急性心肌梗死患者便秘行穴位按摩及腹部按摩的护理.docVIP

急性心肌梗死患者便秘行穴位按摩及腹部按摩的护理 　　doi：10.3969/j.issn.1007-614x.2014.12.82 　　摘 要 目的：探讨穴位按摩及腹部按摩在急性心肌梗死患者便秘治疗中的临床效果及护理经验，进一步提高护理质量。方法：2011年1月-2014年1月收治急性心肌梗死并发便秘患者185例，随机分成常规护理组58例，腹部按摩组62例，穴位按揉+腹部按摩组65例，并进行相应的护理，观察对便秘的治疗效果。结果：穴位按揉+腹部按摩组首次排便时间明显早于腹部按摩组和常规护理组，差异有统计学意义（P0.05）；穴位按揉+腹部按摩组使用缓泻剂、排便困难、排便费时、大便干结、有残留感等症状明显改善，与腹部按摩组和常规护理组比较差异有统计学意义（P0.05）。结论：急性心肌梗死患者便秘行穴位按摩及腹部按摩可以加快患者恢复，提高了护理质量，值得临床推广应用。 　　关键词 急性心肌梗死 便秘 腹部按摩 穴位按摩 　　Nursing care of acupoints massage and abdominal massage in the treatment of acute myocardial infarction patients with constipation 　　Liang Fang 　　Xuanhan Traditional Chinese Medicine Hospital of Sichuan，636150 　　Abstract Objective：To explore the clinical effect and nursing experience of acupoints massage and abdominal massage in the treatment of acute myocardial infarction patients with constipation，and further improve the quality of nursing care.Methods：185 cases of acute myocardial infarction patients with constipation were selected from January 2011 to January 2014.They were randomly divided into the routine nursing group with 25 cases and the abdominal massage group with 30 cases，the acupoints massage+abdominal massage group with 65 cases，received a corresponding nursingThe treatment effect of constipation was observed.Results：The first defecation time of the acupoints massage+abdominal massage group was significantly earlier than that of the abdominal massage group and the routine nursing group.There were significant differences（P0.05）.In the acupoint massage+abdominal massage group，the symptoms were significantly improved，such as the use of laxatives，difficult defecation，defecation time consuming，dry stool，residual feeling and so on.Compared with the abdominal massage group and the routine nursing group，there was significant difference（P0.05）.Conclusion：Acupoint massage and abdominal massage in the treatment of acute myocardial infarction patients with constipation can accelerate the recovery of patients，improve the quality of nursing.It is