The Study on the Improvement of Spleen and Stomach Function After Surgery for Elderly Patients with Hip Fracture by MDT Mode Combined with Meridian Flow Timing Moxibustion
SONG Tingting
ZANG Xuejing
LI Jing
GU Meirong
Abstract：Objective To explore the effect of multidisciplinary team,(MDT)combined with meridian-based timed moxibustion on improving gastrointestinal function in elderly patients after hip fracture surgery.Methods 80 elderly patients with hip fracture who underwent surgical treatment in the Third Affiliated Hospital of Henan University of Traditional Chinese Medicine from May 2022 to May 2024 were selected as the research object.They were randomly divided into observation group and control group,with 40 cases in each group.The patients in the control group received routine management under MDT mode,while the patients in the observation group received additional intervention measures of moxibustion at the right time based on MDT management mode.The intervention period of the two groups was 4 weeks.The indexes of intestinal function recovery,gastrointestinal hormone level,spleen and stomach weakness syndrome score,constipation severity and incidence of adverse reactions were compared on the day after operation and after the whole intervention period.Results After the whole intervention cycle,the recovery indexes of gastrointestinal function,such as the recovery of bowel sounds,the first exhaust and the first defecation time,were significantly better in the observation group than in the control group(P＜0.05).The incidence of constipation in the observation group was lower than that in the control group(P＜0.05).At the same time,the level of gastrointestinal hormones in the observation group was more significant than that in the control group.In terms of the improvement of the total score of spleen and stomach weakness syndrome,the clinical symptom score of constipation(CCS)and the Bristol Stool Form Scale(BSFS),the observation group was better than the control group(P＜0.05).In terms of safety,the incidence of adverse reactions in the observation group was significantly lower than that in the control group(P＜0.05).Conclusion The intervention plan of MDT mode combined with meridian flow injection timing moxibustion can significantly promote the recovery of gastrointestinal function in elderly patients with hip fractures after surgery,and effectively improve spleen and stomach weakness and postoperative constipation problems,with good safety.This plan has high promotion and application value.
Keywords：geriatric hip fracturesMDT modelmeridian-based chronotherapymoxibustiondigestive functionpostoperative constipation
Publication Date：2025-10-30
Online Publishing Date：2025-11-20(First online date of this platform, not the publication date of the document)
Pages：6( 98-103 )