中药热熨配合耳穴贴压对妇科腹腔镜术后患者胃肠功能恢复的影响

Effect of Hot Compress with Chinese Herbs Combined with Auricular Point Sticking on Recovery of Gastrointestinal Function in Patients after Laparoscopic Surgery

目的:观察中药热熨配合耳穴贴压对妇科腹腔镜术后胃肠功能恢复的影响。方法:将86例行妇科腹腔镜术后的患者按随机数字表法分为观察组和对照组各43例。对照组术后予常规处理,观察组在对照组基础上予中药热熨配合耳穴贴压护理干预,2组均干预3天。记录术后首次排便和排气时间、肠鸣音恢复时间,记录治疗前后恶心、呕吐、腹胀、腹痛评分。结果:观察组总有效率93.02%,对照组总有效率72.09%,2组比较,差异有统计学意义(P<0.05)。观察组首次排气时间、排便时间及肠鸣音恢复时间均短于对照组,差异均有统计学意义(P<0.01)。术后1天,2组恶心、呕吐、腹胀、腹痛评分比较,差异均无统计学意义(P>0.05)。术后3天,2组4项症状评分均较术后1天降低,差异均有统计学意义(P<0.05);观察组4项症状评分均低于对照组,差异均有统计学意义(P<0.05)。结论:中药热熨配合耳穴贴压护理能促进妇科腹腔镜术后患者胃肠功能恢复。

Objective：To observe the effect of hot compress with Chinese herbs combined with auricular point sticking on recovery of gastrointestinal function in patients after laparoscopic surgery.Methods：Divided 86 cases of patients who received laparoscopic surgery into the observation group and the control group according to random number table,43 cases in each group.The control group was given routine treatment after surgery,while the observation group was additionally given nursing intervention of hot compress with Chinese herbs combined with auricular point sticking.The intervention in two groups lasted for three days.Recorded the time of first defecation and first exhaust,recovery time of intestinal sound after surgery,and scores of nausea,vomiting,bloating and abdominal pain before and after treatment.Results：The total effective rate was 93.02% in the observation group and 72.09% in the control group,difference being significant（P〈0.05）.The time of first defecation and first exhaust,recovery time of intestinal sound in the observation group were all shorter than those in the control group,differences being significant（P〈0.01）.One day after surgery,there were no significant differences being found in the comparisons of scores of nausea,vomiting,bloating and abdominal pain in the two groups（P〈0.05）.Three days after surgery,the previous four syndrome scores in the two groups were all decreased when compared with those in the first day after surgery,differences being significant（P〈0.05）.The previous four syndrome scores in the observation group were all lower than those in the control group,differences being significant（P〈0.05）.Conclusion：The nursing intervention of hot compress with Chinese herbs combined with auricular point sticking can improve the recovery of gastrointestinal function in patients after laparoscopic surgery.