中药足浴联合穴位按摩预防妇产科腹部手术后腹胀探讨

目的探讨中药足浴联合穴位按摩预防妇产科腹部手术后腹胀的效果。方法将行剖宫产术、子宫切除术、附件切除术后患者各60例，按手术的先后时间顺序，奇数为实验组，偶数为对照组，每组各30例。实验组术后第1天开始实施中药足浴及穴位按摩，每天1次，连续3～5d；对照组给予腹部手术常规护理。比较2组胃肠功能恢复情况。结果实验组和对照组3种手术后肛门首次排气比较差异均有统计学意义（均P〈0．01）；实验组术后排气时间显著早于对照组。实验组和对照组3种手术后腹胀的发生率差异均有统计学意义（均P〈0．01）；实验组术后腹胀的发生率显著低于对照组。结论中药足浴联合穴位按摩能有效地促进腹部手术后胃肠功能的恢复，预防术后腹胀的发生。

Applicability of Foot Soak in Herb Water and Acupoint Massage to Prevent Abdominal Distension After Abdominal Surgery

Objective To discuss the effect of foot soak and massotherapy to patients after abdominal surgery to prevent abdominal distention. Method A total of 180 cases of 3 kinds （cesarean section, hysterectomy, adnexectomy） of obstetric or gynecological post operative patients（ each kind 60 cases） were randomly divided into two groups. General attendance, foot soak in herb water and massotherapy were carried out in experimental group once a day for 3 -5 days after operation. The patients in the control group only received general attendance. The recovery status of intestinal functions of the two groups were compared. Results The recovery status of intestinal functions in experimental group was better than that in the control group （ P 〈 0. 01 ）. Conclusion Foot soak in herb water and massotherapy after abdominal operation can effectively prevent abdominal distension and improve the recovery of intestinal function.