摇摆操在妇科开腹术后护理中应用研究.docVIP

摇摆操在妇科开腹术后护理中应用研究 　　摘要：目的 探讨摇摆操在妇科开腹手术中的??用。方法 选取2017年1月～6月在我院妇科行开腹手术的120例患者，随机分为实验组和对照组，各60例。对照组采用妇科开腹术后常规护理，实验组在对照组基础上于术后早期实施摇摆操，比较两组患者肛门排气、排便时间、术后并发症及日常生活自理能力（ADL）评分。结果 实验组肛门排气、排便时间均明显短于对照组，实验组ADL评分高于对照组，差异均有统计学意义（P0.05）。实验组术后并发症发生率为1.67%，低于对照组的18.33%，差异有统计学意义（P0.05）。结论 对妇科开腹术后患者实施摇摆操，可促进患者较快肛门排气、排便，改善胃肠功能，防止术后并发症的发生，提高日常生活能力，效果显著。 　　关键词：摇摆操；妇科开腹手术；术后护理 　　中图分类号：R473.71 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.04.067 　　文章编号：1006-1959（2018）04-0176-03 　　Abstract：Objective To explore the application of swinging exercise in gynecologic laparotomy.Methods 120 patients undergoing gynecologic surgery in our hospital were randomly divided into experimental group and control group from January to June 2017，60 cases in each group.The control group were treated with routine nursing after gynecologic surgery，and the patients in the experimental group were treated with rocking exercises at the early stage of operation on the basis of the control group.The scores of anal exhaust， defecation time，postoperative complications and daily life self-care ability（ADL）scores were compared between the two groups.Results The time of anal exhaust and defecation in the experimental group was significantly shorter than that in the control group. The ADL score in the experimental group was significantly higher than that in the control group，the difference was statistically significant（P0.05）.The incidence of postoperative complications in the experimental group was 1.67%，which was lower than that in the control group 18.33%，the difference is statically significant（P0.05）.Conclusion The application of swinging exercises to patients after gynecological surgery can promote the rapid anal exhaust，defecation，improve gastrointestinal function，prevent postoperative complications and improve the ability of daily life. 　　Key words：Swing exercise；Gynecologic laparotomy；Postoperative nursing 　　妇科开腹手术具有较长的临床历史，其技术成熟，操作相对简单，手术野清晰，手术时间相对较短，可彻底清除病灶，减少复发，因此在当代临床依然发挥着重要作用。但妇科开腹手术创伤大、并发症多、术后恢复慢等，因此，患者