当代护士（下旬刊）
噹代護士（下旬刊）
당대호사（하순간）
Today Nurse
2015年
6期
103-104,105
,共3页
腹部术后%胃肠功能紊乱%康复
腹部術後%胃腸功能紊亂%康複
복부술후%위장공능문란%강복
Abdominal Surgery%Gastrointestinal Dysfunction%Rehabilitation
目的：探讨腹部术后患者使用大承气汤外敷神阙穴加电磁波治疗仪（ TDP ）照射对促进腹部术后患者胃肠功能恢复的影响。方法将本院腹部术后120例患者随机分为3组（中药内服组、经皮给药组、经皮给药加TDP照射组），每组40例，其中中药内服组患者在术后6 h开始服用大承气汤，每日2次；经皮给药组患者在术后30 min，常规消毒局部皮肤后取大黄药膏3 g外敷于神阙穴位置，并用医用胶布进行固定，每日1次，24 h更换；经皮给药加TDP照射组患者在经皮给药组的基础上，在每次更换药物后用TDP照射30 min，并注意观察局部皮肤有无红肿热痛的情况，防止烫伤。比较3组患者的术后胃肠道蠕动时间、肛门排气时间及首次排便时间，及干预前后3组患者的MODS评分情况。结果经皮给药加TDP照射组在术后胃肠道蠕动时间、肛门排气时间、首次排便时间及MODS评分改善程度上均明显优于经皮给药组及中药内服组（ P＜0．05）。结论经皮给药敷神阙穴加TDP照射能够缩短腹部手术患者胃肠道的恢复时间，促进腹部手术患者的康复，在临床值得进一步推广。
目的：探討腹部術後患者使用大承氣湯外敷神闕穴加電磁波治療儀（ TDP ）照射對促進腹部術後患者胃腸功能恢複的影響。方法將本院腹部術後120例患者隨機分為3組（中藥內服組、經皮給藥組、經皮給藥加TDP照射組），每組40例，其中中藥內服組患者在術後6 h開始服用大承氣湯，每日2次；經皮給藥組患者在術後30 min，常規消毒跼部皮膚後取大黃藥膏3 g外敷于神闕穴位置，併用醫用膠佈進行固定，每日1次，24 h更換；經皮給藥加TDP照射組患者在經皮給藥組的基礎上，在每次更換藥物後用TDP照射30 min，併註意觀察跼部皮膚有無紅腫熱痛的情況，防止燙傷。比較3組患者的術後胃腸道蠕動時間、肛門排氣時間及首次排便時間，及榦預前後3組患者的MODS評分情況。結果經皮給藥加TDP照射組在術後胃腸道蠕動時間、肛門排氣時間、首次排便時間及MODS評分改善程度上均明顯優于經皮給藥組及中藥內服組（ P＜0．05）。結論經皮給藥敷神闕穴加TDP照射能夠縮短腹部手術患者胃腸道的恢複時間，促進腹部手術患者的康複，在臨床值得進一步推廣。
목적：탐토복부술후환자사용대승기탕외부신궐혈가전자파치료의（ TDP ）조사대촉진복부술후환자위장공능회복적영향。방법장본원복부술후120례환자수궤분위3조（중약내복조、경피급약조、경피급약가TDP조사조），매조40례，기중중약내복조환자재술후6 h개시복용대승기탕，매일2차；경피급약조환자재술후30 min，상규소독국부피부후취대황약고3 g외부우신궐혈위치，병용의용효포진행고정，매일1차，24 h경환；경피급약가TDP조사조환자재경피급약조적기출상，재매차경환약물후용TDP조사30 min，병주의관찰국부피부유무홍종열통적정황，방지탕상。비교3조환자적술후위장도연동시간、항문배기시간급수차배편시간，급간예전후3조환자적MODS평분정황。결과경피급약가TDP조사조재술후위장도연동시간、항문배기시간、수차배편시간급MODS평분개선정도상균명현우우경피급약조급중약내복조（ P＜0．05）。결론경피급약부신궐혈가TDP조사능구축단복부수술환자위장도적회복시간，촉진복부수술환자적강복，재림상치득진일보추엄。
Objective To explore the abdominal postoperative patients with large bearing gas soup topical CV 8 hole plus TDP irradiation for the effects of abdominal postoperative patients with gastrointestinal functional recovery. Methods Will our abdominal postoperative 120 pa?tients were rando mly divided into 3 groups( Chinese traditional medicine group, the percutaneous drug group take orally, percutaneous drug delivery plus TDP irradiation group) , 40 cases in each group, including medicines are group of patients in postoperative 6 when I was a child to start taking large bearing gas soup, 2 times a day.Percutaneous drug group of 30 min after surgery, patients with routine disinfection rhu?barb ointment topical skin after 3 g connection to god fault positions, and the fixed medical tape, 1 times a day, 24 hours to replace;Percuta?neous drug delivery plus TDP irradiation group of patients on the basis of percutaneous drug group, 30 min after each replacement drug use TDP irradiation, and observe the local skin of the presence of inflamed hot pain, prevent burns. Comparison of three groups of patients with postoperative gastrointestinal peristalsis, anal exhaust time and defecation time, for the first time and MODS score of three groups of patients before and after the intervention.Results Percutaneous drug delivery plus TDP irradiation specific set of gastrointestinal peristalsis, anal ex?haust time after surgery, the first defecation time and MODS score improvement extent were significantly superior to percutaneous drug group and traditional Chinese medicine internal medicine group(P<0.05).Conclusion Percutaneous drug delivery apply CV 8 point plus TDP irra?diation on can shorten the recovery time of gastrointestinal tract in patients with abdominal surgery, promote rehabilitation in patients with ab?dominal surgery, in clinical worthy of further promotion.
