护理干预对胃肠肿瘤术后患者肠功能恢复的影响

Effect of nursing intervention on intestinal function recovery in the gastrointestinal tumor patients after operation

目的：探讨穴位治疗联合针对性护理干预对胃肠肿瘤患者术后肠功能恢复的影响。方法按随机数字表法将80例胃肠肿瘤患者随机分为干预组和对照组各40例。对照组术前1 d对患者及其家属做手术前后一般护理常规宣教，于术后第1天起采用维生素B1100 mg行双侧足三里穴位注射每天1次，及足三里、内庭升白仪穴位电疗每天2次；干预组在对照组基础上增加针对性护理干预。比较两组患者术后首次肛门排气、排便时间、术后留置胃管时间及腹胀发生率。结果干预组患者术后首次肛门排气、排便时间、术后留置胃管时间分别为（47．90±6．16），（58．90±10．68），（24．52±8．45）h；均短于对照组的（52．62±9．46），（65．46±13．56），（31．38±9．50）h，两组比较差异有统计学意义（t值分别为2．64，2．40，3．41；P＜0．05）；干预组腹胀发生率为5．0％低于对照组20．0％，两组比较差异有统计学意义（χ2＝4．11，P＜0．05）。结论穴位治疗联合针对性护理干预能有效促进胃肠肿瘤患者术后胃肠功能早日恢复。

Objective To explore the effect of acupuncture treatment combined with specific nursing intervention on the intestinal function recovery in the gastrointestinal tumor patients after operation .Methods Eighty patients with gastrointestinal tumor were divided into the control group and the intervention group according to the random number table , each with 40 cases.The control group including the patients and their family received the routine education of perioperative nursing the day before surgery , and also received the acupuncture treatment including bilateral acupuncture point injection of vitamin B 1 at Zusanli （ 100 mg/d ） and bilateral electro-acupuncture at Zusanli and Neiting twice daily after the operation .The intervention group received the specific nursing intervention on the basis of control group .The times of first anal exhaust , bowel movement and removal of nasogastric tube , and the incidence rate of abdominal distention were compared between two groups . Results The times of first anal exhaust , bowel movement and removal of nasogastric tube were respectively （47.90 ±6.16）,（58.90 ±10.68）,（24.52 ±8.45） h in the intervention group, and were shorter than （52.62 ± 9.46）,（65.46 ±13.56）,（31.38 ±9.50） h in the control group, and the differences were statistically significant （t=2.64,2.40,3.41, respectively;P〈0.05）.The incidence rate of abdominal distention was 5%in the intervention group , and was lower than 20.0% in the control group , and the difference was statistically significant （χ2 =4.11,P 〈0.05）.Conclusions The acupuncture treatment combine with specific nursing intervention can effectively promote the intestinal function recovery in the gastrointestinal tumor patients after operation.