足三里按摩联合早期假进食促进老年胃肠患者术后胃肠功能恢复的临床观察

Clinical observation on Zusanli acupoint massage combined with early feeding to promote postoperative gastrointestinal function recovery of the aged gastrointestinal patients

目的 探讨足三里按摩联合早期假进食促进老年胃肠手术后患者胃肠功能恢复的临床护理效果.方法 连续收集2016年9月~2017年12月期间于该院住院年满60周岁的胃肠道手术患者100例,采用完全随机分组的方法随机分为对照组和观察组各50例.对照组接受常规护理,观察组在常规护理基础上增加足三里穴位按摩及早期假进食措施,然后对两组患者的胃肠功能恢复指标、食欲、腹胀程度、术后并发症发生情况、护理满意度进行统计分析.结果 观察组患者的肠鸣音恢复时间、首次肛门排气时间、首次排便时间、进食时间、住院时间均显著短于对照组（均P〈0.05）,食欲好、中的比率42.0%、32.0%均显著高于对照组24.0%、20.0%（均P〈0.05）,差的比率26.0%显著低于对照组56.0%（P〈0.05）,无、轻度的腹胀率54.0%、34.0%均显著高于对照组40.0%、22.0%（均P〈0.05）,中度、重度腹胀率12.0%、0均显著低于对照组26.0%、12.0%（均P〈0.05）,术后并发症发生率18.0%显著低于对照组46.0%（P〈0.05）,护理满意度98.0%显著高于对照组78.0%（P〈0.05）.结论 足三里按摩联合早期假进食促进老年胃肠手术后患者胃肠功能恢复的临床护理效果良好,值得在临床推广.

Objective To explore the clinical effect on Zusanli acupoint massage combined with early feeding to promote postoperative gastrointestinal function recovery of the aged gastrointestinal patients. Methods A total of 100 gastrointestinal surgery patients over 60 years old hospitalized were collected continuously from September 2016 to De-cember 2017 . The patients were divided into control group and observation group （ 50 cases each ） by the method of complete random grouping. The control group received conventional nursing, but Zusanli acupoint massage and early sham feeding measures were conducted to observation group based on the conventional nursing. Afterwards, statistical analysis was conducted to the gastrointestinal function recovery index, appetite, abdominal distention degree, postoper-ative complication and nursing satisfaction of patients in both groups. Results The intestinal sound recovery time, first pass gas time, first defecation time, feeding time and hospital stay of patients in observation group were significantly shorter than those of the control group （ P〈0. 05 ） . The ratios of appetite good and neutral （ 42. 0% and 32. 0% ） were significantly higher than those of the control group （24. 0% and 20. 0%） （P〈0. 05）. The ratio that was poor was 26. 0%, which was significantly lower than that of the control group （56. 0%） （P〈0. 05）. The ratios without abdom-inal distention or mild were 54. 0% and 34. 0%, which were significantly higher than those of the control group （40. 0% and 22. 0%） （P〈0. 05）. The ratios of mild and serious abdominal distention were 12. 0% and 0, which were significantly lower than those of the control group （26. 0% and 12. 0%） （P〈0. 05）. The postoperative complica-tion occurrence rate was 18. 0%, which was significantly lower than that of the control group （46. 0%） （P〈0. 05）. The nursing complication was 98. 0%, which was significantly higher than that of the control group （78. 0%） （ P〈0. 05） . Conclusions The clinical effect on Zusanli acupoint massage combined with early feeding to promote postoperative gas-trointestinal function recovery of the aged gastrointestinal patients is fine, which is worth having clinical promotion.