行气通便贴促进腹部术后患者胃肠功能恢复的观察和护理

目的观察行气通便贴对腹部手术患者术后胃肠功能恢复的应用效果，探讨有效的临床护理措施。方法将在我院普外科行腹部手术患者150例随机分为观察组和对照组，各75例，对照组术后常规禁食、补液及胃肠减压，协助并指导患者主动活动四肢、翻身下床活动等护理干预；观察组在对照组基础上采用行气通便贴用于脐部神阂穴，观察两组肠鸣音开始时间，首次排气排便时间并加以比较，从而了解胃肠功能的恢复情况。结果观察组肠呜音开始时间、首次排气排便时间明显早于对照组，两组比较差异有显著性（P〈0．05）。结论行气通便贴促进胃肠功能恢复疗效肯定，且护理方便，安全舒适，无创伤性，有利于腹部手术患者术后胃肠功能的早期恢复。

Clinical observation and nurse about Xingqitongbiantie (XQTBT) on the recovery of gastrointestinal fuction in patients after abdominal operation

Objective To explore the applied effect of XQTBT paste on early recovery of gastrointestinal function of patients after abdominal operation. Method 150 patients after abdominal operation in general surgery of my hospital were divided into two groups the observation group(75 patients)and the control group(75 patients). The control group was gived to some nursing care ,for example, fasting,fluid replacement,gastrointestinal decompression, moving extremities,turning the body over and getting out of bed by our assistance. Nevertheless,XQTBT was applied to the observation group besides routine nursing care of the control group .The convalescent time of bowel sound and the first time of flatus and defecation of the patients in each group were recorded and compared in order to study the difference of their gastrointestinal functional recovery. Results The convalescent time of bowel sound and the first time of flatus and defecation in the observation group was obviously earlier than that of the control group. there were significantly differences between the two groups(P＜0.05). Conclu1sion The therapeutic effect which XQTBTdeals with abdominal distension after operatiom and enhances the recovery of gastrointestinal function is overt, and it is safe, comfortable and can be easily attended without any trauma. It benefits the early recovery of gastrointestinal function after abdominal operation.