足三里按摩联合早期少量饮水对腹部术后胃肠减压患者的影响

Influence of Zusanli massage and early drinking a little water on gastrointestinal decompression patients after abdominal surgery

目的探讨足三里按摩联合早期少量饮水对腹部术后胃肠减压患者的影响。方法选取我院2015年1月-2016年1月的60例腹部术后胃肠减压患者作为研究对象，随机分为实验组和对照组，各30例。对照组给予常规护理，实验组在常规治疗下征得患者及家属同意后，于术后第1天拔除胃管，并行足三里穴位按摩，2次／d，连续3—5d，每4小时饮水1次并逐日递增。直至胃肠功能恢复，比较两组的排气、排便、腹胀消失、食欲恢复、住院及卧床时间等指标。结果实验组的排气时间、首次排便时间、腹痛腹胀消失时间、食欲恢复时间、住院时间及卧床时间显著短于对照组，差异均有统计学意义（P〈0．01或P〈0．05）。结论腹部术后胃肠减压患者行早期拔除胃管、足三里穴位按摩联合早期少量饮水，能明显缩短排气排便，腹胀消失、食欲恢复、住院及卧床时间。

Objective To investigate the influence of Zusanli massage and early drinking a little water on gastrointestinal decompression patients after abdominal surgery.Methods 60 cases of gastrointestinal decompression in our hospital from January 2015 to January 2016 were selected and randomly divided into the experimental group and the control group,30 cases in each group.The control group was given conventional nursing,and the experimental group were followed up after the understanding and agreement of patients and their family members,removed gastric tube on the first day after operation,then performed Zusanli massage 2 times a day for 3-5 days,1 times per 4 hours drinking water and increasing day by day until the recovery of gastrointestinal function.The time of exhaust,defecation,abdominal distension disappeared,appetite recovery,hospitalization and bed time and other indicators in the two groups was compared.Results The exhaust time,the first defecation time,abdominal distension and disappearance time,appetite recovery time,length of stay and bed time in the experimental group was shorter than that in the control group,with significant difference （P〈 0.01or P〈0.05）.Conclusion Zusanli massage and drinking a little water have obvious benefits to gastrointestinal decompression patients after abdominal surgery,which can be used for reducing the recovery time of exsufflation and defecation,disappearing of abdominal distention,improvement of appetite,and postoperative hospital stay.