腹部按摩护理联合穴位注射应用于心脏术后腹胀患者中的效果观察  

Effect observation of abdominal massage nursing combined with acupoint injection in patients with abdominal distension after cardiac surgery

作　　者：肖保娟[1] 何星星[1] 涂发妹[1] XIAO Baojuan;HE Xingxing;TU Famei(Gaoxin Hospital of the First Affiliated Hospital of Nanchang University,Nanchang 330096,China)

机构地区：[1]南昌大学第一附属医院高新医院,江西省南昌市330096

出　　处：《护理实践与研究》2022年第8期1219-1222,共4页Nursing Practice and Research

基　　金：江西省卫生计生委科技计划项目(编号:20185169)。

摘　　要：目的 探讨腹部按摩联合足三里穴位推注甲硫酸新斯的明注射液改善心脏术后患者腹胀的应用效果。方法 选取2018年4月—2021年4月南昌市某三级甲等医院总院行心脏手术并发腹胀的患者259例,按照组间基本特征均衡可比的原则分为观察组(129例)和对照组(130例)。对照组实施足三里穴位推注甲硫酸新斯的明注射液并采用传统护理方法,观察组在对照组基础上进行腹部按摩。观察两组术后肛门首次排气时间、首次排便时间、肠蠕动恢复和腹胀消失时间。结果 观察组术后肛门首次排气时间、肛门首次排便时间、肠蠕动恢复时间、腹胀缓解时间均短于对照组,组间比较差异有统计学意义(P<0.05)。结论 腹部按摩联合足三里穴位推注甲硫酸新斯的明注射液能有效缓解心脏术后患者腹胀症状,且操作简便、安全可靠。Objective To explore the application effect of abdominal massage combined with Zusanli acupoint injection of neostigmine methylsulfate in improving abdominal distension in patients after cardiac surgery.Methods A total of 259 patients with abdominal distension who underwent cardiac surgery in the general hospital of a third-class hospital in Nanchang from April 2018 to April 2021 were selected and divided into an observation group(129 cases) and a control group(130 cases) according to the principle of balance and comparability of basic characteristics between groups.The control group received neostigmine methylsulfate injection and traditional nursing methods at Zusanli acupoint,while the observation group received abdominal massage on the basis of the control group.The time of the first anal exhaust,the time of the first defecation,the recovery of intestinal peristalsis and the disappearance of abdominal distension in the two groups were observed.Results The postoperative first anal exhaust time,first defecation time,recovery time of intestinal peristalsis and the abdominal distension relief time in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The application of abdominal massage combined with Zusanli acupoint bolus injection of neostigmine methylsulfate can effectively relieve the symptoms of abdominal distension in patients after cardiac surgery,and the operation was simple,safe and reliable.

关 键 词：腹部按摩 足三里 穴位注射 甲硫酸新斯的明注射液 心脏术后 腹胀 

分 类 号：R472[医药卫生—护理学]