摘要
目的探讨中药外敷联合穴位按揉对无创呼吸机辅助通气后腹胀患者的治疗护理效果。方法将100例应用无创呼吸机辅助通气后腹胀患者随机分为对照组与联合组各50例。对照组采用中药外敷联合常规腹胀护理,联合组采用中药外敷联合穴位按揉护理。结果联合组患者首次排气时间、首次排便时间显著短于对照组,且施护1周后胃肠症状评分显著低于对照组(均P<0.01);两组腹围变化差异有统计学意义(均P<0.05)。结论中药外敷联合穴位按揉对应用无创呼吸机后腹胀患者效果显著,安全。
Objective To explore the effect of external application of herbal medicine and acupoint massage on abdominal distension in patients using BiPAP ventilators.Methods A total of 100 patients with abdominal distension after using BiPAP ventilators were randomized into a control group and an experimental group of 50.The control group were given external application of herbal medicine and conventional nursing care for abdominal distension,while the experimental group were given external application of herbal medicine and acupoint massage.Results The first anus exhausting and defecation of the experimental group was significantly earlier than the control group.One week after the intervention,the gastrointestinal symptom score of the experimental group was significantly lower than the control group（P〈0.01 for both）.Moreover,there was significant difference between the two groups in abdominal girth（P〈0.05）.ConclusionIt is safe and effective to treat patients with abdominal distension after using BiPAP ventilators by the use of TCM herbs application and acupoint massage.
基金
上海中医药大学校级课题(B-X-61)
关键词
BIPAP无创呼吸机
辅助通气
腹胀
中药外敷
穴位按揉
排气
排便
BiPAP ventilator
assisted ventilation
abdominal distension
external application of herbal medicine
acupoint massage
anus exhausting
defecation
