中药足疗促进老年腹部手术患者胃肠功能恢复的疗效探讨

Study on Curative Effect of TCM Pedicure in Promoting the Gastrointestinal Function Recovery of Senile Patients with Abdominal Operation

目的探讨中药足疗对老年腹部手术患者胃肠功能恢复的效果。方法随机选取2016年6—10月行腹部手术的老年患者100例,随机数字表分为对照组和观察组各50例,对照组予以老年人腹部手术护理常规护理,观察组在常规护理的基础上联合中药足疗,观察两组术后肠鸣音恢复及肛门恢复排气的时间,腹胀情况,首次排便的时间。结果观察组肠鸣音恢复早于对照组,两组比较术后12 h前肠鸣音恢复例数分别为15例和9例,术后30 h后肠鸣音恢复例数分别为12例和27例;观察组肛门排气时间早于对照组,两组比较肛门排气时间<24 h的例数分别为17例和7例,肛门排气时间>60 h的例数分别为9例和25例;观察组腹胀发生率低于对照组,两组比较未发生腹胀情况的例数分别为32例和19例,发生重度腹胀的例数为5例和13例;观察组首次排便时间早于对照组,两组比较首次排便时间<48 h的例数分别为8例和3例,首次排便时间>96 h的例数分别为35例和45例。结论中药足疗能促进老年腹部手术患者胃肠功能的恢复。

Objective To observe the effect of TCM pedicure in promoting the gastrointestinal recovery of senile patients with abdominal operation. Methods Random selection 100 cases of senile patients with abdominal operation admitted and treated in our hospital from June to October 2016 were selected and randomly divided into two groups with 50 cases in each, the control group adopted the routine nursing, while the observation group adopted the TCM pedicure on the basis of the control group, and the restoration time of bowel sounds and anal exsufflation time, abdominal distention and first defecation time of the two groups were observed. Results The gastrointestinal recovery in the observation group was earlier than that in the control group, and the gastrointestinal recovery cases in the observation group and the control group before 12 h after operation were respectively 15 cases and 9 cases, and the after 30 h treatment were respectively 12 cases and 27 cases, and the anal exsufflation time in the observation group was earlier than that in the control group, and the case whose anal exsufflation time was less than 24 h was respectively 17 cases and 7 cases and whose anal exsufflation time was more than 60 h was respectively 9 cases and 25 cases, and the incidence rate of abdominal distension in the observation group was lower than that in the control group, and the case without abdominal distension in the observation group and in the control group was respectively 32 and 19, and the case whose first defecating time was less than 48 h in the observation group and in the control group was respectively 8 h and 3 h, and the case whose first defecating time was more than 96 h was respectively 35 cases and 45 cases. Conclusion TCM pedicure can promote the gastrointestinal function recovery of senile patients with abdominal operation.