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[Study on effect of spine surgery on gastric function and its efficacy of relevant treatments]
1First Affiliated Hospital, Medical College, Zhejiang University, Hangzhou (310003).
Objective:
To study the effect of spine surgery (SpS) on gastric function and the efficacy of relevant treatments.
Methods:
Sixty patients in the spine surgery group, 20 patients in the extremity surgery (ES) group and 20 healthy subjects in the control group were observed. Electrogastrography (EGG) was used to observe gastroelectric activity before and after operation. Twenty patients among the SpS group were examined with barium meal under actinoscopy to observe the gastric peristaltic waves before and after operation. The SpS group was randomly subdivided into 3 groups, and treated by Xiangsha Yangwei pill (XSYW), moxibustion and motilium respectively. At the same time, the EGG of various groups was observed and the change of preoperative and postoperative EGG were compared.
Results:
The gastroelectric rhythm of SpS group was remarkably abnormal, both frequency and amplitude of EGG were significantly different from the other two groups (P < 0.05, P < 0.01). The gastric peristaltic waves were reduced, and the emptying time was obviously prolonged. EGG was significantly improved after either of the three treatments statistically (P < 0.05), the effect of XSYW was the best, but in comparing with the other two, the difference was not significant (P > 0.05).
Conclusion:
SpS could change the gastroelectric rhythm to cause the gastric functional disorder and induce gastroparesis, EGG can get satisfactory results in the diagnosis of these illnesses. XSYW, moxibustion and motilium all have significant effects on the gastric function after SpS.