摇摆操在妇科开腹术后护理中的应用研究(1)
摘要：目的 探讨摇摆操在妇科开腹手术中的應用。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(P<0.05)。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(P<0.05)。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
, http://www.100md.com 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(P<0.05).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(P<0.05).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.
, 百拇医药
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，患者术后护理至关重要，鼓励患者术后早期活动，减少并发症，促进患者早日恢复日常生活和工作是术后的主要护理措施之一。为促进妇科开腹术后患者的快速康复，我科护理人员探索了一套摇摆操，取得满意效果，现报告如下。
1资料与方法
1.1一般资料 选取2017年1月～6月在我院行妇科开腹手术的120例女性患者，所有程序通过医院伦理委员会审核，其中术前诊断功能性子宫出血保守治疗无效20例，子宫多发性肌瘤41例，子宫腺肌病16例，宫颈上皮内肿瘤Ⅱ～Ⅲ级16例，卵巢良性肿瘤18例，盆腔包块9例，均有明确的手术指证且患者要求开腹手术。其中患者均为首次开腹手术，均顺利完成手术，无高血压、糖尿病、肠梗阻病史，排除恶性肿瘤患者。将患者随机分为实验组和对照组，每组60例。实验组患者年龄24～70岁，平均年龄(47.43±9.92)岁；对照组患者年龄18～72岁，平均年龄(47.81±12.40)岁。两组患者一般资料相比，差异无统计学意义(P>0.05)，具有可比性。
1.2方法 对照组给予患者妇科开腹术后常规护理，术后鼓励患者早期进行功能锻炼，注意饮食，避免进食引起腹胀的食物。实验组在对照组基础上实施摇摆操。摇摆操总共分五节：第一节：患者仰卧位，踝关节从中立位缓慢匀速跖屈至45°后停留5 s 后，再缓慢匀速达背伸20°，停留5 s至中立位；第二节：患者仰卧屈膝，抬起臀部5 s；第三节：患者仰卧屈膝，进行左右摇摆，摇摆10 min，摇摆角度大概30°左右；第四节：患者右侧卧位，身体左右摇摆10 min，摇摆角度大概30°左右；第五节：患者左侧卧位，身体左右摇摆10 min，摇摆角度大概30°左右。患者术后回房开始做摇摆操的第一、二、三节，术后6 h后开始做第四、五节，以后每天早上、中午、下午、晚上做4次，也可根据自己的情况增加次数。, 百拇医药(吴兰兰 赵文芳 张唯唯)
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
, http://www.100md.com 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(P<0.05).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(P<0.05).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.
, 百拇医药
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，患者术后护理至关重要，鼓励患者术后早期活动，减少并发症，促进患者早日恢复日常生活和工作是术后的主要护理措施之一。为促进妇科开腹术后患者的快速康复，我科护理人员探索了一套摇摆操，取得满意效果，现报告如下。
1资料与方法
1.1一般资料 选取2017年1月～6月在我院行妇科开腹手术的120例女性患者，所有程序通过医院伦理委员会审核，其中术前诊断功能性子宫出血保守治疗无效20例，子宫多发性肌瘤41例，子宫腺肌病16例，宫颈上皮内肿瘤Ⅱ～Ⅲ级16例，卵巢良性肿瘤18例，盆腔包块9例，均有明确的手术指证且患者要求开腹手术。其中患者均为首次开腹手术，均顺利完成手术，无高血压、糖尿病、肠梗阻病史，排除恶性肿瘤患者。将患者随机分为实验组和对照组，每组60例。实验组患者年龄24～70岁，平均年龄(47.43±9.92)岁；对照组患者年龄18～72岁，平均年龄(47.81±12.40)岁。两组患者一般资料相比，差异无统计学意义(P>0.05)，具有可比性。
1.2方法 对照组给予患者妇科开腹术后常规护理，术后鼓励患者早期进行功能锻炼，注意饮食，避免进食引起腹胀的食物。实验组在对照组基础上实施摇摆操。摇摆操总共分五节：第一节：患者仰卧位，踝关节从中立位缓慢匀速跖屈至45°后停留5 s 后，再缓慢匀速达背伸20°，停留5 s至中立位；第二节：患者仰卧屈膝，抬起臀部5 s；第三节：患者仰卧屈膝，进行左右摇摆，摇摆10 min，摇摆角度大概30°左右；第四节：患者右侧卧位，身体左右摇摆10 min，摇摆角度大概30°左右；第五节：患者左侧卧位，身体左右摇摆10 min，摇摆角度大概30°左右。患者术后回房开始做摇摆操的第一、二、三节，术后6 h后开始做第四、五节，以后每天早上、中午、下午、晚上做4次，也可根据自己的情况增加次数。, 百拇医药(吴兰兰 赵文芳 张唯唯)