术后抬臀运动对胆总管探查患者肠蠕动恢复的影响

Effect of Raising Buttocks on the Bowel Movement of Patients Receiving Laparoscopic Exploration of Common Bile Duct

目的观察术后抬臀运动对胆总管探查患者肠蠕动恢复的影响。方法将100例胆总管结石手术患者按入院时间分为对照组和观察组各50例。对照组给予常规护理:术后6h给予半卧位,每2～4小时翻身1次;观察组术后6h开始进行床上抬臀运动,每2～4小时运动1次,直至肛门排气。结果观察组术后肛门排气时间显著早于对照组,腹胀发生率、活动时切口疼痛程度显著低于对照组(均P<0.01)。结论术后抬臀运动能有效促进胆总管探查患者肠蠕动的恢复,是一种安全有效的术后康复运动方法。

Objective To investigate the effect of raising buttock on the bowel movement of patients who received laparoscopic exploration of common bile duct. Methods One hundred choledolithiasis patients were divided into an observation group and a control group after scheduled operation, with 50 cases in each group. Patients in the control group were given conventional nursing care, including sitting in semi-Fowler＇ss position 6 h after the operation and then turning over every 2--4 h. Patients in the observation group were instructed to raise the buttocks 6 h after operation, hold for a few seconds and then relax. They were asked to repeat the motion 10--20 times with the exercise being performed every 2--4 h. Results The time of gas passage was significantly shortened, and rate of abdominal distension and the severity of pain during exercises was significantly lower in the observation group than those in the control group（P〈0.01 for all）. Conclusion The method of raising buttock can effectively help the return of postoprative bowel movement. It is a safe and effective method of rehabilitational exercise.