食道癌术后肠蠕动恢复的临床治疗护理效果研究

Research on Clinical Treatment Nursing Effect of Enterocinesia Recovery after the Esophagus Cancer Surgery

目的分析与评价对食道癌术后肠蠕动恢复的临床治疗护理及效果。方法选择该院于2015年9月—2017年9月间收治的88例食道癌术后患者为研究主体。划分为A组和B组,均是44例。B组给予常规护理干预,A组给予穴位按摩与灸疗。对比其肠蠕动恢复情况、术后生化指标、腹胀情况、开塞露或肛管排气使用比例和整体满意度。结果 A组的首次排气时间为(45.51±10.25)h,B组为(73.54±11.28)h,对比差异有统计学意义(t=12.199,P=0.000);A组的肠鸣音恢复时间为(31.08±5.22)h,B组为(38.91±5.62)h,对比差异有统计学意义(t=6.771,P=0.000);A组的首次排便时间为(72.58±11.62)h,B组为(140.57±10.66)h,对比差异有统计学意义(t=34.940,P=0.000)。A组术后1 d的ALB(血清白蛋白)水平为(38.91±4.12)g/L,B组为(33.25±3.22)g/L,差异有统计学意义(t=7.180,P=0.000);A组术后1 d的HB(血红蛋白)水平为(115.21±8.91)g/L,B组为(110.51±9.55)g/L,差异有统计学意义(t=3.291,P=0.001)。A组术后8 d的ALB水平为(39.97±2.79)g/L,B组为(36.88±3.85)g/L,差异有统计学意义(t=4.311,P=0.000);A组术后8 d的HB水平为(115.95±11.60)g/L,B组为(110.51±12.65)g/L,差异有统计学意义(t=2.102,P=0.038)。A组的腹胀几率为2.27%,B组为15.91%,差异有统计学意义(χ~2=4.950,P=0.026);A组使用开塞露或肛管排气的几率为4.55%,B组为22.73%,差异有统计学意义(χ~2=5.740,P=0.017)。A组的整体满意度为95.45%,B组为79.55%,对比差异有统计学意义(χ~2=5.091,P=0.024)。结论为食道癌术后患者实施穴位按摩与针灸治疗可显著改善其肠蠕动功能,降低腹胀发生率,临床效果理想,可推广。

Objective To analyze and evaluate the clinical treatment nursing effect of enterocinesia recovery after the esophagus cancer surgery. Methods 88 cases of patients after the esophagus cancer surgery admitted and treated in our hospital from September 2015 to September 2017 were selected as the research objects and divided into two groups with 44 cases in each, the group B used the routine nursing intervention, while the group A used the point message and moxibustion, and the enterocinesia recovery, postoperative biochemical indicators, abdominal distension condition, anal canal exhaust use ratio and holistic satisfactory degree were compared between the two groups. Results The first exhaust time in the group A and in the group B was respectively（45.51±10.25）h and（73.54±11.28）h, and the difference was statistically significant（t=12.199,P=0.000）; and the bowel sound recovery time in the group A and in the group B was respectively（31.08 ±5.22）h and（38.91 ±5.62）h, and the differences were statistically significant（t =6.771,P =0.000）,and the first defecation time in the group A and in the group B was respectively（72.58 ±11.62）h and（140.57±10.66）h,and the difference was statistically significant（t=34.940,P=0.000）, and the ALB level in 1 d after surgery in the group A and in the group B was respectively（38.91 ±4.12）g/L and（33.25 ±3.22）g/L,the difference was statistically significant（t =7.180,P=0.000）; and the HB in 1 d after surgery in the group A and in the group B was respectively（115.21±8.91）g/L and（110.51 ±9.55）g/L,the difference was statistically significant（t =3.291,P =0.001）, and the ALB level in 8 d after surgery in the group A and in the group B was respectively（39.97±2.79）g/L and（36.88±3.85）g/L,the difference was statistically significant（t=4.311,P=0.000）, and the HB level in 8 d after surgery in the group A and in the group B was respectively（115.95 ±11.60）g/L and（110.51 ±12.65）g/L,the difference was statistically significant（t =2.102,P =0.038）, and the probability of abdominal distension in the group A and in the group B was respectively 2.27% and 15.91%,the difference was statistically significant（χ^2=4.950,P=0.026）; and the probability of anal canal exhaust in the group A and in the group B was respectively 4.55% and 22.73%,the difference was statistically significant（χ^2=5.740, P=0.017）, and the holistic satisfactory degree in the group A and in the group B was respectively 95.45% and 79.55%, and the difference was statistically significant（χ^2=5.091,P =0.024）. Conclusion The implementation of point message and acupuncture of patients after the esophagus cancer surgery can obviously improve the enterocinesia function and reduce the incidence rate of abdominal distension, which can be promoted.