吴茱萸外敷联合早期活动预防妇科恶性肿瘤术后腹胀的效果

Effect of early activities combined with evodia hot salt pack applying to the navel in prophylaxis against abdominal distension after surgery for gynecological malignancy

目的探讨吴茱萸外敷联合早期活动预防妇科恶性肿瘤手术后腹胀的效果。方法将妇科恶性肿瘤手术患者318例随机分为3组：单纯活动组、维生素B1组和吴茱萸组，每组分别为102例、110例、106例。单纯活动组于术后24h内开始下床活动，维生素B1组术后给予常规护理，于术后每日双侧足三里穴注射维生素B1，每侧穴位50mg，吴茱萸组患者在早期活动基础上加用吴茱萸热盐包脐部外敷。比较3组术后腹胀发生率、术后肠鸣音恢复时间、首次肛门排气时间和首次排便时间。结果吴茱萸组腹胀发生率为16．9％，显著低于单纯活动组（55．9％）和维生素B，组（67．3％），差异具有统计学意义（χ^2=70．50，P〈0．01）；吴茱萸组平均肠鸣音恢复时间、首次肛门排气时间和首次排便时间分别为（30．02±4．37）h、（42．16±16．03）h、（72．62±20．79）h，均分别早于单纯活动组[（40．57±5．27）h、（74．25±12．14）h、（135．33±40．18）h]和维生素BI组[（44．23±12．16）h、（77．25±16．32）h、（139．71±38．25）h]，差异具有统计学意义（F分别为8．88，4．37，5．49；P〈0．01）。结论吴茱萸外敷联合早期活动能有效地促进妇科恶性肿瘤患者术后胃肠功能的恢复，预防术后腹胀的发生。

Objective To investigate the effects of early activities combined with evodia hot salt pack applying to the navel in prophylaxis against abdominal distension after surgery for gynecological malignancies. Methods 318 patients suffered from gynecological malignancies were randomly divided into three groups, activity group （n=102）, vitamin B1 group （n = 110） and evedia group （n = 106）. The activity group began activities within 24 hours after surgery; the vitamin B1 group, in addition to the traditional nursing, received injection of vitamin Bl through tsu-san-li meridians, each side with 50mg; the evedia group, besides the activities, was managed with evodia mixed with hot salt pack applied to the navel. The incidence of abdominal distension, the average time of bowel sound recovery, the first time of flatus passing and defecation of the three groups were compared. Results The incidence of abdominal distension in the evodia group （ 16.9% ） was significantly lower than that in the activity group （55.9%） and the vitamin Bt group （67.3%） （ χ^2 = 70. 50, P 〈 0. 01 ）. The average time of bowel sound recovery, the first time flatus passing and defecation in the evodia group [ （30.02 ±4.37）h, （42.16 ± 16.03）h, （72.62 ±20. 79）h] was significantly shorter than those in the activity group [（40.57±5.27）h, （74.25±12.14）h, （135.33 ±40.18）h] and the vitamin B1 group [（44.23 ±12.16）h, （77.25±16.32）h, （139.71 ±38.25）h] （F=8.88, 4.37, 5.49; P〈0.01）. Conclnsions Early activities after surgery combined with evodia hot salt pack applying to the navel could effectively facilitate the recovery of gastrointestinal function for patients suffered from gynecological malignancies and prevent abdominal distension.