Traditional Chinese medicine hot compress bag for perioperative period nursing

Abstract

The invention discloses a traditional Chinese medicine hot compress bag for nursing in the perioperative period. The traditional Chinese medicine hot compress bag comprises the following traditional Chinese medicine components by weight: 120-180g of fructus evodiae, 120-180g of semen raphani, 120-180g of fructus aurantii, 120-180g of cortex magnoliae officinalis and 120-180g of fructus foeniculi. By using the traditional Chinese medicine hot compress bag for perioperative nursing, postoperative hypothermia under general anesthesia can be effectively prevented and treated, the occurrence rate of postoperative shivering is reduced, postoperative pain is relieved, the postoperative comfort of a patient is improved, and postoperative recovery of the patient is promoted.

Description

Technical Field

[0001] The invention relates to a traditional Chinese medicine hot pack, in particular to a traditional Chinese medicine hot pack used for perioperative nursing. Background Art

[0002] Postoperative hypothermia under general anesthesia is a common postoperative complication with an incidence rate between 50% and 90%. Hypothermia is usually defined as a core body temperature below 36°C, which increases the risk of adverse events during and after surgery, such as intraoperative bleeding, surgical site infection, chills, pain, changes in anesthetic drug efficacy, and prolonged postoperative recovery time.

[0003] The occurrence of hypothermia is related to many factors, including long operation time, type and time of anesthesia, ambient temperature, and physical characteristics of the patient (such as age, BMI, etc.). Studies have shown that laparoscopic surgery should theoretically reduce the incidence of hypothermia due to its minimal invasiveness and shorter operation time, but in actual operation, laparoscopic surgery patients still face a significant risk of hypothermia.

[0004] Hypothermia not only increases intraoperative blood loss, but also prolongs hospital stay, increases hospital costs, and significantly reduces the patient's postoperative comfort. Studies have found that intraoperative hypothermia can lead to increased postoperative chills and pain, and prolonged patient recovery time. Hypothermia is also associated with an increased risk of postoperative infection, especially surgical site infection, which will further prolong the patient's recovery time and increase medical costs.

[0005] Based on this, in order to prevent and manage intraoperative hypothermia, a variety of measures are adopted clinically, including: short-term preheating in the anesthesia preparation room before surgery; using heating pads, heating blankets and other equipment to maintain the patient's body temperature during surgery; warming the infusion of fluids and blood products to reduce the drop in body temperature caused by the infusion of cold fluids.

[0006] However, the existing measures require multiple measures to be coordinated and the effects are relatively general. How to more effectively prevent and treat postoperative hypothermia under general anesthesia, reduce the incidence of postoperative chills, relieve postoperative pain, improve postoperative comfort of patients, and promote postoperative recovery of patients has become a technical problem that needs to be solved urgently. Summary of the invention

[0007] The purpose of the present invention is to provide a traditional Chinese medicine hot pack for perioperative care, which can effectively prevent and treat postoperative hypothermia under general anesthesia, reduce the incidence of postoperative chills, alleviate postoperative pain, improve the patient's postoperative comfort, and promote the patient's postoperative recovery through traditional Chinese medicine hot ironing therapy.

[0008] To achieve the above object, the present invention adopts the following technical solutions:

[0009] A traditional Chinese medicine hot pack for perioperative care comprises the following traditional Chinese medicine components by weight: 120-180 grams of Evodia rutaecarpa, 120-180 grams of Radish Seed, 120-180 grams of Citrus aurantium, 120-180 grams of Magnolia officinalis, and 120-180 grams of Fennel.

[0010] Preferably, the following Chinese medicinal components are included by weight: 130-170 grams of Evodia rutaecarpa, 130-170 grams of Radish Seed, 130-170 grams of Citrus aurantium, 130-170 grams of Magnolia officinalis, and 130-170 grams of Cuminum foeniculum.

[0011] Preferably, the following Chinese medicinal components are included by weight: 140-160 grams of Evodia rutaecarpa, 140-160 grams of Radish Seed, 140-160 grams of Citrus aurantium, 140-160 grams of Magnolia officinalis, and 140-160 grams of Cuminum foeniculum.

[0012] Preferably, the following Chinese medicinal components are included by weight: 150 grams of Evodia rutaecarpa, 150 grams of Radish Seed, 150 grams of Citrus aurantium, 150 grams of Magnolia officinalis, and 150 grams of Cuminum foeniculum.

[0013] Preferably, it also includes a hot pack, and the Chinese medicine components are placed in the hot pack, wherein the Chinese medicine components are prepared according to the following steps:

[0014] 5.1 The Evodia rutaecarpa, Radish Seed, Fructus Aurantii Immaturus, Magnolia Officinalis, and Fennel are uniformly mixed to obtain a mixed Chinese medicine;

[0015] 5.2 Put the mixed Chinese medicine in step 5.1 into the hot bag through the bag opening of the hot bag, and then sew and seal the bag opening of the hot bag to obtain the Chinese medicine hot bag;

[0016] 5.3 Before use, place the Chinese medicine hot pack in step 5.2 into a constant temperature box, heat to 65-75°C and maintain for 40-50 minutes before taking it out for use.

[0017] Preferably, in step 5.3, the Chinese medicine hot pack is heated to 70° C. in a constant temperature box and maintained for 45 minutes before being taken out for use.

[0018] Preferably, two ends of the top of the hot pack are provided with straps for tying around the patient's neck during use.

[0019] The beneficial effects of the present invention are as follows:

[0020] The Chinese medicinal ingredients of the Chinese medicinal hot ironing bag of the present invention include evodia rutaecarpa, radish seeds, aurantium, magnolia bark and fennel, wherein evodia rutaecarpa (main drug) has the functions of warming the meridians and dispelling cold, relieving pain and stopping vomiting, and is the main ingredient in the hot ironing bag; radish seeds (minor drug) assists evodia rutaecarpa, regulates qi and relieves fullness, dispels wind and cold, and enhances the effects of warming the meridians and dispelling cold; aurantium bark (adjuvant drug) unblocks meridians and relieves pain, warms the middle and dispels cold, and assists the main drug to exert better therapeutic effects; magnolia bark (helper drug) harmonizes various drugs, digests food and resolves accumulation, descends qi and resolves phlegm, and ensures the balance of medicinal properties; fennel (helper drug) assists other ingredients and enhances the effects of warming the meridians and dispelling cold, regulating qi and relieving pain. The above-mentioned Chinese medicines are combined to achieve the effects of warming the meridians and dispelling cold, promoting blood circulation and promoting qi, removing blood stasis and reducing swelling, dispelling cold and relieving pain, and the medicinal properties can be effectively transmitted to the meridians and blood vessels by hot ironing, and the medicinal properties can be transmitted to the meridians and blood vessels through the body surface pores by heat, thereby exerting its therapeutic effect, and acting on acupoints (such as Dazhui point, Jianjing point, and Tanzhong point) after heating, which can effectively increase the patient's body temperature, reduce the occurrence of hypothermia and its related complications, thereby exerting its therapeutic effect, aiming to utilize its synergistic effect to achieve significant results, rather than just a simple superposition of drug effects.

[0021] In summary, the use of the Chinese medicine hot pack of the present invention can effectively prevent and treat postoperative hypothermia under general anesthesia, reduce the incidence of postoperative hypothermia, and reduce postoperative complications related to hypothermia, such as chills, pain, surgical site infection and postoperative bleeding; among them, the present invention improves the patient's postoperative comfort, improves the patient's satisfaction with postoperative care, reduces the occurrence of complications related to hypothermia, shortens the hospital stay and reduces the hospitalization cost, thereby reducing the overall medical cost, and through the effective temperature management and Chinese medicine hot ironing therapy achieved by the present invention, promotes the patient's rapid recovery after surgery and reduces the postoperative recovery period. DETAILED DESCRIPTION

[0022] The technical solutions in the embodiments of the present invention are described clearly and completely below. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of them. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0023] The invention discloses a traditional Chinese medicine hot pack for perioperative care, which comprises the following traditional Chinese medicine components by weight: 120-180 grams of Evodia rutaecarpa, 120-180 grams of Radish Seed, 120-180 grams of Citrus aurantium, 120-180 grams of Magnolia officinalis, and 120-180 grams of Fennel.

[0024] Preferably, the following Chinese medicinal components are included by weight: 130-170 grams of Evodia rutaecarpa, 130-170 grams of Radish Seed, 130-170 grams of Citrus aurantium, 130-170 grams of Magnolia officinalis, and 130-170 grams of Cuminum foeniculum.

[0025] Preferably, the following Chinese medicinal components are included by weight: 140-160 grams of Evodia rutaecarpa, 140-160 grams of Radish Seed, 140-160 grams of Citrus aurantium, 140-160 grams of Magnolia officinalis, and 140-160 grams of Cuminum foeniculum.

[0026] Preferably, the following Chinese medicinal components are included by weight: 150 grams of Evodia rutaecarpa, 150 grams of Radish Seed, 150 grams of Citrus aurantium, 150 grams of Magnolia officinalis, and 150 grams of Cuminum foeniculum.

[0027] Preferably, it also includes a hot pack, and the Chinese medicine components are placed in the hot pack, wherein the Chinese medicine components are prepared according to the following steps: 5.1 The Evodia rutaecarpa, Radish Seed, Citrus aurantium, Magnolia officinalis, and Fennel are first mixed evenly to obtain a mixed Chinese medicine; 5.2 The mixed Chinese medicine in step 5.1 is loaded into the hot pack from the bag opening of the hot pack, and then the bag opening of the hot pack is sealed by sewing to obtain a Chinese medicine hot pack; 5.3 Before use, the Chinese medicine hot pack of step 5.2 is placed in a thermostat, heated to 65-75°C and maintained for 40-50 minutes before being taken out for use. Preferably, in step 5.3, the Chinese medicine hot pack is heated to 70°C in the thermostat and maintained for 45 minutes before being taken out for use.

[0028] Preferably, the two ends of the top of the hot pack are provided with ties for tying around the patient's neck when in use. The hot pack itself and the ties provided on the hot pack belong to the prior art and will not be described in detail here.

[0029] The method of using the Chinese medicine hot ironing bag for perioperative care of the present invention is as follows: after the patient returns to the ward after surgery, immediately use the Chinese medicine hot ironing bag described in step 5.2 that has been prepared in advance, first put the hot ironing bag containing Chinese medicine into a constant temperature box, heat it to the required temperature such as 75°C and maintain it for a period of time such as 45 minutes, then tie the Chinese medicine hot ironing bag to the patient's neck with a strap, place the chest part flat on the chest, and fix the foot part to the foot, use it for 45 minutes each time, 3 times a day, and continue to use it for 3 days.

[0030] In addition, in order to ensure the synergistic effect of each component and achieve better results, constant temperature use can be considered, and pretreatment processes such as soaking and boiling can be introduced during the preparation process to further improve the release rate and absorption rate of the active ingredients of the drug. This is a prior art and will not be elaborated here.

[0031] Examples:

[0032] Clinical studies have shown that the Chinese medicine hot pack for perioperative care of the present invention has a significant effect in preventing postoperative hypothermia. Through comparative studies, it was found that the postoperative body temperature of patients using the Chinese medicine hot pack for perioperative care of the present invention was significantly higher than that of the control group, and the incidence of postoperative chills and pain was significantly reduced. These research results support that the Chinese medicine hot pack for perioperative care of the present invention is an effective and safe auxiliary means for preventing postoperative hypothermia, and has a high clinical application value.

[0033] The specific cases are as follows:

[0034] Case 1: Patient Li, 65 years old, used the Chinese medicine hot pack for perioperative care according to the method of use of the present invention after surgery. His body temperature was 36.1°C after 15 minutes of use, 36.3°C after 30 minutes, and 36.5°C after 45 minutes of use. The body temperature recovered quickly after surgery. The patient complained that his whole body warmed up, he was not so cold, and felt very warm and comfortable, the chills disappeared, and the pain was significantly relieved. He was discharged smoothly on the third day after surgery.

[0035] Case 2: Patient Zhang, 45 years old, had a body temperature dropped to 35.8°C after surgery. He used the traditional Chinese medicine hot pack for perioperative care according to the method of use of the present invention. The body temperature was 36.0°C after 15 minutes of use, 36.2°C after 30 minutes, and 36.5°C after 45 minutes of use. The postoperative chills disappeared, the pain score dropped from 7 points to 3 points, and the postoperative recovery was good.

[0036] Case 3: Patient Wang, 52 years old, had a high incidence of hypothermia after surgery. He used the traditional Chinese medicine hot ironing pack for perioperative care according to the method of use of the present invention. His body temperature was 36.1°C after 15 minutes of use, 36.3°C after 30 minutes, and stabilized at above 36.5°C after 45 minutes of use. He did not experience chills after surgery, and his pain score was low. The patient gave a high evaluation of the comfort of the hot ironing pack.

[0037] The experimental results show that after using the Chinese medicine hot pack for perioperative care according to the present invention, the postoperative body temperature of the observation group patients was significantly higher than that of the control group, specifically: the body temperature measured at 15 minutes, 30 minutes, 45 minutes and 60 minutes after the hot pack was significantly higher than that of the control group, and the difference was statistically significant (P < 0.05). The incidence of hypothermia in the observation group was significantly lower than that in the control group, especially at 15 minutes, 30 minutes and 45 minutes after the operation, the difference was statistically significant (P < 0.05), the incidence of chills in the observation group was significantly lower than that in the control group, the difference was statistically significant (P < 0.05), and the pain score of the observation group 6 hours after the operation was significantly lower than that of the control group after 45 minutes of using the hot pack, and the difference was statistically significant (P < 0.05).

[0038] The traditional Chinese medicine hot pack for perioperative care of the present invention can not only effectively prevent and treat postoperative hypothermia, but also relieve postoperative pain, improve the patient's postoperative comfort, and promote the patient's postoperative recovery, which is in line with the ERAS concept and has good clinical promotion and application value.

[0039] The experimental subjects were selected for research and comparison as follows:

[0040] A total of 488 patients who underwent laparoscopic surgery under general anesthesia in the Department of Urology of our hospital from September 2023 to November 2023 were selected and divided into a control group and an observation group according to the random number table method, with 244 cases in each group. All patients filled in the questionnaire star constitution analysis form before surgery and met the following inclusion criteria:

[0041] Age 20 to 85 years old

[0042] Body mass index (BMI) 17.5-27.5 kg / m 2

[0043] No major organ complications

[0044] Exclusion criteria:

[0045] Patients admitted to the intensive care unit (ICU) after surgery

[0046] Patients with cognitive and mental disorders who cannot express themselves correctly

[0047] Tuberculosis, inflammation and damage to the affected skin, ulcers on the neck and chest

[0048] Patients or their family members do not agree to participate in this study

[0049] Patients with a history of trauma, allergies, high fever, acute inflammation, and other heat syndromes are contraindicated

[0050] · Pregnant women should not use it on their abdomen and lumbar region

[0051] People who are not awake from anesthesia have lower sensitivity to perception

[0052] Experimental methods

[0053] The patients in the control group received conventional perioperative care, including postoperative humanistic care, psychological care, and medication care, and were treated with the traditional hot pack treatment in the prior art at the same time after surgery. In addition, the patients in the observation group were given the Chinese medicine hot pack for perioperative care of the present invention for insulation treatment immediately after returning to the ward after surgery on the basis of conventional perioperative care.

[0054] Observation indicators

[0055] The body temperature in the anesthesia recovery room was recorded. After returning to the ward, the body temperature was continuously monitored when using a hot pack and measured at least once every 15-30 minutes. A mercury thermometer was used to measure the axillary temperature of the two groups of patients immediately (0 minute) and at 15 minutes, 30 minutes, 45 minutes, and 60 minutes. It was recorded whether the patient had chills after the operation, and the record was made in time and corresponding treatment was given.

[0056] The visual analogue scale (VAS) was used to score the pain intensity of the patients 6 hours after surgery. The pain intensity was described from 0 to 10, with 0 being no pain and 10 being the most painful. Increasing numbers indicated increasing pain intensity.

[0057] The Newcastle Nursing Satisfaction Scale (NSNS) was used to evaluate nursing satisfaction, which has 19 items with a total score of 95 points, divided into dissatisfied, generally satisfied and satisfied. The higher the score, the higher the patient satisfaction.

[0058] Statistical methods

[0059] SPSS 25.0 was used for statistical analysis of the data. The differences in age, BMI, postoperative temperature changes, and pain scores between the groups were analyzed using two independent sample t tests; the incidence of postoperative hypothermia and shivering was compared between the groups using the chi-square test. P < 0.05 was considered statistically significant.

[0060] Experimental Results

[0061] There was no significant difference in body temperature between the two groups immediately after surgery (0 minutes) (P>0.05). 15 minutes, 30 minutes, 45 minutes and 60 minutes after using the hot pack, the body temperature of the observation group was significantly higher than that of the control group during the same period, and the difference was statistically significant (P<0.05).

[0062] There was no significant difference in the incidence of hypothermia between the two groups immediately (0 minutes) and 60 minutes after surgery (P>0.05). At 15 minutes, 30 minutes, 45 minutes and 60 minutes after surgery, the incidence of hypothermia in the observation group was significantly lower than that in the control group during the same period (P<0.05).

[0063] Comparison of postoperative chills and pain scores 6 hours after surgery: The chills incidence in the observation group was lower than that in the control group, and the pain scores were significantly lower than those in the control group, with statistically significant differences (P < 0.05).

[0064] in conclusion

[0065] By comparison, it can be known that the Chinese medicine hot pack for perioperative care of the present invention shows significant efficacy in preventing and treating hypothermia after laparoscopic surgery under general anesthesia in urology. Controlled experimental studies have shown that the Chinese medicine hot pack for perioperative care of the present invention can effectively increase the body temperature of postoperative patients, reduce the incidence of hypothermia, reduce the incidence of chills, alleviate postoperative pain, improve the patient's postoperative comfort, and promote postoperative recovery, and has a high clinical promotion value. The Chinese medicine hot pack for perioperative care of the present invention is an effective intervention method for preventing and treating postoperative hypothermia, and the method is simple and effective, and can be widely used in clinical practice. Combined with the favorable conditions of traditional Chinese medicine external treatment, the obstacle factors for the continued application of clinical hypothermia are changed, and the nursing strategy is easily applied to clinical practice, which is worthy of further promotion and application.

[0066] The above describes the preferred embodiments of the present invention. It should be understood that the present invention is not limited to the above-mentioned specific embodiments, and the devices and structures that are not described in detail should be understood to be implemented in a common manner in the art; any technician familiar with the art can use the above-disclosed methods and technical contents to make many possible changes and modifications to the technical solutions of the present invention without departing from the scope of the technical solutions of the present invention, or modify them into equivalent embodiments of equivalent changes, which does not affect the essential content of the present invention. Therefore, any simple modifications, equivalent changes and modifications made to the above embodiments based on the technical essence of the present invention without departing from the content of the technical solutions of the present invention are still within the scope of protection of the technical solutions of the present invention.

Claims

1. A Chinese medicine hot pack for perioperative care, characterized in that: The invention comprises the following Chinese medicinal ingredients by weight: 120-180 grams of Evodia rutaecarpa, 120-180 grams of Radish Seed, 120-180 grams of Citrus aurantium, 120-180 grams of Magnolia officinalis, and 120-180 grams of Fennel.

2. A Chinese medicine hot pack for perioperative care according to claim 1, characterized in that: The invention comprises the following Chinese medicinal ingredients by weight: 130-170 grams of Evodia rutaecarpa, 130-170 grams of Radish Seed, 130-170 grams of Citrus aurantium, 130-170 grams of Magnolia officinalis, and 130-170 grams of Cuminum foeniculum.

3. A Chinese medicine hot pack for perioperative care according to claim 2, characterized in that: The invention comprises the following Chinese medicinal ingredients by weight: 140-160 grams of Evodia rutaecarpa, 140-160 grams of Radish Seed, 140-160 grams of Citrus aurantium, 140-160 grams of Magnolia officinalis, and 140-160 grams of Cuminum foeniculum.

4. A Chinese medicine hot pack for perioperative care according to claim 3, characterized in that: The following Chinese medicinal ingredients are included by weight: 150 grams of Evodia rutaecarpa, 150 grams of Radish Seed, 150 grams of Citrus aurantium, 150 grams of Magnolia officinalis, and 150 grams of fennel.

5. The Chinese medicine hot pack for perioperative care according to any one of claims 1 to 4, characterized in that: The invention also comprises a hot pack, wherein the Chinese medicinal components are placed in the hot pack, wherein the Chinese medicinal components are prepared according to the following steps: 5.1 The Evodia rutaecarpa, Radish Seed, Fructus Aurantii Immaturus, Magnolia Officinalis, and Fennel are uniformly mixed to obtain a mixed Chinese medicine; 5.2 Put the mixed Chinese medicine in step 5.1 into the hot bag through the bag opening of the hot bag, and then sew and seal the bag opening of the hot bag to obtain the Chinese medicine hot bag; 5.3 Before use, place the Chinese medicine hot pack in step 5.2 into a constant temperature box, heat to 65-75°C and maintain for 40-50 minutes before taking it out for use.

6. The Chinese medicine hot pack for perioperative care according to claim 5: In step 5.3, the Chinese medicine hot pack is heated to 70° C. in a constant temperature box and maintained for 45 minutes before being taken out for use.

7. The Chinese medicine hot pack for perioperative care according to claim 5, characterized in that: The two ends of the top of the hot pack are provided with straps for being tied around the patient's neck when in use.