穴位按摩对腹部手术患者术后胃肠功能恢复的影响
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R248.3

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Effect of Point Massage on Recovery of Postoperative Gastrointestinal Function of Patients After Abdominal Surgery
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    摘要:

    目的:观察中医穴位按摩对腹部手术患者术后胃肠功能恢复的影响。方法:将80 例需行腹部手术的患者随机分为观察组与对照组各40 例。对照组术后予以常规照护模式,观察组在对照组基础上自术后6 h起加以穴位按摩,直至肛门首次排气为止。比较2 组手术前后胃肠激素水平、术后肠鸣音恢复时间、首次肛门排气时间、首次排便时间、腹胀发生率、腹胀缓解时间、恢复正常饮食时间、住院天数及术后视觉模拟评分法(VAS) 评分。结果:与同组术前比较,2 组术后胃动素(MTL)、P 物质(SP) 水平均升高(P<0.05),生长抑素(SS) 水平均降低(P<0.05);与对照组术后比较,观察组术后MTL、SP 水平均较高(P<0.05),SS水平较低(P<0.05)。观察组术后肠鸣音恢复时间、首次肛门排气时间及排便时间、腹胀缓解时间、恢复正常饮食时间及住院天数均明显短于对照组(P<0.05),腹胀发生率低于对照组(P<0.05)。2 组术后6 h VAS 评分比较,差异无统计学意义(P>0.05),观察组术后12 h、24 h、48 h VAS 评分均低于对照组(P<0.05)。结论:穴位按摩可有效改善腹部手术患者术后胃肠道功能,减轻疼痛不适感,促进康复。

    Abstract:

    Abstract: Objective: To observe the effect of point massage on the recovery of postoperative gastrointestinal function of patients after abdominal surgery. Methods:A total of 80 cases of patients who needed to undergo abdominal surgery were randomly divided into the observation group and the control group,with 40 cases in each group. The control group was given routine nursing after the surgery,and the observation group was additionally treated with point massage from the sixth hour after the surgery to the first anal exhaust. The levels of gastrointestinal hormones before and after surgery, the recovery time of postoperative bowel sounds, the first anal exhaust time, the first defecation time, the incidence of abdominal distention,the remission time of abdominal distention,the time to return to normal diet,the length of hospital stay and the scores of postoperative Visual Analogue Scale(VAS) were compared between the two groups. Results: After surgery, the levels of motilin(MTL) and substance P(SP) were increased when compared with those before surgery(P<0.05), and somatostatin(SS) levels were decreased(P< 0.05). Levels of postoperative MTL and SP in the observation group were higher than those in the control group(P<0.05),and SS level was lower(P<0.05). The recovery time of postoperative bowel sounds,the first anal exhaust time,the first defecation time,the remission time of abdominal distention,the time to return to normal diet,and the length of hospital stay in the observation group were significantly shorter than those in the control group(P<0.05),and the incidence of abdominal distention was lower(P<0.05). There was no significant difference being found in the comparison of VAS scores at the sixth hour after surgery between the two groups(P>0.05),and VAS scores at the 12th,24th,and 48th hour after surgery in the observation group were lower than those in the control group(P<0.05). Conclusion: Point massage can effectively improve postoperative gastrointestinal function of patients after abdominal surgery,relieve their pain and discomforts,and promote rehabilitation.

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张志凤,夏馨圆.穴位按摩对腹部手术患者术后胃肠功能恢复的影响[J].新中医,2022,54(15):183-187

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  • 在线发布日期: 2022-08-04
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