早期床上体操预防妇科腹部术后腹胀的效果观察

The effectiveness of early bed gymnastics in the prevention of abdominal distension after gynecological surgery

目的 探讨早期进行床上体操对预防妇科腹部术后腹胀的效果.方法 以100例妇科腹部术后患者为观察对象,随机分为实验组与对照组各50例,实验组于术前派发床上体操步骤单张,并进行早期活动目的 教育、术前床上体操练习、术后床上体操运动;对照组按妇科腹部手术常规护理,观察两组肠呜音恢复时间、癌门排气时间、腹胀发生率.结果 实验组术后24h肠鸣音恢复的48例,24～48 h的2例,明显少于对照组（P＜0.01）;实验组术后第1天肛门排气的47例,术后第2天肛门排气的2例,术后第3天肛门排气的1例,均早于对照组;实验组术后无1例发生腹胀,对照组发生腹胀6例,其中肛管自然排气1例,应用开塞露5例,实验组肛门排气时间明显早于对照组（P＜0.05）.结论 妇科腹郎术后早期床上体操运动,可缩短胃肠功能恢复时间,促进肛门早期排气,预防术后腹胀.

Objective To explore the effectiveness of early bed gymnastics in the prevention of abdominal distension after gynecological surgery. Methods 100 patients undergoing gynecological abdominal surgery were randomly divided into study group and control group, 50 for each. The study group received education on early exercise with leaflets on bed gymnastics and started learning preoperatively and practised bed gymnastics postoperatively; while the control group received conventional care. Time to bowel sound recovery and to passing flatus and the rate of abdominal distention were observed. Results The time to bowel sound recovery and to passing flatus and the rate of abdominal distention differed significantly between the two groups （χ2= 34.29, P＜0.01; RSR = 6.19, P＜0.05; χ2= 4.433, P＜0.05）. Conclusions Early bed gymnastics after gynecological surgery can shorten the recovery time of gastrointestinal function, and promote early flatus passing, and prevent postoperative abdominal distension.