CAJ | 학술논문

目的：探讨早期床上恢复性锻炼对老年胆道手术患者肠胃功能指标的影响，为临床提供相关依据。方法选择本院2008年12月至2012年2月接受腹部手术的老年患者126例做为研究对象，将所有患者严格按照随机原则分为早期锻炼组与非早期锻炼组，各63例。其中早期锻炼组进行早期床上恢复性锻炼，包括床上，床边，床下，肢体，日常生活运动，腹部按摩运动等；另外一组不进行。对比两组患者开始进食、胃肠道通气、肠鸣音恢复、排便时间、住院时间等胃肠功能指标。结果早期锻炼组的胃肠道症状显著少于非早期锻炼组，开始进食时间早于非早期锻炼组，胃肠通气时间、肠鸣音恢复、住院时间、排便时间等均少于非早期锻炼组，且两组差异均具有统计学意义（ P＜0．05）。结论早期床上恢复性锻炼可以加快老年胆道手术患者术后肠道功能的恢复，效果显著，具有较高的临床应用价值。
목적：탐토조기상상회복성단련대노년담도수술환자장위공능지표적영향，위림상제공상관의거。방법선택본원2008년12월지2012년2월접수복부수술적노년환자126례주위연구대상，장소유환자엄격안조수궤원칙분위조기단련조여비조기단련조，각63례。기중조기단련조진행조기상상회복성단련，포괄상상，상변，상하，지체，일상생활운동，복부안마운동등；령외일조불진행。대비량조환자개시진식、위장도통기、장명음회복、배편시간、주원시간등위장공능지표。결과조기단련조적위장도증상현저소우비조기단련조，개시진식시간조우비조기단련조，위장통기시간、장명음회복、주원시간、배편시간등균소우비조기단련조，차량조차이균구유통계학의의（ P＜0．05）。결론조기상상회복성단련가이가쾌노년담도수술환자술후장도공능적회복，효과현저，구유교고적림상응용개치。
Objective To study the effect of early bed restorative exercise on gastrointestinal function of elderly patients with biliar-y surgery.Methods From December 2008 to February 2012, 126 cases accepted abdominal surgery were selected and divided randomly into early exercise and non-early exercise groups, each group had 63 cases.Early exercise group was given early bed restorative exercise.The time of eating, gastrointestinal ventilation, bowel sounds sound recovery, defecate time were compared.Results The gastrointestinal symp-toms of early exercise group was significantly less, the start time of eating was earlier; the gastrointestinal ventilation time, bowel sounds sound recovery, hospital stay, defecate time were less than those of non-early exercise group (P<0.05) .Conclusions Early bed restor-ative exercise could speed up the recovery of elderly patients with biliary surgery.