中医整体护理联合胃复安足三里穴位注射治疗单纯胆囊切除术后腹胀

TCM Holistic Nursing Union Metoclopramide Injection Therapy Zusanli Simple Cholecystectomy Bloating

对89例单纯胆囊切除术后腹胀(排除术中组织粘连、解剖层次不清和胆总管病变转换为开腹手术)进行胃复安足三里穴位注射(双侧足三里穴,患者取仰卧位,一侧下肢屈膝,与床垂直,左手固定皮肤,右手以执笔式持针刺入穴位1.5寸,上下提插,得气且回抽未见回血快进推入胃复安5mg,完毕拔针,按压注射部位,顺时针轻柔片刻;同法对另一侧足三里穴位注射,1次/d。实施情志护理、饮食护理,注射前、注射中、注射后整体护理措施,重点实施恶心、呕吐等症状护理,并给予出院指导健康教育,保证低脂、高蛋白、高碳水化合物饮食,科学、合理、均衡的饮食有助于预防胆结石;保持大便通畅和切口干燥。如出现腹痛等不适症状应及时就诊,定期复查。

89 cases of simple cholecystectomy abdominal distention （ excluding intraoperative tissue adhesions, anatomical level is unclear and the common bile duct lesions converted to open surgery ） for metoclopramide Zusanli acupoint injection （ bilateral Zusanli, the patient supine , side of the lower limbs, knees, and the bed vertical, left fixed skin, holding his right hand to write-in 1.5-inch needle into acupuncture points, lift and thrust up and down, get gas and Withdrawing no fast-forward push blood back metoclopramide 5mg, finished needle injection , press the injection site, gentle clockwise moment; same method on the other side Zusanli acupoint injection, 1 times / d. implementation emotional care, diet care, before injection, injection, the injection of the overall care measures, focusing on the implementation of nausea, vomiting and other symptoms of nursing, health education and to give discharge guidance to ensure that low-fat, high-protein, high-carbohydrate diet, scientific, rational, balanced diet can help prevent gallstones; keep the stool and cut drying, such as abdominal pain and discomfort symptoms should be timely treatment, regular review.