穴位推拿联合反序运动恢复肠道功能的疗效观察

Effect of acupoint massage combined with reverse order movement to restore bowel function

目的观察穴位推拿联合反序运动结合加速康复外科(enhanced recovery after surgery,ERAS)理念在直肠癌术后患者的肠功能恢复中的应用效果。方法选取2020年8月至2021年5月于青岛市市立医院行手术治疗的114例直肠癌患者为研究对象,采用随机数字表法分为对照组和观察组各57例。对照组患者采用常规护理措施,观察组采用在ERAS理念下制订的一套穴位推拿联合反序运动的护理措施,比较两组患者首次排气时间、排便时间,肠鸣音恢复时间、住院时间,以及肠道恢复情况。结果观察组患者首次排气时间、排便时间,肠鸣音恢复时间均早于对照组,住院时间短于对照组,且功能性消化不良症状评分均高于对照组,差异均有显著性(P<0.05)。结论穴位推拿联合反序运动结合ERAS理念可有效促进直肠癌术后患者的肠道功能恢复。

Objective To observe the effect of acupoint massage combined with reverse motion combined with the concept of enhanced recovery after surgery(ERAS)on the recovery of intestinal function in postoperative patients with rectal cancer.Method A total of 114 patients with rectal cancer who underwent surgical treatment in Qingdao Municipal Hospital from August 2020 to May 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,57 cases of each group.The control group received conventional nursing measures,and the observation group received a set of acupoint massage combined with reverse movement nursing measures developed under ERAS concept,the first exhaust,defecation time,bowel sound recovery time,hospital stay and intestinal recovery were compared between the two groups.Result The time of first exhaust,defecation and bowel sound recovery in the observation group were significantly earlier than those in the control group,the length of hospitalization in the observation group was shorter than that in the control group,and the functional dyspepsia symptom score in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Acupoint massage combined with reverse motion combined with the concept of accelerated rehabilitation surgery can effectively promote the recovery of intestinal function in postoperative patients with rectal cancer.