摘要
目的:探讨腹部按摩配合腹式呼吸训练对剖宫产术后胃肠功能恢复的影响.方法:选取2013-06/2015-06于丽水市妇幼保健院行剖宫产术后的500例产妇为研究对象,采用随机数字表法将其分为观察组和对照组各250例,给予所有研究对象常规护理干预,在此基础上对照组产妇进行腹式呼吸训练,观察组在对照组的基础上进行腹部按摩,比较两组产妇胃肠功能恢复效果,术后不同时刻腹部疼痛评分,以及并发症情况.结果:与对照组比较,观察组产妇腹胀缓解时间、肠鸣音恢复时间、首次排气时间、首次排便时间显著缩短(P<0.05);观察组术后4、8、12、24 h视觉模拟评分(Visual Analogue Score,VAS)显著低于对照组,差异具有统计学意义(P<0.05),两组产妇疼痛评分与术后4 h比较,术后8、12 h显著升高(P<0.05),术后8 h后疼痛评分开始显著降低(P<0.05),观察组术后24 h与术后4 h比较无明显差异(P>0.05),对照组术后24 h仍显著高于术后4 h(P<0.05);观察组和对照组并发症发生率分别为4.80%、10.40%,观察组显著低于对照组(P<0.05).结论:腹部按摩配合腹式呼吸训练可以有效地改善剖宫产术后产妇胃肠功能,缓解切口疼痛,降低并发症的发生率,在临床上具有良好的应用前景.
AIM： To explore the effect of abdominal massagecombined with abdominal breathing exercise on the recovery of gastrointestinal function in women after cesarean section. METHODS：Five hundred women who underwent cesarean section at the Maternal and Child Health Care Hospital of Lishui City from June 2013 to June 2015 were included and randomly divided into either an observation group or a control group, with 250 cases in each group. All subjects were given conventional nnursing intervention.The control group conducted abdominal breathing exercise, and the observation group was additionally given abdominal massage on the basis of the control group. The recovery of gastrointestinal function, abdominal pain scores at different time points, and complications were compared between the two groups. RESULTS： Compared with the control group, the times to bloating relief, recovery of bowel sounds, first exhaust and first defecation were significantly shorter in the observation group（P〈0.05）. The Visual Analogue Score（VAS） pain scores at 4, 8, 12 and 24 h after operation were significantly lower in the observation group than in the control group（P〈0.05）.Compared with VAS scores at 4 h, the pain scores at 8 h and 12 h were significantly higher in the two groups, although the pain scores began to obviously decrease since the 8th h after operation（P〈0.05）. There was no significant difference in the pain scores between 24 h and 4 h after operation in the observation group（P〉0.05）, although the pain score in the controlgroup was still significantly higher at 14 h than at 4 h（P〈0.05）. The rate of complications was significantly lower in the observation group than in the control group（4.80% vs 10.40%, P〈0.05）. CONCLUSION： Abdominal massage combined with abdominal breathing exercise can effectively improve the recovery of gastrointestinal function in women after cesarean section, alleviate the pain of the incision and reduce the incidence of complications.
出处
《世界华人消化杂志》
CAS
2016年第16期2582-2586,共5页
World Chinese Journal of Digestology
关键词
腹部按摩
腹式呼吸训练
剖宫产
胃肠功能
Abdominal massage
Abdominal breathing exercise
Cesarean section
Gastrointestinal function
