目的 探讨消胀散敷脐辅以热敷对缓解肝胆术后患者腹胀的效果和T淋巴细胞亚群变化的影响.方法 将120例肝胆术后患者随机分为观察组和对照组各60例.对照组行常规治疗护理.观察组在常规治疗护理的基础上,术后6h予脐部外敷消胀散,并配合热敷,3d为1个疗程,共2个疗程.比较两组患者术后腹胀缓解、胃肠功能恢复及术后外周血T淋巴细胞亚群变化的情况.结果 观察组患者腹胀缓解程度、胃肠功能恢复及外周血CD3+、CD4+、CD4+/CD8+比值等方面均优于对照组,差异有统计学意义(P＜0.05).结论 消胀散敷脐配合热敷可有效缓解肝胆手术后患者腹胀,同时还可改善其免疫功能.%Objective To investigate the effect of Xiaozhang powder navel auxiliary and hot compress for abdominal distension in patients with after hepatobiliary surgery,to observe the change of T lymphocyte subsets.Method 120 patients with hepatobiliary surgery were randomly divided into observation group and control group (n =60 in each group).The control group received routine nursing care.The observation group was based on conventional treatment and nursing,6 hours after the umbilical external Xiaozhang powder and with hot compress,3 days for a total of 1 courses,a total of 2 courses of treatment.The postoperative abdominal distension,gastrointestinal function recovery and the changes of T lymphocyte subsets in peripheral blood of 2 groups were compared.Result The degree of abdominal distension,recovery of gastrointestinal function and the ratio of CD3+,CD4+ and CD4+/CD8+ in peripheral blood in observation group was better than that of the control group,There was statistically significant difference(P＜0.05).Conclusion Xiaozhang powder navel with hot compress can effectively relieve postoperative abdominal distention for pationts with hepatobiliary surgery,also can improve the immune function.
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