穴位按摩联合腹部按摩预防急性心肌梗死病人便秘的临床研究

Clinical study on point massage combined with abdominal massage to prevent constipation for acute myocardial infarction patients

[目的]研究穴位按摩联合腹部按摩对预防急性心肌梗死(AMI)病人便秘的作用。[方法]将185例AMI病人,随机分为3组,A组(65例)给予穴位按摩、腹部按摩;B组(62例)给予腹部按摩;C组58例为空白对照组,观察3组病人的护理效果及A组、B组病人护理前后的血压、心率情况。[结果]3组病人有效率比较,均有统计学意义(P<0.01);3组病人首次排便情况比较,A组明显优于B组、C组,B组优于C组。A组与B组护理前后的血压、心率比较无统计学意义(P>0.05)。[结论]穴位按摩联合腹部按摩预防AMI病人便秘安全有效。

Objective： To explore the effect of point massage combined with abdominal massage to prevent constipation for acute myocardial infarction （AMI） patients. Methods： A total of 185 AMI patients were divided into 3 groups randomly. Patients of group A （65 cases） were given point massage combined with abdominal massage. Patients of group B （62 cases） were given abdominal massage only. And patients of group C （58 cases） were just handled as routinely （as control group）. Blood pressures and heart rates of both group A and B patients were checked and recorded before and after the massage, and the effective rate of all nursing methods were recorded on all groups. Results： There were statistical significant differences in terms of effective rate among all 3 groups （P 〈 0.01 ）. In terms of the first defecation, patients of group A were superior to group B and C. And patients of group B were superior to group C. However, there were no statistic differences in terms of their blood pressure and heart rate between before and after the experiment （P 〉0.05）. Conclusion： Point massage combined with abdominal massage is safe and effective to prevent constipation for acute myocardial infarction patients.