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腹部按摩对留置鼻肠管的重症颅脑损伤病人胃肠功能恢复的影响
引用本文:周贝贝,杨金丽,袁义厘,何菊芳. 腹部按摩对留置鼻肠管的重症颅脑损伤病人胃肠功能恢复的影响[J]. 全科护理, 2016, 0(11): 1112-1113. DOI: 10.3969/j.issn.1674-4748.2016.11.012
作者姓名:周贝贝  杨金丽  袁义厘  何菊芳
作者单位:1. 湖州师范学院医学院,313000;2. 浙江省湖州市中心医院,313000
摘    要:
[目的]探讨腹部按摩对经鼻肠管进行肠内营养的重症颅脑损伤病人胃肠功能恢复的影响。[方法]将92例经鼻肠管肠内营养的重症颅脑损伤病人随机分为观察组和对照组各46例,对照组病人给予常规护理,观察组病人每天鼻饲前由经过专门培训的护理人员实施腹部按摩,比较两组病人呕吐、腹胀、腹泻发生率,并观察观察组病人对腹部按摩的耐受程度,即比较按摩前后病人心率、呼吸、血压、血氧饱和度的变化。[结果]观察组病人腹胀发生率显著低于对照组(P0.05);按摩前后病人心率、呼吸、血压、血氧饱和度比较差异均无统计学意义(P均0.05)。[结论]肠内营养的重症颅脑损伤病人能耐受腹部按摩操作,腹部按摩能减少病人腹胀的发生率,从而促进胃肠功能恢复。

关 键 词:腹部按摩  鼻肠管  腹胀  肠内营养  颅脑损伤

Influence of abdomen massage on gastrointestinal function recovery in severe craniocerebral injury patients with in-dwelling nasointestinal tube
Abstract:
Objective:To probe into the influence of abdomen massage on gastrointestinal function recovery in se-vere craniocerebral injury patients with indwelling nasointestinal tube.Methods:A total of 92 severe craniocere-bral injury patients with nasal tube enteral nutrition were randomly divided into observation group and control group,46 cases in each.The patients in control group received the routine nursing,while the patients in observa-tion group were given the abdomen massage by specially trained nursing staffs before the daily nasal feeding, then to compare the incidence of vomiting,abdominal distension and diarrhea of patients in two groups,and ob-served the tolerance level on abdomen massage of patients in observation group.The changes of heart rate,respi-ration,blood pressure and blood oxygen saturation were compared before and after massage.Results:The inci-dence of abdominal distension in observation group was significantly lower than that in control group(P <0.05). There was no statistically significant difference in heart rate,respiration,blood pressure and blood oxygen satu-ration before and after massage(P =0.05).Conclusion:The severe craniocerebral injury patients with enteral nu-trition could tolerate the operation of abdomen massage,and the abdomen massage could reduce the incidence of abdominal distension in patients,so as to promote the recovery of gastrointestinal function.
Keywords:abdomen massage  nasal bowel tube  abdominal distension  enteral nutrition
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