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目的 :观察吴茱萸热熨防治颅脑术后患者便秘的临床疗效。方法 :纳入101例颅脑术后患者,随机分为实验组51例与对照组50例。对照组予常规护理,实验组在常规护理的基础上加用吴茱萸热熨腹部。观察2组的预防效果,统计患者术后7天内的灌肠次数及排便间隔时间、排便费力程度、粪便性状、排便时间积分。结果:实验组的预防效果优于对照组,差异有统计学意义(Z=-2.936,P<0.01)。实验组术后7天内的灌肠次数少于对照组,差异有统计学意义(Z=-2.018,P<0.05)。实验组的排便间隔时间、排便费力程度及粪便性状积分均低于对照组,差异均有统计学意义(P<0.01,P<0.05)。2组排便时间积分比较,差异无统计学意义(P>0.05)。结论:在常规护理干预基础上加用吴茱萸热熨法可有效预防便秘发生。
Objective: To observe the clinical effect of Evodia rossi on prevention and treatment of postoperative patients with constipation. Methods: A total of 101 patients with craniocerebral surgery were enrolled and randomly divided into experimental group (n = 51) and control group (n = 50). The control group was given routine nursing, and the experimental group added Evodia’s hot iron abdomen on the basis of routine nursing. The preventive effects of the two groups were observed. The number of enema and defecation interval, defecation effort, stool traits and defecation time points within 7 days after operation were counted. Results: The preventive effect of the experimental group was better than that of the control group, with significant difference (Z = -2.936, P <0.01). The number of enema in experimental group was less than that in control group within 7 days after operation, the difference was statistically significant (Z = -2.018, P <0.05). The defecation interval, defecation effort and stool trait scores in the experimental group were all lower than those in the control group, with statistical significance (P <0.01, P <0.05). There was no significant difference between the two groups in defecation time integral (P> 0.05). Conclusion: Evodia rutaecarpa is effective in preventing constipation on the basis of routine nursing intervention.