人工半髋关节置换术后便秘的预防护理

Preventive nursing on constipation after half hip arthroplasty

目的探讨人工半髋关节置换术后术后便秘的预防措施。方法将61例半髋关节置换术后患者按随机数字表法分为观察组31例和对照组30例,对照组采用预见性护理,观察组在此基础上联合穴位贴敷治疗。结果观察组术后首次排便时间较对照组更早,术后第二天的肠鸣音更活跃,差异有统计意义(P<0.05)。术后7 d内:两组便秘发生率均较低;但观察组的发生率低于对照组,差异有统计意义(P<0.05)结论预见性护理联合穴位贴敷能有效预防人工半髋关节置换术后便秘的发生。

Objective To explore the preventive measures of constipation after half hip arthroplasty. Methods 61 cases of patients with half hip arthroplasty were randomly divided into the observation group （n = 31 ） and the control group （n = 30）. The control group was given predictive nursing, while the observation group was added with acupoint sticking in addition to the treatment of the control group. Results The first defecation time of observation group was earlier than the control group after the operation, and the bowel sounds of observation group was more active in postoperative 2d, with statistically significant differences （ P 〈 0. 05 ）. Postoperative 7d： The incidences of constipation were relatively low in both of the two groups; the incidence of the observation group was lower than that of the control group, with statistically significant differences （ P 〈 0. 05 ）. Conclusions Predictive nursing combined with acupoint sticking can better prevent constipation after half hip arthroplasty.