中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
28期
3644-3646
,共3页
胃肠手术%腹舒贴%术后护理%镇痛%胃肠功能
胃腸手術%腹舒貼%術後護理%鎮痛%胃腸功能
위장수술%복서첩%술후호리%진통%위장공능
Gastrointestinal surgery%Fushu plaster%Postoperative nursing%Analgesia%Gastrointestinal function
目的：评价腹舒贴外敷对腹部胃肠手术患者术后疼痛护理的价值及促进胃肠功能恢复的效果。方法选取2012年1月-2013年10月住院手术的胃肠肿瘤患者104例，按照随机数字表法分为观察组和对照组，每组52例。观察组给予腹舒贴外敷足三里及足底，对照组外敷普通敷贴，比较两组患者术后首次排气时间、排便时间，采用视觉模拟评分法（ VAS）比较两组患者术后疼痛的差异。结果观察组患者VAS疼痛评分术后12 h为（3．65±1．00）分，术后24 h为（3．02±0．62）分，术后48 h为（2．23±0．41）分，均低于对照组（4．11±0．79），（3．43±0．77），（3．08±0．70）分，差异有统计学意义（t值分别为2.59，2．99，7．55；P＜0．05）。观察组患者术后首次排气时间为（35．2±4．67）h，对照组为（36．9±3．89）h，差异有统计学意义（t ＝2．017，P＜0．05）；观察组患者术后首次排便时间为（40．7±5．32） h，对照组为（41．4±3．89）h，差异无统计学意义（t＝0．765，P＞0．05）。结论腹舒贴外敷足三里及足底对于胃肠手术患者术后镇痛和促进胃肠功能恢复有较好的效果，使用方便，值得临床推广。
目的：評價腹舒貼外敷對腹部胃腸手術患者術後疼痛護理的價值及促進胃腸功能恢複的效果。方法選取2012年1月-2013年10月住院手術的胃腸腫瘤患者104例，按照隨機數字錶法分為觀察組和對照組，每組52例。觀察組給予腹舒貼外敷足三裏及足底，對照組外敷普通敷貼，比較兩組患者術後首次排氣時間、排便時間，採用視覺模擬評分法（ VAS）比較兩組患者術後疼痛的差異。結果觀察組患者VAS疼痛評分術後12 h為（3．65±1．00）分，術後24 h為（3．02±0．62）分，術後48 h為（2．23±0．41）分，均低于對照組（4．11±0．79），（3．43±0．77），（3．08±0．70）分，差異有統計學意義（t值分彆為2.59，2．99，7．55；P＜0．05）。觀察組患者術後首次排氣時間為（35．2±4．67）h，對照組為（36．9±3．89）h，差異有統計學意義（t ＝2．017，P＜0．05）；觀察組患者術後首次排便時間為（40．7±5．32） h，對照組為（41．4±3．89）h，差異無統計學意義（t＝0．765，P＞0．05）。結論腹舒貼外敷足三裏及足底對于胃腸手術患者術後鎮痛和促進胃腸功能恢複有較好的效果，使用方便，值得臨床推廣。
목적：평개복서첩외부대복부위장수술환자술후동통호리적개치급촉진위장공능회복적효과。방법선취2012년1월-2013년10월주원수술적위장종류환자104례，안조수궤수자표법분위관찰조화대조조，매조52례。관찰조급여복서첩외부족삼리급족저，대조조외부보통부첩，비교량조환자술후수차배기시간、배편시간，채용시각모의평분법（ VAS）비교량조환자술후동통적차이。결과관찰조환자VAS동통평분술후12 h위（3．65±1．00）분，술후24 h위（3．02±0．62）분，술후48 h위（2．23±0．41）분，균저우대조조（4．11±0．79），（3．43±0．77），（3．08±0．70）분，차이유통계학의의（t치분별위2.59，2．99，7．55；P＜0．05）。관찰조환자술후수차배기시간위（35．2±4．67）h，대조조위（36．9±3．89）h，차이유통계학의의（t ＝2．017，P＜0．05）；관찰조환자술후수차배편시간위（40．7±5．32） h，대조조위（41．4±3．89）h，차이무통계학의의（t＝0．765，P＞0．05）。결론복서첩외부족삼리급족저대우위장수술환자술후진통화촉진위장공능회복유교호적효과，사용방편，치득림상추엄。
Objective To evaluate the nursing value of Fushu plaster in the postoperative pain nursing of the patients with abdominal gastrointestinal surgery and the effect of promoting the gastrointestinal functional recovery.Methods One hundred and four patients with abdominal gastrointestinal surgery from January 2012 and October 2013 were chosen and divided into the control group and the observation group according to the random number table , each with 52 cases.The control group received the ordinary plaster , and the observation group received the Fushu plaster at the Zusanli and foot .The time of exhaust and defecation for the first time , and the postoperative pain evaluated by the visual analogue scale ( VAS) were compared between two groups . Results The scores of VAS 12 h, 24 h 48 h after the operation were respectively (3.65 ±1.00),(3.02 ± 0.62),(2.23 ±0.41) in the observation group, and were lower than those of the control group with (4.11 ± 0.79),(3.43 ±0.77),( 3.08 ±0.70), and the differences were statistically significant (t=2.59,2.99, 7.55, respectively;P<0.05).The time of exhaust for the first time was (35.2 ±4.67) h in the observation group, and was (36.9 ±3.89 ) h in the control group , and the difference was statistically significant ( t =2.017,P<0.05).The time of defecation for the first time was (40.7 ±5.32) h in the observation group, and was (41.4 ±3.89) h in the control group, and the difference was not statistically significant (t=0.765,P>0.05 ) .Conclusions Application of Fushu plaster at the Zusanli and foot can improve the postoperative analgesia and promote gastrointestinal functional recovery , and is very convenient to use , and is worthy of clinical promotion .
