目的 探讨四子散热奄包腹部穴位外敷促进腰椎术后患者胃肠功能恢复的效果.方法 将腰椎术后患者100例,随机分为对照组和四子散组各50例,对照组予常规护理,包括禁食、平卧、保持呼吸道通畅、监测生命体征、吸氧、止血、抗炎、心理护理和密切观察病情变化等;四子散组在对照组的基础上应用四子散热奄包外敷腹部穴位.监测两组腹胀、肠鸣音、排气排便情况.结果 两组患者的腹胀、肠鸣音、排气排便3项指标比较,差异均有统计学意义(P<0.01).结论 四子散热奄包外敷能温经、通络、止痛,使腰椎术后患者疼痛减轻,缩短肛门排气排便时间,减轻腹胀,促进胃肠功能恢复.%Objective To evaluate the influence of Sizi powder hot-cover packet applied in abdomen acupoint on the recovery of gastrointestinal function of patients after lumbar operation.Methods 100 patients after lumbar operation were randomly divided into control group (n=50) and experiment group (n=50).Patients in control group received routine care (fasting, prostration, monitoring of vital signs, psychological nursing, etc.), while patients in experiment group received both routine nursing and the application of Sizi powder hot-cover packet.Abdominal distension, bowel sounds, exhaust and defecation in two groups were observed.Results The differences of abdominal distension, bowel sounds, exhaust and defecation of patients in two groups indicated statistic significance (P＜0.01).Conclusion The external application of Sizi powder hot-cover packet can alleviate patients' pain after lumbar spine surgery,shorten time to flatus defecation, reduce abdominal distension, and promote the recovery of gastrointestinal function.
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