腹部术后早期锻炼对胃肠蠕动功能恢复的影响

1摘要随着人们健康意识的不断提高,医学的不断发展,大量的腹部手术也开展甚多,而对于腹部手术病人的护理中,术后胃肠功能恢复又是极为重要的.据报告,腹部术后病人早期有效功能锻炼很大程度上促进了胃肠功能的恢复,促进了康复并有效的预防了并发症的发生。所以有必要对腹部术后早期锻炼对胃肠蠕动功能恢复的影响做进一步的探讨。目的:探讨影响腹部术后病人胃肠蠕动功能恢复的功能锻炼的最佳方法。方法:将110例两种不同腹部术后的患者分为2个组,每组55例,分别采取两种功能锻炼方法,术后观察1月,采取类实验性的研究方法,根据主要锻炼因素,即术后锻炼的时间,锻炼的方法,锻炼的部位,锻炼的强度分为两种功能锻炼方法,观察患者术后肛门排气,拔除胃管的时间及腹胀,伤口愈合情况4个方面。结果:腹部术后患者早期锻炼后肛门排气时间为术后2天内,拔除胃管时间在术后3天内,明显短于常规锻炼,均无腹胀情况发生,术后伤口愈合良好均能尽快进入日常生活中。经统计学处理P0.05,表明早期功能锻炼对腹部术后恢复胃肠功能有意义。结论:腹部手术后早期功能锻炼是按人体解剖位置编排的,操作方法简单,病人容易接受,对术后的胃肠蠕动功能恢复具有促进作用,在临床护理中值得推广应用。2关键词：腹部术后；功能锻炼；胃肠蠕动；论文类型：应用研究Title:Afterabdomentechnique,theearlyexercisetheinfluencewhichrestorestothestomachandintestinescreepingmotionfunctionSpeciality:nursingApplicant:AiLiHuSupervisor:A-Prof.JingLei3AbstractAspeoplehealthconsciousness'srisecceaselessiy,medicinedeveiopment,massiveabdominaloperationwerealsocarriedout,andthecareofpatientswithabdominaloperation,postoperativerecomveryofgastrointestinalfunctionisveryimportantAccordingtoreport,postoperativeearlyfunctionalfunctionexercisegreatlypromotestherecoveryofgastrointestinalfunctionpromotestherehabilitf,afterabdomentechnique,thepatientearlytimeeffectivefunctionfunctionpromotedthestomachandintestinesfunctionrestorationtoagreatextent,promotedtherecoveryandtheeffectivepreventioncomplicationoccurrence.Thereforehasthenecessityaftertheabdomentechniquetheearlyexercisetheinfluencewhichrestorestothestomachandintestinescreepingmotionfunctionmakesthefurtherdiscussion.Goal:Afterdiscussionshadeabdomentechnique,thepatientstomachandintestinescreepingmotionfunctionrestoresfunctionexercisebestmethod.Method:Aftercomparingfrom2010to2012washospitalizedthetreatmentappendectomy,andthegallbladderexcisionmethodpatientaltogether110examples,dividedinto2groupsafter110exampletwokindofdifferentabdomentechnique'spatient,eachgroupof55examples,adoptedtwofunctionexercisemethodseparately,afterthetechnique,observedinJanuary,adoptedthekindofexperimentalresearchtechnique,accordingtomainexercisefactor,afternamelytechnique,exercisedthetime,theexercisemethod,theexercisespot,theexerciseintensitydividedintotwofunctionexercisemethod,afterobservingthepatienttechnique,theanusexhaust,wipedoutstomachtube'stimeandthedistensionoftheabdomen,thewoundcicatrizationsituation4aspects.Finally:Afterabdomentechnique,thepatientearlytimefunctionexercisepromotionstomachandintestinescreepingmotionfunctionrestoresthebestmethodstartsforthepatienttechniquelatter6hourstocarryonthebreathmovement,fromdaily6times,eachtime1-2dayafterdayincreasestheactivenumberoftimes,onlowerlimbjointmovementdaily2times,eachtime10dayafterdayincreasestheactivenumberoftimes,startsfromthetechniquelatter24hourstocarryonthenavelweekself-administeredmassageandthelumbodorsalregionknocksonstrikes,afterearlyexercise,theanusexhausttimeforthetechniquelatter2days,wipesoutthestomachtubetimeinthetechniquelatter3days,obviousshortinconventionalexercise,doesnothavethedistensionoftheabdomensituationoccurrence,afterthetechnique,thewoundhealsgoodcanenter4inassoonaspossiblethedailylife.ProcessesPafterstatistics,indicatedearlyfunctionexerciseafterabdomentechniquerestoresthestomachandintestinesfunctiontobemeaningful.Conclusion:Afterabdominalsection,theearlyfunctionexerciseisaccordingtothehumananatomypositionarrangement,theoperatingprocedureissimple,thepatienteasytoaccept,restoresafterthetechniquestomachandintestinescreepingmotionfunctionhasthepromoteraction,isworthinclinicalnursingpromotingtheapplication.Keywords:Afterabdomentechnique；FunctionexerciseStomach；IntestinescreepingmotionTypeofthesis:Appliedresearch目录1绪论……………………………………………………….…………….91.1研究背景及意义………………………………………………………951.2研究目的………………………………………………………………101.3关键词及定义…………………………………………………………111.4文献回顾………………………………………………………………111.4.1腹部手术…………………………………………………………….121.4.2腹部手术对于胃肠功能的影响…………………………………….121.4.3功能锻炼…………………………………………………………….131.4.3.1膈肌功能锻炼……………………………………………………..131.4.3.2四肢功能锻炼……………………………………………………..131.4.3.3腹、背部锻炼……………………………………………………..132研究设计………………………………………………………………...142.1研究设计………………………………………………………………142.2研究对象和标准………………………………………………………142.2.1研究对象…………………………………………………………….142.2.2纳入标准…………………………………………………………….142.2.3排除标准…………………………………………………………….142.3观察指标………………………………………………………………142.4判断标准………………………………………………………………152.5研究方法及技术路线…………………………………………………152.5.1研究方法…………………………………………………………….152.5.2技术路线…………………………………………………………….172.5.3研究步骤…………………………………………………………….173结果……………………………………………………………………...183.1研究人群基本情况……………………………………………………183.2两组患者肛门排气及拔出胃管时间比较……………………………183.3两组患者术后并发症及腹胀情况比较………………………………194讨论……………………………………………………………………...205结论与建议……………………………………………………………...22致谢…………………………………………………………………….....23参考文献……………………………………………………………..…...24声明…………………………………………………………………..…...256Tableofcontents1introduction……………………………………………………………….….….91.1researchbackgroundandsigificance………………………………….….…...91.2researchgoals………………………………………………………………...1071.3keywordsanddefinintion……………………………………………….…...111.4literaturereviews………………………………………………………….….111.4.1abdominalsections…………………………………………………………121.4.2abdominalsectionsregardingstomachandintestinesfunctioninfluence…121.