嚼口香糖联合穴位按摩对腹部术后胃肠功能恢复的影响  

The effect of chewing gum combined with acupressure on the recovery of gastrointestinal function after abdominal surgery

作　　者：王梅[1] 陈永惠[1] 朱文俊[1] WANG Mei;CHEN Yong-hui;ZHU Wen-jun(The First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui)

机构地区：[1]安徽医科大学第一附属医院急诊医学科,安徽合肥230022

出　　处：《安徽卫生职业技术学院学报》2020年第5期135-137,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨嚼口香糖联合穴位按摩对腹部术后胃肠道功能恢复的影响,为促进腹部术后患者胃肠道功能恢复提供理论依据。方法:随机将82例行腹部手术患者分成对照组和观察组,对照组患者术后接受常规治疗及护理;观察组患者在对照组基础上,术后6 h开始指导患者嚼口香糖,并予足三里及合谷穴位按摩,至肛门第1次排气。比较两组患者术后肠鸣音恢复时间、肛门首次排气、排便时间及住院天数,以及两组患者进食不耐受,发生腹胀、呕吐、肠梗阻的情况。结果:和对照组相比,观察组患者术后肠鸣音恢复时间及肛门首次排气、排便时间均提前,住院时间缩短,观察组患者进食不耐受,术后腹胀、呕吐的发生率较对照组低,差异有统计学意义(P<0.05)。结论:咀嚼口香糖联合穴位按摩,对腹部术后患者胃肠道功能恢复有促进作用,能降低患者术后腹胀、呕吐的发生率,且能缩短患者住院日。Objective:To study the effect of chewing gum combined with acupressure on the recovery of gastrointestinal function after abdominal surgery,and to provide a theoretical basis for promoting the recovery of gastrointestinal function after abdominal surgery.Methods:Eighty-two patients undergoing abdominal surgery were randomly divided into a control group and an observation group.The patients in the control group received routine treatment and care after the operation.The patients in the observation group started to instruct the patients to chew gum at 6 hours after the operation and received Massage on Zusanli and Hegu acupoint on the basis of the control group until the first time of anal exhaust.The recovery time of postoperative bowel sounds,the time of first anal exhaustion,defecation and hospitalization days were compared between the two groups of patients.And two groups of patients'eating intolerance,bloating,vomiting,and intestinal obstruction were also observed.Results:Compared with the control group,the recovery time of postoperative bowel sounds in the observation group and the time of first anal exhaustion and bowel movement were earlier,and the hospitalization time was shortened.Patients'eating intolerance,bloating,vomiting,and intestinal obstruction was lower than that in the control group and the difference was statistically significant(P<0.05).Conclusion:Chewing gum combined with acupressure can promote the recovery of gastrointestinal function in patients after abdominal surgery.It can reduce the incidence of postoperative abdominal distension and vomiting,and shorten the patient's hospital stay.

关 键 词：嚼口香糖 穴位按摩 腹部手术 胃肠道功能 

分 类 号：R473[医药卫生—护理学]