子午流注二子散腹部热熨对妇科开腹术后患者胃肠功能的影响

Effect of Hot Compress on Abdomen Based on Midnight-noon Ebb-flow on Gastrointestinal Function of Patients with Abdominal Operation in Gynecology Department

目的探讨子午流注二子散腹部热熨对妇科开腹术后患者胃肠功能恢复的效果。方法采用便利抽样方法,抽取2015年12月—2016年12月在广州中医药大学第二附属医院妇科行开腹手术的患者作为研究对象。按入院前后顺序分为子午流注腹部热熨组、腹部热熨组及常规护理组,各50例。常规护理组予活动、饮食指导;子午流注腹部热熨组在常规护理的基础上予二子散辰时(7:00—9:00)或巳时(9:00—11:00)腹部热熨;腹部热熨组仅予二子散腹部热熨。观察3组开腹术后患者肠鸣音恢复时间、首次肛门排气及排便时间。结果干预后,3组妇科开腹术患者肠鸣音恢复时间、肛门排气及排便时间比较,差异均有统计学意义(P<0.05)。两两比较结果显示,子午流注腹部热熨组与腹部热熨组肠鸣音恢复时间、肛门排气及排便时间均低于常规护理组(P<0.05);子午流注腹部热熨组肠鸣音恢复时间、肛门排气及排便时间低于腹部热熨组(P<0.05)。结论子午流注腹部热熨可有效促进妇科开腹术后患者胃肠功能的恢复,缩短患者的肠鸣音恢复、排气及排便时间。

Objective To explore the effect of hot compress on abdomen based on midnight-noon ebb-flow theory on gastrointestinal function of patients with abdominal operation in gynecology department. Methods With convenient sampling, patients with abdominal operation in gynecology department from December 2015 to December 2016 were divided into hot compress on abdomen based on midnight-noon ebb-flow theory group（group A）, hot compress on abdomen group（group B） and routine nursing group（group C）, with 50 cases in each group. Patients in group C received guidance for the activity and diet; those in group B hot compress with Erzisan on abdomen from 7：00 to 9：00 or 9：00 to 11：00 in the morning and those in group C only hot compress with Erzisan on abdomen. Time of resuming peristaltic sound, the first time of postoperative flatus and bowel movement in 3 groups were compared.Results Time of resuming peristaltic sound, the first time of postoperative flatus and bowel movement in 3 groups all showed statistical significance（P〈0.05）. Group A witnessed the earliest time of resuming peristaltic sound, postoperative flatus and bowel movement, followed by group B and group C（P〈0.05）. Group A witnessed the earliest time of resuming peristaltic sound, postoperative flatus and bowel movement, followed by group B（P〈0.05）. Conclusion Hot compress on abdomen based on midnight-noon ebb-flow theory is effective for the recovery of gastrointestinal function of patients with abdominal operation in gynecology department.