饮食调剂结合康复锻炼对急腹症手术患者术后康复的影响  

Effect of Dietary Adjustment Combined with Rehabilitation Exercise on Postoperative Rehabilitation of Patients with Acute Abdomen Surgery

作　　者：潘晓玲 陈芳[1] 阳光[1] 宋向晖[1] 陈炜[1] PAN Xiaoling;CHEN Fang;YANG Guang;SONG Xianghui;CHEN Wei(The Twelfth People’s Hospital of Guangzhou City,Guangzhou 510620,China)

机构地区：[1]广州市第十二人民医院

出　　处：《中外医学研究》2019年第34期165-167,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广东省医学科学技术研究基金项目（项目编号：WSTJJ20140610430105198106043011）

摘　　要：目的:观察饮食调剂结合康复锻炼对急腹症手术患者术后康复的影响。方法:选取2018年1月-2019年5月广州市第十二人民医院接诊的172例急腹症需行手术治疗的患者作为研究对象,采用随机数字表法分为两组,对照组86例给予术后常规营养支持,观察组86例给予饮食调剂联合康复锻炼。比较两组术后排气时间、排便时间、进食普食时间、切口愈合时间、住院时间,以及术后恶心、呕吐、腹胀等胃肠道症状发生率。结果:观察组术后排气时间、排便时间、进食普食时间、切口愈合时间均早于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05)。观察组术后胃肠道症状发生率为34.88%,明显低于对照组的60.47%,差异有统计学意义(P<0.05)。结论:饮食调剂和康复锻炼可加速急腹症患者术后康复,降低术后并发症,缩短住院时间,优化临床结局。Objective:To observe the effect of dietary adjustment combined with rehabilitation exercise on postoperative rehabilitation of patients with acute abdomen surgery.Method:A total of 172 patients with acute abdomen who needed to undergo surgery in the Twelfth People’s Hospital of Guangzhou City from January 2018 to May 2019 were selected as subjects.Random number table method was used to divide patients into two groups,86 patients in the control group received routine nutritional support after surgery,and 86 patients in the observation group received dietary adjustment combined with rehabilitation exercises.Postoperative exhaust time,defecation time,feeding time,incision healing time,hospitalization time,and incidences of postoperative nausea,vomiting,abdominal distension and other gastrointestinal symptoms were compared between the two groups.Result:The postoperative exhaust time,defecation time,feeding time,incision healing time in the observation group were earlier than those of the control group,and hospitalization time was shorter than that of the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative gastrointestinal symptoms in the observation group was 34.88%,which was significantly lower than 60.47%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Dietary adjustment combined with rehabilitation exercises can accelerate postoperative rehabilitation of patients with acute abdomen,reduce postoperative complications,shorten hospitalization time,and optimize clinical outcomes.

关 键 词：饮食调剂 康复锻炼 急腹症 手术 康复 影响 

分 类 号：R47[医药卫生—护理学]