热小茴香按摩腹部联合腧穴刺激在术后腹胀患者中的应用效果  

Effect of abdominal massage with hot fennel and acupoint stimulation on patients with post-operative abdominal distention

作　　者：雷鉴琪[1] 彭珊珊[2] 刘真君[1] 向明芳[1] 

机构地区：[1]四川省第二人民医院ICU,成都610041 [2]四川省第二人民医院护理部,成都610041

出　　处：《中华现代护理杂志》2012年第21期2584-2586,共3页Chinese Journal of Modern Nursing

摘　　要：目的观察热小茴香按摩腹部联合腧穴刺激在术后腹胀患者中的应用效果。方法采用随机数字表法将215例行胸腹部肿瘤手术后发生腹胀的患者分为A、B、C三组，A组行常规护理，B组采用小茴香热敷腹部，C组采用热小茴香按摩腹部联合腧穴刺激，观察记录三组患者肠鸣音出现的时间、肛门排气时间及腹胀明显改善的时间。结果A、B、C三组首次肠鸣音恢复时间分别为（39．67±5．92），（35．46±4．26），（32．53±6．24）h，首次肛门排气时间分别为（53．22±4．38），（49．56±3．57），（43．21±3．85）h，腹胀明显改善时间分别为（96．6±10．91），（95．4±7．15），（71．2±8．18）h，三组比较差异有统计学意义（F分别为5．886，4．768，10．414；P〈0．05）。结论热小茴香按摩腹部联合腧穴刺激方法简单，操作方便，能使患者首次肠呜音出现时间和首次肛门排气时间明显提前，腹胀明显改善。Objective To observe the effect of abdominal massage with hot fennel and acupoint stimulation on relieving abdominal distention of patients after abdominal operation. Methods A total of 215 cancer patients with postoperative abdominal distention were selected and randomly divided into three groups. Group A received the routine nursing care, Group B received the abdominal massage with hot fennel, and GroupC received abdominal massage with hot fennel and acupoint stimulation. Then observed and recorded the time of first bowel sound, time of first flatus and time of abdominal distention improved of all groups. Results The time of first bowel sound of Group A, Group B and Group C respectively were （39.67 ± 5.92 ）, （ 35.46 ± 4.26）, （32.53±6.24）hours, time of first flatus of the three groups respectively were （53.22 ±4.38 ）, （49.56 ±3.57）, （43.21± 3.85 ）hours, time of abdominal distention improved of the three groups respectively were （96.6 ± 10.91 ）, （95.4 ± 7.15 ）, （71.2 ± 8. 18 ）hours, and the differences between the three groups were statistically significant （ F = 5. 886,4.768,10.414, respectively; P 〈 0.05 ）. Conclusions Abdominal massage with hot fennel and acupoint stimulation is a simple method, it＇ s easy to operate and it can promote bowel movement with no side-effect and significantly improve the abdominal distention of patients after abdominal operation.

关 键 词：小茴香 按摩 腹部 肠胃胀气 腧穴 

分 类 号：R248[医药卫生—中医临床基础]