大黄加芒硝外敷腹部配合综合护理治疗腹部手术患者腹胀临床观察

Clinical observation of Rhubarb and mirabilite with comprehensive nursing in treatment of abdominal surgery in patients with abdominal distension

目的分析大黄加芒硝外敷腹部配合综合治疗腹部手术患者腹胀临床效果。方法本研究选取2014年6月~2015年9月收治的90例妇科腹部手术后腹胀患者,根据随机原则分成常规组和综合组。其中45例常规组患者实施常规妇科术后护理,45例综合组患者以大黄加芒硝外敷腹部配合综合治疗。对2组患者腹胀持续时间、肛门排气时间、肠鸣音恢复时间、首次排便时间、患者治疗效果、干预前后患者焦虑、抑郁情绪和生活质量变化进行比较。结果与常规组相比较,综合组腹胀持续时间、肛门排气时间、肠鸣音恢复时间、首次排便时间更短（P〈0.05）。与常规组相比较,干预后综合组焦虑、抑郁情绪和生活质量更优（P〈0.05）。结论大黄加芒硝外敷腹部配合综合治疗腹部手术患者腹胀临床效果确切,有助于改善患者负性情绪和腹胀症状,提升患者生活质量。

Objective To study the clinical effect of complex treatment combined with external application of Rhubarb and Mirabilite on abdomen of patients with abdominal distension after abdominal surgery. Methods 90 patients with abdominal distension after gynecological abdominal surgery from June 2014 to September 2015 were randomly divided into conventional group（ 45 patients） and comprehensive group（ 45 patients）. Patients in the conventional group were given routine gynecological postoperative care,and patients in the comprehensive group were given complex treatment combined with external application of Rhubarb and Mirabilite on abdomen. The abdominal distension duration,anal exhaust time,time of resuming peristaltic sound,first defecation time,treatment effect,depression and anxiety emotions,changes of life quality of the two groups before and after intervention were compared. Results The comprehensive group had higher treatment effect than the comprehensive group（ P〈0. 05）. The abdominal distension duration,anal exhaust time,time of resuming peristaltic sound,first defecation time of the comprehensive group were shorter than that of the conventional group（ P〈0. 05）. The comprehensive group had better depression,anxiety emotions and life quality compared to the conventional group（ P〈0. 05）. Conclusion Complex treatment combined with external application of Rhubarb and Mirabilite on abdomen has a very significant clinical effect on patients with abdominal distension after abdominal surgery,it can improve patients＇ negative emotions and the symptom of abdomen distension,promote life quality.