冠状动脉旁路移植术后早期穴位按压及腹部按摩对排便功能恢复的影响

The effects of finger-press method and abdomen massage on bowel function of patients undergoing coronary artery bypass grafting

目的探讨冠状动脉旁路移植术后早期实行手法按摩对排便功能恢复的影响。方法将93例冠状动脉旁路移植术后患者随机分为对照组46例，干预组47例，对照组按照常规给予治疗和护理，干预组除常规治疗护理外，术后第1天开始实施手法按摩足三里等5个穴位及腹部，每日3次，连续3d。结果干预组患者术后腹胀、排便恢复时间、焦虑、肺部感染发生率低于对照组，差异有统计学意义。结论冠状动脉旁路移植术后早期实行手法穴位按压及腹部按摩对防治腹胀、排便恢复非常有效，并且降低了患者出现焦虑，有助于减少肺部感染的发生。

Objective To explore effects of finger-press method and abdomen massage on bowel function of patients undergoing coronary artery bypass grafting （CABG）. Methods A total of 93 cases with CABG were randomly divided into the control group of 46 cases and the intervention group of 47 cases. The control group was given routine measures of treatment and care while the intervention group in addition to routine treatment and care, on the first postoperative day performed the massage on five acupuncture points and abdomen with 3 times a day and continuous 3 days. Results Indicators including abdominal distention, bowel function recovery, anxiety, incidence of pulmonary infection of the intervention group was significantly better than of the control group. Conclusions The implementation of finger-press method and abdomen massage is helpful to prevent the abdominal distension and promote the recovery of bowel function in patients undergoing coronary artery bypass grafting. It can reduce the incidence of pulmonary infection as well.