腹舒贴用于腹部胃肠手术患者术后护理的效果  

Effect of Fushu plaster on the postoperative nursing in the patients with abdominal gastrointestinal surgery

作　　者：王鸿涛[1] 张洁[1] 

机构地区：[1]解放军总医院南楼临床部肾内科,北京100853

出　　处：《中华现代护理杂志》2014年第28期3644-3646,共3页Chinese Journal of Modern Nursing

摘　　要：目的：评价腹舒贴外敷对腹部胃肠手术患者术后疼痛护理的价值及促进胃肠功能恢复的效果。方法选取2012年1月-2013年10月住院手术的胃肠肿瘤患者104例，按照随机数字表法分为观察组和对照组，每组52例。观察组给予腹舒贴外敷足三里及足底，对照组外敷普通敷贴，比较两组患者术后首次排气时间、排便时间，采用视觉模拟评分法（ VAS）比较两组患者术后疼痛的差异。结果观察组患者VAS疼痛评分术后12 h为（3．65±1．00）分，术后24 h为（3．02±0．62）分，术后48 h为（2．23±0．41）分，均低于对照组（4．11±0．79），（3．43±0．77），（3．08±0．70）分，差异有统计学意义（t值分别为2.59，2．99，7．55；P＜0．05）。观察组患者术后首次排气时间为（35．2±4．67）h，对照组为（36．9±3．89）h，差异有统计学意义（t ＝2．017，P＜0．05）；观察组患者术后首次排便时间为（40．7±5．32） h，对照组为（41．4±3．89）h，差异无统计学意义（t＝0．765，P＞0．05）。结论腹舒贴外敷足三里及足底对于胃肠手术患者术后镇痛和促进胃肠功能恢复有较好的效果，使用方便，值得临床推广。Objective To evaluate the nursing value of Fushu plaster in the postoperative pain nursing of the patients with abdominal gastrointestinal surgery and the effect of promoting the gastrointestinal functional recovery.Methods One hundred and four patients with abdominal gastrointestinal surgery from January 2012 and October 2013 were chosen and divided into the control group and the observation group according to the random number table , each with 52 cases.The control group received the ordinary plaster , and the observation group received the Fushu plaster at the Zusanli and foot .The time of exhaust and defecation for the first time , and the postoperative pain evaluated by the visual analogue scale （ VAS） were compared between two groups . Results The scores of VAS 12 h, 24 h 48 h after the operation were respectively （3.65 ±1.00）,（3.02 ± 0.62）,（2.23 ±0.41） in the observation group, and were lower than those of the control group with （4.11 ± 0.79）,（3.43 ±0.77）,（ 3.08 ±0.70）, and the differences were statistically significant （t=2.59,2.99, 7.55, respectively;P〈0.05）.The time of exhaust for the first time was （35.2 ±4.67） h in the observation group, and was （36.9 ±3.89 ） h in the control group , and the difference was statistically significant （ t =2.017,P〈0.05）.The time of defecation for the first time was （40.7 ±5.32） h in the observation group, and was （41.4 ±3.89） h in the control group, and the difference was not statistically significant （t=0.765,P〉0.05 ） .Conclusions Application of Fushu plaster at the Zusanli and foot can improve the postoperative analgesia and promote gastrointestinal functional recovery , and is very convenient to use , and is worthy of clinical promotion .

关 键 词：胃肠手术 腹舒贴 术后护理 镇痛 胃肠功能 

分 类 号：R473.6[医药卫生—护理学]