Abstract

Objective To explore the effectiveness of early bed gymnastics in the prevention of abdominal distension after gynecological surgery. Methods 100 patients undergoing gynecological abdominal surgery were randomly divided into study group and control group, 50 for each. The study group received education on early exercise with leaflets on bed gymnastics and started learning preoperatively and practised bed gymnastics postoperatively; while the control group received conventional care. Time to bowel sound recovery and to passing flatus and the rate of abdominal distention were observed. Results The time to bowel sound recovery and to passing flatus and the rate of abdominal distention differed significantly between the two groups (χ2= 34.29, P<0.01; RSR = 6.19, P<0.05; χ2= 4.433, P<0.05). Conclusions Early bed gymnastics after gynecological surgery can shorten the recovery time of gastrointestinal function, and promote early flatus passing, and prevent postoperative abdominal distension. Key words: Abdominal surgery; Early exercise; Bed gymnastics; Abdominal distension

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