CAJ | 학술논문

目的：探讨大黄胶囊粉外敷神阙穴配合穴位按摩对TKA术后排便的影响。方法将80例行全膝关节置换术的患者分为治疗组和对照组，每组40例，治疗组术后在常规护理的基础外加大黄胶囊粉外敷神阙穴配合穴位按摩，对照组采用常规护理。观察两组患术后胃肠功能恢复时间，比较两组的治疗效果。结果治疗组临床总有效率为95%，高于对照组的65%，差异具有显著性意义(P<0.01)。观察组患者术后肛门排气时间为（2.75±0.67）h，对照组为（3.50±1.04）h；观察组术后排便时间（29.25±15.04） h，对照组（52.4±23.66） h，两组间比较均有统计学意义(P<0.01)。结论大黄胶囊粉外敷神阙穴配合穴位按摩能有效的促进TKA术后的排便。
목적：탐토대황효낭분외부신궐혈배합혈위안마대TKA술후배편적영향。방법장80례행전슬관절치환술적환자분위치료조화대조조，매조40례，치료조술후재상규호리적기출외가대황효낭분외부신궐혈배합혈위안마，대조조채용상규호리。관찰량조환술후위장공능회복시간，비교량조적치료효과。결과치료조림상총유효솔위95%，고우대조조적65%，차이구유현저성의의(P<0.01)。관찰조환자술후항문배기시간위（2.75±0.67）h，대조조위（3.50±1.04）h；관찰조술후배편시간（29.25±15.04） h，대조조（52.4±23.66） h，량조간비교균유통계학의의(P<0.01)。결론대황효낭분외부신궐혈배합혈위안마능유효적촉진TKA술후적배편。
Objective To discuss the effect of Rhuba rb capsule powder external application on Shenque point with acupoint massage on defecation after TKA. Methods 80 cases of total knee arthroplasty patients were divided into treatment group and control group, and with 40 cases in each group. Based on routine nursing care, the treatment group used Rhubarb capsule powder external application on Shenque point and acupoint massage after operation. The control group received routine nursing care only. Observe the recovery time of gastrointestinal function of the two groups after operation and compared the curative effect of the two groups. Results The total clinical effective rate of the treatment group was 95%, which is higher than that of the control group (65%) , it has significant difference (P<0.01) . The postoperative anus exhaust time of the observation group patients was (2.75+0.67) h, and (3.50+1.04) h for the control group; defecation time of the patients in the observation group was 29.25 + 15.04) h, and (52.4 + 23.66) h for the control group. The difference of the two groups was statistically significant ( P<0.01) . Conclusion Rhubarb capsule powder external application on Shenque point with acupoint massage can effectively promote the TKA postoperative defecation.