Evolution law of spleen and stomach Qi deficiency and Qi stagnation syndrome after laparoscopic radical resection of colorectal cancer
CHEN Qi-Cheng,JIANG Zhi,CAO Li-Xing
Center of TCM Applications of Perioperative, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
Abstract:
Objective To explore the evolution of spleen and stomach Qi deficiency and Qi stagnation syndrome in patients undergoing laparoscopic radical resection of colorectal cancer by analyzing their preoperative distribution of TCM constitution and postoperative TCM Syndrome elements. Methods 179 cases of laparoscopic radical resection of colorectal cancer admitted to the Gastrointestinal Surgery Department of Guangdong Provincial Hospital of Traditional Chinese Medicine from January 2015 to December 2018. Patients undergoing laparoscopic radical resection of colorectal cancer were included to establish a database of TCM syndrome elements for summarizing the high-frequency syndrome elements and evolution law. Results Preoperative distribution of TCM constitution: Before surgery, 87.7% of patients had a biased constitution, including 57 cases of deficiency syndrome (Qi deficiency, Yin deficiency, Yang deficiency), accounting for 31.8%, 100 cases of empirical syndrome (blood stasis, intrinsic quality, phlegm dampness, Qi stagnation, and damp heat), accounting for 55.9%, and 22 cases of peaceful quality, accounting for 12.3%. Postoperative symptom distribution: On the first day after surgery, the symptoms with a frequency exceeding 50% were: abnormal bowel sounds, no first bowel movement, mental fatigue, fatigue, no exhaust, lazy speech, abdominal distension, and shortness of breath.Starting from 4 days after surgery, there are no elements of spleen and stomach Qi deficiency and Qi stagnation syndrome with a frequency exceeding 50%. However, on the day of discharge, more than 10% of patients still exhibit deficiency symptoms such as fatigue, fatigue, shortness of breath, and lazy speech. The evolution law of postoperative TCM syndrome: On the first day after surgery, there were 151 cases of mixed syndrome of deficiency and excess that were consistent with spleen and stomach Qi deficiency and Qi stagnation syndrome, accounting for 84.4%. In addition, there were 16 cases of deficiency syndrome and 11 cases of excess syndrome, both accounting for less than 10%. On the day of discharge, 24.6% of patients still had a mixture of deficiency and excess, and 20.1% of patients had deficiency symptoms. Conclusion After laparoscopic radical resection of colorectal cancer, the main symptoms are spleen and stomach Qi deficiency and Qi stagnation, and patients with preoperative biased constitution are more likely to experience gastrointestinal dysfunction symptoms, such as delayed exhaust and defecation.
