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鼻饲芝麻油联合多频振动腹部按摩对脑卒中鼻饲患者便秘的疗效分析

Efficacy of nasogastric administration of sesame oil combined with multi-frequency vibrational abdominal massage in stroke patients with constipation undergoing nasogastric feeding

    摘要
  • 摘要:
    目的 探讨空腹鼻饲芝麻油联合多频振动腹部按摩在脑卒中鼻饲患者便秘中的应用效果。
    方法 选取50例脑卒中鼻饲患者作为研究对象, 随机分为对照组和研究组，每组25例。对照组使用常规护理联合多频振动腹部按摩，研究组在对照组的基础上空腹鼻饲芝麻油20 mL。干预15 d后比较2组干预后排便情况便秘临床症状评分(CSS)、大便性状(Bristol粪便分型法)、粪便量。
    结果 治疗后，研究组CSS为(6.52±2.52)分，低于对照组的(12.64±3.32)分，研究组大便性状Bristol粪便分型正常型(Ⅳ型和Ⅴ型)为76.0%, 高于对照组的8.0%, 研究组排便量(303.00±93.79) g, 高于对照组的(196.40±60.27) g, 研究组排便总有效率96.0%, 高于对照组的32.0%, 研究组便秘患者生活质量量表(PAC-QOL)评分为(40.07±5.67)分，低于对照组的(63.07±7.46)分。
    结论 空腹鼻饲芝麻油联合多频振动腹部按摩可以促进脑卒中鼻饲患者的肠道功能恢复，改善便秘症状。

     

    Abstract:
    Objective To investigate the clinical efficacy of fasting nasogastric administration of sesame oil combined with multi-frequency vibrational abdominal massage in stroke patients with constipation undergoing nasogastric feeding.
    Methods A total of 50 stroke patients with nasogastric feeding were selected as study subjects and randomly divided into control group and study group, with 25 patients in each group. The control group received routine nursing care plus multi-frequency vibrational abdominal massage, while the study group received fasting nasogastric administration of 20 mL of sesame oil on the basis of the control group's treatment. After 15 days of intervention, the defecation conditions constipation clinical symptom score (CSS), stool consistency (Bristol stool scale), and stool volume were compared between the two groups.
    Results After treatment, the CSS score in the study group was lower than that in the control group (6.52±2.52) versus (12.64±3.32), P < 0.05. The normal stool consistency (types Ⅳ and Ⅴ on the Bristol stool scale) in the study group was higher than that in the control group(76.0% versus 8.0%, P < 0.05). The stool volume in the study group was higher than that in the control group(303.00±93.79) g versus (196.40±60.27) g, P < 0.05. The total effective rate of defecation in the study group was 96.0%, which was higher than 32.0% in the control group(P < 0.05). The Patient Assessment of Constipation-Quality of Life (PAC-QOL) score in the study group was lower than that in the control group (40.07±5.67) versus (63.07±7.46), P < 0.05.
    Conclusion Fasting nasogastric administration of sesame oil combined with multi-frequency vibrational abdominal massage can promote the recovery of intestinal function and improve constipation symptoms in stroke patients with nasogastric feeding.

     

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