按压足三里配合床上体操促进腹部术后肛门排气的尝试

The effect of press Zusanli combined with bed gymnastics in promoting flatus after abdominal surgery

目的 探讨按压足三里穴位配合床上体操对外科腹部术后肛门排气的效果.方法 158例外科腹部术后患者随机分为实验组与对照组,各79例,术前培训护士及实验组患者,手术后4h开始按压足三里,手术后6～8h协助患者进行床上体操运动；对照组按外科腹部手术常规护理,观察两组肠鸣音恢复时间、肛门首次排气时间.结果 实验组术后24h内肠鸣音恢复有62例,24 ～ 48 h有17例,明显早于对照组（x 2=17.57,P＜0.05）；比较肛门首次排气时间,10～24h实验组肛门排气29例,24 ～ 48 h 38例,48～72h 12例,明显早于对照组（x2=23.82,P＜0.05）.结论 外科腹部术后按压足三里穴位配合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,有预防腹胀的作用.

Objective To discuss the effect of press Zusanli combined with bed gymnastics in promoting flatus after abdominal surgery.Methods 158 patients undergoing abdominal surgery were randomly divided into experimental group and control group,79 cases in each group.Nurses and patients in experimental group were trained before surgery,pressing Zusanli 4 hours after surgery,helping patients with bed gymnastics 6-8 hours after surgery.Control group received routine care after surgical abdominal surgery.Bowel sounds recovery time and first anal exhaust time were observed.Results In experimental group,the bowel sounds recovery time of 62 cases was within 24 h,17 cases within 24-48 h,significantly shorter than control group （x 2=17.57,P ＜ 0.05）.In experimental group,first anal exhaust time of 29 cases was within 10-24 h,38 cases within 24-48 h,12 cases within 48-72 h,significantly shorter than control group （x 2=23.82,P ＜ 0.05）.Conclusion Press Zusanli combined with bed gymnastics in patients after abdominal surgery can shorten gastrointestinal function recovery time,promote early anal exhaust,and prevent bloating.