生姜热敷脐部缓解青少年特发性脊柱侧弯术后腹胀的效果  

Effect of Postoperative Distension Ease Use the Umbilicus Therapy of Ginger Thermal Diffusion for Adolescent Idiopathic Scoliosis

作　　者：许鑫[1] 施晓君[1] 胡晓晔[1] 胡三莲[2] 陈博昌[1] 

机构地区：[1]上海交通大学附属第六人民医院小儿骨科,上海200233 [2]上海交通大学附属第六人民医院护理部

出　　处：《解放军护理杂志》2015年第8期21-23,27,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：上海交通大学附属第六人民医院特色专业建设项目(2010yh106)

摘　　要：目的观察生姜热敷脐部缓解青少年特发性脊柱侧弯术后腹胀的临床效果。方法便利选取2011年8月至2013年5月在上海交通大学附属第六人民医院小儿骨科行脊柱侧弯矫形术的患儿78例,采用区组随机化法分为两组。生姜组(40例)术后用生姜切成碎末填充脐部,局部固定后用热水袋热敷其上30min,并配合腹部按摩;足三里组(38例)术后按摩双侧足三里穴位2次/d,并配合腹部按摩。比较两组患儿的腹胀发生率、腹胀程度、首次排气时间、肠蠕动恢复时间及术后6h首次进食时排气情况。结果两组患儿在术后96h内出现不同程度的腹胀,且发生率随着时间的进展而呈现不同变化,生姜组腹胀发生率显著低于足三里组(P<0.001);生姜组各时间点腹胀程度评分均低于足三里组(P<0.01),肠蠕动恢复时间及肛门排气时间早于足三里组(P<0.05);术后6h首次进食时两组已排气患儿比例的差异无统计学意义(P=0.571)。结论脊柱侧弯术后患者腹胀发生率高、发生时间早,生姜热敷脐部对改善青少年特发性脊柱侧弯术后腹胀症状的效果优于足三里穴位按摩。Objective To observe the clinical curative effect of postoperative distension ease use the umbilicus therapy of ginger thermal diffusion for adolescent idiopathic scoliosis.Methods By convenience sampling,78 cases of patients were randomly divided into two groups.The ginger group（n = 40）cut ginger into bits and filled in umbilicus after operation,apply 30 min use hot water bagafter fixation with abdominal massage.The zusanli group in 38 cases,bilateral zusanli acupoint massage after operation 2 times a day with abdominal massage.The incidence of abdominal distension,level of abdominal distension,first exhausting time,recovering time of enterokinesia and the exhausting time after first food intake in 6 hours after surgery were compared between two groups.Results Two groups showed different level of abdominal distension in 96 hours after surgery,and the incidence rate was different at each time points.The incidence of abdominal distension in giger group was significantly lower than zu-sanli group（P 〈0.001）.The level of abdominal distension in ginger group was lower than zusanli group（P 〈0.01）, The recovering time of enterokinesia and the exhausting time in ginger group were ahead in zusanli group（P 〈0.05）.There was no statistical significance between exhausting time after first food intake in 6 hours after surgery between two groups（P =0.571）.Conclusion The incidence rate of abdominal distension after scoliosis surgery is high,in early time.The effect umbilicus therapy of ginger thermal diffusion is better than zusanli massage.

关 键 词：生姜 热渗 青少年 脊柱侧弯 腹胀 

分 类 号：R681.5[医药卫生—骨科学]