中药热敷结合脐贴在ICU机械通气患者腹胀护理中的应用

Application Value of Traditional Chinese Medicine Hot Compress Combined with Navel Plaster in the Nursing of Abdominal Distension in ICU Patients with Mechanical Ventilation

目的:探讨中药热敷结合脐贴在ICU机械通气患者腹胀护理中的应用价值。方法:选取2017年6月~2018年12月于我院ICU行无创机械通气治疗并发生腹胀患者共86例作为分析对象,按照随机数字表法将其分为观察组与对照组各43例。对照组患者给予常规护理干预,观察组患者在对照组基础上采用中药热敷结合脐贴干预。记录两组患者干预效果。观察两组患者胃肠功能恢复指标(第一次排气时间、肠蠕动恢复时间)。比较干预前、干预1周后两组患者中医证候(脘腹胀满、大便不畅、胸闷、疲乏无力)积分、腹围变化情况及生活质量[世界卫生组织生存质量测评量表(WHOQOL100)]变化情况。结果:观察组患者干预效果明显低于对照组(P均<0.05)。观察组患者第一次排气时间、肠蠕动恢复时间均短于对照组(P均<0.05)。干预1周后,两组患者腹围均小于干预前,且观察组小于对照组(P均<0.05);两组患者WHOQOL100各项目评分均高于干预前,且观察组高于对照组(P均<0.05)。结论:中药热敷结合脐贴在ICU无创机械通气患者腹胀护理中干预效果突出,能有效改善患者临床症状,恢复肠蠕动,促进排气,提高生活质量。

Objective:To explore the application value of traditional Chinese medicine hot compress combined with navel plaster in the nursing of abdominal distension in ICU patients with mechanical ventilation.Methods:A total of 86patients with abdominal distension who underwent non-invasive mechanical ventilation in ICU of our hospital from June 2017to December 2018were selected as analysis subjects.The patients were divided into observation group and controlled group according to the random number table method,with 43 cases in each group.The patients in the controlled group were given routine nursing intervention while the patients in the observation group were treated with traditional Chinese medicine hot compress combined with navel plaster on the basis of the controlled group.The intervention effects of the two groups were recorded.The gastrointestinal function recovery indexes(first exhaust time,intestinal peristalsis recovery time)were observed in the two groups.Before intervention and after 1 week of intervention,the scores of TCM syndromes(abdominal fullness and distention,inhibited defecation,chest tightness,fatigue and weakness),abdominal circumference changes and quality of life[World Health Organization Quality of Life Scale(WHOQOL100)]were compared between the two groups.Results:The intervention effects in the observation group were significantly lower than those in the controlled group(all P<0.05).The first exhaust time and intestinal peristalsis recovery time in the observation group were shorter than those in the controlled group(all P<0.05).After 1week of intervention,the abdominal circumference in the two groups was smaller than that before intervention,and the index in the observation group was smaller than that in the controlled group(all P<0.05).The scores of items of WHOQOL100in the two groups were higher than those before intervention,and the scores in the observation group were higher than those in the controlled group(all P<0.05).Conclusion:Traditional Chinese medicine hot compress combined with navel plaster has prominent intervention effects in the nursing of abdominal distension in ICU patients with non-invasive mechanical ventilation.And it can effectively improve the clinical symptoms,restore intestinal peristalsis,promote exhaust and improve the quality of life.