精油腹部按摩在脊柱手术患者术后早期胃肠道功能恢复中的应用

Effect of abdominal massage with essential oil on early gastrointestinal function recovery in patients af⁃ter spinal surgery

目的探讨精油腹部按摩在脊柱手术患者术后早期胃肠道功能恢复中的临床疗效。方法采用方便抽样法,选取山东第一医科大学附属省立医院于2022年5—7月行脊柱外科手术的202例患者,采用类实验研究中的不对等对照组设计,按照研究目的分为对照组(77例)、复方精油治疗组(68例)和超声治疗组(53例)。对照组给予基础处理,复方精油治疗组在对照组的基础上加用精油腹部按摩,超声治疗组在对照组的基础上加用超声电导仪治疗。干预3 d后观察患者的肠鸣音恢复间隔时长、首次排气间隔时长、排便间隔时长及有无恶心呕吐的胃肠道症状。结果三组在肠鸣音恢复间隔时长中差异有统计学意义(P=0.002),且两两比较发现,复方精油治疗组的肠鸣音恢复间隔时长短于对照组(P=0.001)。三组在首次排气间隔时长、排便间隔时长、治疗后有无胃肠道症状方面差异无统计学意义(P均>0.05)。结论精油腹部按摩治疗能够缩短脊柱术后患者的肠鸣音恢复间隔时长,但在缩短排气、排便间隔时长,缓解恶心、呕吐的胃肠道症状方面效果不显著。

Objective To investigate the clinical effect of abdominal massage with essential oil on early gastroin-testinal function recovery after spinal surgery.Methods A convenience sampling method was used to select 202 pa-tients who underwent spinal surgery in Provincial Hospital Affiliated to Shandong First Medical University from May to July 2022.They were divided into control group(77 cases),compound essential oil treatment group(68 cases)and ultrasound treatment group(53 cases)according to the purpose of the study.The control group was given basic treat-ment,the compound essential oil treatment group was given abdominal massage with essential oil on the basis of the control group,and the ultrasound treatment group was given ultrasound conductometer on the basis of the control group.After 3 days of intervention,the patients΄bowel sound recovery interval,first exhaust interval,defecation time and gastrointestinal symptoms of nausea and vomiting were observed.Results There was statistical significance in the interval time of bowel sound recovery between the three groups(P=0.002),and the pairwise comparison showed that the interval time of bowel sound recovery in the compound essential oil treatment group was shorter than that in the con-trol group(P=0.001).There was no statistically significant difference in the interval of first exhaust,the time of defe-cation,and postoperative gastrointestinal symptoms among the three groups(all P>0.05).Conclusion Abdominal massage with essential oil can shorten the interval of intestinal sound recovery in patients after spinal surgery,but it has no significant effect on shortening the interval of exhaust and defecation,and alleviating gastrointestinal symptoms of nausea and vomiting.