interpose of phlogistic detumescence medicaments to have great concern with the happening of PPOI.
The patient PPOI occurence rate of more than 65 one full year of life is 1.5 times of 65 years old of the following patients. Operation cut grows 1cm, PPOI happening odds promotes one times. In addition, "Male occurence rate slightly tall, applied opium kind the happening of demulcent medicaments odds increases apparently, quantity of the fluid infusion in art hind and art is excessive lopsided also be main inducement. "Jin Gang teachs complement.
Consider to also discover, inchoate application fights interpose of phlogistic detumescence medicaments to be able to reduce the happening of PPOI after art, art hind is inchoate use occurence rate of PPOI of patient of natrium of glucoside of 7 leaves black apparent under other patient.
Up to now, it is mechanism, dangerous that the whole world still has no so large-scale much center to be born around the hair of PPOI sex of the look up before the element, big sample book that answers strategy to wait is clinical research, this our country scholar takes the lead finished clinical research fill this is blank.
Professor Zhang Zhongtao expresses, the data that had him Chinese through should studying measure of the occurence rate to PPOI, influencing factor, interpose. Next the group studies union domestic and internationally to achievement establishs PPOI consensus or guideline, the issuance that adopts consensus or guideline, unscramble and make one's rounds is told, let more doctors deepen the understanding to PPOI and understanding, quicken the rehabilitation after patient operation, reduce the burden of patient, family and society.
