Speakers - WNSC 2024

Abstract

Objective: To evaluate the effect of Tetradium ruticarpum hot compress on the recovery of gastrointestinal function in patients with neobladder in situ ileum. 

Methodologies: A randomized controlled trial study was conducted, and 46 patients who underwent ileal orthotopic neobladder surgery at the Urology Department of Yunnan Cancer Hospital from July 2021 to December 2022 were included as research subjects. The random number table method was used to divide the patients into an experimental group of 23 cases and a control group of 23 points. The control group was given a simple hot compress based on routine care, and the experimental group was given an Evodia Fructus hot compress based on routine care—the baseline data of the two groups. The two groups of patients were compared between the first postoperative flatus time, defecation time, bowel sound recovery time, abdominal distension, incidence or degree of intestinal obstruction, and overall efficacy score of gastrointestinal function recovery.

Outcome Statistical analysis of the demographic data and disease and surgery-related data of the two groups of patients showed no significant difference (P>0.05). The first postoperative flatus time of patients in the experimental group (50.74±7.18) hours was significantly earlier than that in the control group (68.91±7.19) hours, and the difference was statistically significant (t=8.57, P<0.001). The time it took for the patients in the experimental group to return to normal postoperative bowel sounds was (19.04±1.94) hours, which was shorter than the control group's (20.48±2.54) hours. The difference was statistically significant (t=2.15, P<0.05). The first postoperative defecation time of the patients in the experimental group was (54.74±6.43) hours, which was significantly earlier than that in the control group (70.70±6.37) hours, and the difference was statistically significant (t=8.46, P<0.001). The number of patients in the experimental group who experienced postoperative abdominal distension was less than that in the control group, and the degree of abdominal distension was lighter than that in the control group. The difference was statistically significant (Z=-2.62, P<0.05). There was 1 case of intestinal obstruction after surgery in the control group, but no intestinal obstruction occurred in the experimental group. There was no significant difference in the number of cases of intestinal obstruction after surgery between the two groups, and the difference was not statistically significant (P>0.99). The overall efficacy scores of gastrointestinal function recovery in the experimental group were higher than those in the control group at 24h, 48h, 72h, and 96h after surgery, and the difference was statistically significant (P<0.05).

Conclusion: Tetradium ruticarpum hot compress can promote the early recovery of gastrointestinal function in patients after ileal orthotopic neobladder surgery, and the operation is simple, safe, economical, and convenient, and has certain application and promotion value in clinical practice.