腹部术后早期锻炼对胃肠蠕动功能恢复的影响

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P<0.05 ,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。

关键词：腹部术后；功能锻炼；胃肠蠕动；论文类型：应用研究Title: After abdomen technique, the early exercise the influence which restores to the stomach and intestines creeping motion function Speciality: nursingApplicant:AiLi HuSupervisor: A-Prof.Jing LeiAbstractAs people health consciousness's risec ceaselessiy,medicine deveiopment, massive abdominal operation were also carried out,and thecare of patients with abdominal operation,postoperative recomvery of gastrointestinal function is very important According to report,postoperative early functional function exercise greatly promotes the recovery of gastrointestinal function promotes the rehabilitf,after abdomen technique, the patient early time effective function function promoted the stomach and intestines function restoration to a great extent, promoted the recovery and the effective prevention complication occurrence. Therefore has the necessity after the abdomen technique the early exercise the influence which restores to the stomach and intestines creeping motion function makes the further discussion.Goal: After discussion shade abdomen technique, the patient stomach and intestines creeping motion function restores function exercise best method.Method: After comparing from 2010to 2012was hospitalized the treatment appendectomy, and the gallbladder excision method patient altogether 110 examples, divided into 2 groups after 110 example two kind of different abdomen technique's patient, each group of 55 examples, adopted two function exercise method separately, after the technique, observed in January, adopted the kind of experimental research technique, according to main exercise factor, after namely technique, exercised the time, the exercise method, the exercise spot, the exercise intensity divided into two function exercise method, after observing the patient technique, the anus exhaust, wiped out stomach tube's time and the distension of the abdomen, the wound cicatrization situation 4 aspects.Finally: After abdomen technique, the patient early time function exercise promotion stomach and intestines creeping motion function restores the best method starts for the patient technique latter 6 hours to carry on the breath movement, from daily 6 times, each time 1-2 day after day increases the active number of times, on lower limb joint movement daily 2 times, each time 10 day after day increases the active number of times, starts from the technique latter 24 hours to carry on the navel week self-administered massage and the lumbodorsal region knocks on strikes, after early exercise, the anus exhaust time for the technique latter 2 days, wipes out the stomach tube time in the technique latter 3 days, obvious short in conventional exercise, does not have the distension of the abdomen situation occurrence, after the technique, the wound heals good can enterin as soon as possible the daily life. Processes P< after statistics, indicated early function exercise after abdomen technique restores the stomach and intestines function to be meaningful.Conclusion: After abdominal section, the early function exercise is according to the human anatomy position arrangement, the operating procedure is simple, the patient easy to accept, restores after the technique stomach and intestines creeping motion function has the promoter action, is worth in clinical nursing promoting the application.Key words: After abdomen technique；Function exercise Stomach；Intestines creeping motionType of thesis: Applied research目录1绪论................................................................ . (9)1.1研究背景及意义 (9)1.2研究目的 (10)1.3关键词及定义 (11)1.4文献回顾 (11)1.4.1腹部手术 (12)1.4.2腹部手术对于胃肠功能的影响 (12)1.4.3功能锻炼 (13)1.4.3.1膈肌功能锻炼 (13)1.4.3.2四肢功能锻炼 (13)1.4.3.3腹、背部锻炼 (13)2研究设计 (14)2.1研究设计 (14)2.2研究对象和标准 (14)2.2.1研究对象 (14)2.2.2纳入标准 (14)2.2.3排除标准 (14)2.3观察指标 (14)2.4判断标准 (15)2.5研究方法及技术路线 (15)2.5.1研究方法 (15)2.5.2技术路线 (17)2.5.3研究步骤 (17)3结果 (18)3.1研究人群基本情况 (18)3.2两组患者肛门排气及拔出胃管时间比较 (18)3.3两组患者术后并发症及腹胀情况比较 (19)4讨论 (20)5结论与建议 (22)致谢 (23)参考文献 (24)声明 (25)Table of contents1 introduction (9)1.1 research background and sigificance (9)1.2 research goals (10)1.3 key words and definintion (11)1.4 literature reviews (11)1.4.1 abdominal sections (12)1.4.2 abdominal sectio ns regarding stomach and intestines function influence (12)1.4.3 function exercises (13)1.4.3.1 diaphragm function exercise (13)1.4.3.2 four limbs function exercise (13)1.4.3.3 abdomen, back exercise (13)2 research designs (14)2.1 research designs (14)2.2 objects of study and standard (14)2.2.1 objects of study (14)2.2.2 integrate the standard (14)2.2.3 elimination standards (14)2.3 observation targets (14)2.4 judgment standards (15)2.5 research techniques and technical route (15)2.5.1 research tec hnique (15)2.5.2 technology route (17)2.5.3 Research steps (17)3. result (18)3.1 research crowd basic situation (18)3.2 group of patient anuses exhaust and draw out the stomach tube time comparison (18)3.3After two group of patient techniques, complication and distension of the abdomen situation comparison (19)4 discussions (20)5 conclusions and suggestion (22)acknowledgments (23)references (24)Statement (25)1 绪论1.1研究背景及意义（4）随着人们健康意识的不断提高,各级医院也在不断强化护理工作者的整体护理理念,而医学的不断发展,大量的腹部手术也开展甚多,而对于腹部手术病人的护理常规中,术后胃肠功能恢复又是极为重要和值得探讨的.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.而指导患者正确的功能锻炼,可以帮助病人提高自我护理能力,更有利于病人早日康复,而如何选择最佳的功能锻炼方法也正是影响困扰临床护理的重点问题之一,腹部术后早期锻炼对胃肠蠕动功能恢复的影响已成为护理科研的热点.常规的术后锻炼方法是在术后第2天指导病人主动活动四肢每2小时活动1次每次5-10分钟,术后第3天扶助患者做起,每2小时翻身一次,术后第4天扶助病人下床活动,而术后的患者往往都是在术后当天即感觉全身不适,有研究表示人体长时间维持一种体位姿势，必定会引起身体某些肌群疲劳损伤发生酸胀疼痛不适，对腹部手术患者来说，术后回病室后仍需仰卧位平躺6h左右，因此常有患者主诉腰酸不适。