芒硝袋外敷脐周联合足三里按摩对腹腔镜肝叶切除术患者术后胃肠道功能的影响
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摘要
目的探讨芒硝袋外敷脐周联合足三里按摩对腹腔镜肝叶切除术患者术后胃肠道功能恢复的效果。方法按随机数字表法将90例行腹腔镜肝叶切除术患者随机分成观察组,对照组1,对照组2,各30例。观察组予芒硝袋外敷脐周联合足三里按摩。对照组1予单纯足三里按摩。对照组2予单纯芒硝袋外敷脐周。观察比较3组患者术后肠鸣音恢复时间、术后首次肛门排气时间、首次排便时间。结果 3组腹腔镜肝叶切除术患者术后肠鸣音恢复时间、术后首次肛门排气时间、首次排便时间比较,差异均有统计学意义(P<0.001)。两两比较结果显示:观察组腹腔镜肝叶切除术患者术后肠鸣音恢复时间均低于对照组1和对照组2(P<0.001);观察组腹腔镜肝叶切除术患者术后首次肛门排气时间均低于对照组1和对照组2(P<0.01);观察组腹腔镜肝叶切除术患者术后首次排便时间均低于对照组1和对照组2(P<0.001);结论芒硝袋外敷脐周联合足三里按摩能有效促进腹腔镜肝叶切除术患者术后胃肠功能的恢复,比单一应用芒硝外敷或单一应用足三里按摩疗效更佳。
Objective To investigate the effect of external application of Glauber's salt of umbilical cord combined with point massage of Zusanli on postoperative gastrointestinal function recovery in patients undergoing laparoscopic hepatectomy. Methods Ninety patients undergoing laparoscopic hepatectomy were randomly divided into observation group, control group 1 and control group2, with 30 cases in each group. The observation group received external application of Glauber 's salt of umbilical cord and point massage of Zusanli. Control group 1 was given only point massage of Zusanli and control group 2 only the external application of Glauber's salt. The recovery time of postoperative bowel sounds, the first anal exhaust time and the first defecation time were compared between the three groups. Results The recovery time of postoperative bowel sounds, the first anal exhaust time and the first defecation time in the 3 groups were statistically significant(P<0.001). The results of the intergroup comparison showed that the recovery time of postoperative bowel sounds(P<0.001), the first anal exhaust time(P<0.01) and the first defecation time in the observation group were earlier than that in control group 1 and 2(P<0.001). Conclusion External application of Glauber's salt of umbilical cord combined with point massage of Zusanli can effectively promote the recovery of postoperative gastrointestinal function in patients undergoing laparoscopic hepatectomy.
Objective To investigate the effect of external application of Glauber's salt of umbilical cord combined with point massage of Zusanli on postoperative gastrointestinal function recovery in patients undergoing laparoscopic hepatectomy. Methods Ninety patients undergoing laparoscopic hepatectomy were randomly divided into observation group, control group 1 and control group2, with 30 cases in each group. The observation group received external application of Glauber 's salt of umbilical cord and point massage of Zusanli. Control group 1 was given only point massage of Zusanli and control group 2 only the external application of Glauber's salt. The recovery time of postoperative bowel sounds, the first anal exhaust time and the first defecation time were compared between the three groups. Results The recovery time of postoperative bowel sounds, the first anal exhaust time and the first defecation time in the 3 groups were statistically significant(P<0.001). The results of the intergroup comparison showed that the recovery time of postoperative bowel sounds(P<0.001), the first anal exhaust time(P<0.01) and the first defecation time in the observation group were earlier than that in control group 1 and 2(P<0.001). Conclusion External application of Glauber's salt of umbilical cord combined with point massage of Zusanli can effectively promote the recovery of postoperative gastrointestinal function in patients undergoing laparoscopic hepatectomy.
引文
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[12]于智勇,孙少电,姜照春.芒硝外敷联合穴位按摩对腹部手术患者术后胃肠功能及治疗效果的影响[J].世界最新医学信息文摘,2017,17(33):51-52.
[13]何国珍,杨敬博,毛会芬,等.足三里按摩对腹腔镜胆囊切除术后胃肠功能恢复的临床观察[J].光明中医,2013,28(11):2336-2337.DOI:10.3969/j.issn.1003-8914.2013.11.058.
[14]李萍,张彬,张建芳,等.足三里应用医用术后贴促进腹部手术后胃肠功能恢复疗效观察[J].河北医药,2011,33(12):1913-1914.
[2]孙龙,李菊云,段培蓓.等.不同时间点耳穴贴压对胃癌患者术后胃肠功能恢复的作用[J].中华护理杂志,2015,50(7):844-847.DOI:10.3761/j.issn.0254-1769.2015.07.016.
[3]张彩霞,朱劲松.中医外治法在腹部术后患者胃肠功能恢复中的运用[J].中医研究,2015,28(1):71-73.DOI:10.3969/j.issn.1001-6910.2015.01.34.
[4]黄华勇,李莉,李德钢.等.恒温足底隔姜灸对胃肠外科腹腔镜术后胃肠功能的影响[J].护理学报,2017,24(6):52-54.DOI:10.16460/j.issn1008-9969.2017.06.052.
[5]廖春容.吴茱萸贴敷内关及足三里穴对人工半髋关节置换术后老年患者胃肠功能的影响[J].护理学报,2016,23(11):64-65.DOI:10.16460/j.issn1008-9969.2016.11.064.
[6]郭清华,郑明岚,何广莲.等.子午流注二子散腹部热熨对妇科开腹术后患者胃肠功能的影响[J].护理学报,2017,24(20):51-53.DOI:10.16460/j.issn1008-9969.2017.20.051.
[7]刘怡素,李佳.芒硝袋外敷联合足三里刺激对肝门阻断患者术后胃肠道功能影响的应用现状[J].海南医学,2017,28(11):1814-1816.DOI:10.3969/j.issn.1003-6350.2017.11.031.
[8]中华中医药学会.中医护理常规技术操作规程[S].北京:中国中医药出版社,ZYYXH/T1.1-1.18-2006.
[9]张翠芳.芒硝外敷腹部配合综合治疗腹部手术患者腹胀临床观察及干预[J].中华中医药学刊,2013,31(4):958-960.DOI:10.13193/j.archtcm.2013.04.256.zhangcf.079.
[10]方怡,叶静,黎贵湘.芒硝外敷腹部治疗重症急性胰腺炎疼痛及腹腔积液的疗效观察[J].华西医学,2015,30(3):510-511.DOI:10.7507/1002-0179.20150145.
[11]徐艳,管丽芳,汤艳秋.大黄及芒硝外敷神阙穴对腹腔镜术后胃肠功能恢复的影响[J].实用中医药杂志,2015,31(9):852.DOI:10.3969/j.issn.1004-2814.2015.09.054.
[12]于智勇,孙少电,姜照春.芒硝外敷联合穴位按摩对腹部手术患者术后胃肠功能及治疗效果的影响[J].世界最新医学信息文摘,2017,17(33):51-52.
[13]何国珍,杨敬博,毛会芬,等.足三里按摩对腹腔镜胆囊切除术后胃肠功能恢复的临床观察[J].光明中医,2013,28(11):2336-2337.DOI:10.3969/j.issn.1003-8914.2013.11.058.
[14]李萍,张彬,张建芳,等.足三里应用医用术后贴促进腹部手术后胃肠功能恢复疗效观察[J].河北医药,2011,33(12):1913-1914.