摘要
目的:观察小茴香干热敷对腹部手术患者胃肠症状及肠功能恢复的影响。方法:选择在医院进行腹部手术患者120例,随机分为常规组和热敷组各60例,其中常规组采用术后常规护理方法,热敷组在常规组基础上加用小茴香热敷。观察两组术后胃肠症状发生情况,在术后24h及48胃肠症状发生情况及术后肠功能恢复时间;在治疗前、治疗24h及48h后采用Christensen疲劳量表进行疲劳评分;对两组患者临床疗效进行评价,并计算总有效率,在治疗结束后发放护理满意度量表;对两组患者采用护理满意度问卷调查表对护理满意度进行评价,计算总满意率。结果:在术后24h,热敷组恶心呕吐、腹胀、腹痛,明显低于常规组,差异有统计学意义(P<0.05);在术后48h,热敷组无恶心呕吐、腹胀、无腹痛,明显低于常规组,差异有统计学意义(P<0.05)。治疗24h、48h后,两组Christensen疲劳量表评分较治疗前明显降低,差异有统计学意义(P<0.05);治疗24h、48h后,热敷组Christensen疲劳量表评分,明显低于常规组,差异有统计学意义(P<0.05)。热敷组肠鸣音恢复时间、首次排气时间、首次排便时间,均明显低于常规组,差异有统计学意义(P<0.05)。热敷组临床疗效为86.67%,明显高于常规组75.00%,差异有统计学意义(P<0.05)。护理干预后,热敷组护理满意度为100.00%,明显高于常规组93.33%,差异有统计学意义(P<0.05)。结论:小茴香干热敷能明显缓解腹部手术患者胃肠症状,有效缩短肠功能恢复时间。
Objective:To study the effect of fennel dry hot compress on gastrointestinal symptoms and intestinal function recovery in patients undergoing abdominal surgery. Methods:120 patients undergoing abdominal surgery in hospital were randomly divided into routine group and hot compress group. The routine nursing method was adopted in the routine group,and the hot compress group was treated with fennel hot compress on the basis of the routine group. Observing the occurrence of gastrointestinal symptoms in the two groups,the occurrence of gastrointestinal symptoms at 24 and 48 hours after operation and the recovery time of postoperative intestinal function. Before treatment,24 and 48 hours after treatment,used Christensen fatigue scale to score fatigue,and evaluated the clinical efficacy of the two groups. The total effective rate was calculated and the nursing satisfaction scale was issued after the treatment. The nursing satisfaction rate was evaluated by the nursing satisfaction questionnaire in the two groups and the total satisfaction rate was calculated. Results:24 hours after operation,nausea and vomiting,abdominal distension,abdominal pain in the hot compress group were significantly lower than those in the routine group(P<0.05),and there was no nausea and vomiting,abdominal distension and no abdominal pain in the hot compress group at 48 hours after operation,which was significantly lower than that in the routine group. The difference was statistically significant(P<0.05). After 24 hours and 48 hours of treatment,the scores of Christensen fatigue scale in both groups were significantly lower than those before treatment. The score of Christensen fatigue scale in the hot compress group was significantly lower than that in the routine group(P<0.05),and the difference was statistically significant(P<0.05). The recovery time,the first exhaust time and the first defecation time in the hot compress group were significantly lower than those in the controlled group(P<0.05). The clinical efficacy of the hot compress group was 86.67,which was significantly higher than that of the routine group which was 75.00%,P<0.05. After nursing intervention,the nursing satisfaction of the hot compress group was 100.00%,which was significantly higher than that of the routine group which was 93.33%,the difference was statistically significant(P<0.05). Conclusion:The hot compress of fennel can relieve gastrointestinal symptoms and shorten the recovery time of intestinal function in patients undergoing abdominal surgery.
作者
杨平
董海萍
YANG Ping;DONG Haiping(Department of General Surgery,the Fourth People's Hospital of Zigong City (Zigong Sichuan 643000,China))
出处
《四川中医》
2019年第7期199-202,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
小茴香干热敷
腹部手术
胃肠症状
肠功能恢复
Dry hot compress of fennel
Abdominal surgery
Gastrointestinal symptoms
Intestinal function recovery
