足浴联合足部按摩预防术后腹胀的临床研究

Applying foot soak and foot massage to patients after abdominal surgery to prevent abdominal distension

目的 探讨足浴联合足部按摩应用于腹部手术后患者预防术后腹胀的效果。方法 选择腹部手术后患者60例。按手术顺序随机分为实验组30例和对照组30例。实验组除常规护理外，于术后第1天开始实施足浴联合足部按摩。每天1次，连续3～5d；对照组则接受腹部手术后常规护理。比较两组术后胃肠功能恢复情况、腹胀发生率、应用开塞露或肛管排气的比率。结果 与对照组比较，实验组术后肠鸣音恢复时间、首次排气时间、首次排便时间差异均有显著性统计学意义（t=2．50。4．80．7．34，P均〈0．05），实验组术后腹胀发生率及使用开塞露或肛管排气的比率差异也有显著性统计学意义（χ^2=32．27。21．60，P均〈0．05），实验组的效果优于对照组。结论 采用足浴联合足部按摩能有效地促进术后肠功能的恢复。预防术后腹胀的发生。

Objective To discuss the effect of foot soak and foot massage to patients after abdominal surgery to prevent abdominal distension. Methods 60 patients receiving abdominal operation were randomly divided into two groups, experimental group （n=30） and control group （n=30）. General attendance, foot soak and foot massage were carried out in experimental group once a day for 3-5 days from the first day after abdominal operation. The patients in the control group only received general attendance. The recovery status of intestinal functions, the incidence of abdominal distension and the using of blind enema and glycerita of the two groups were compared. Results The recovery status of intestinal functions in experimental group was better than that in the control group with significant difference （P〈0. 05）. The incidence of abdominal distension and the using of blind enema and glycerita also had significantly differences between the two groups （P〈0. 05）. Conclusions Foot soak and foot massage after abdominal operation can effectively prevent abdominal distension and improve the recovery of intestinal functions.