中西医结合治疗腹部术后肠麻痹护理分析(1)
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[摘要] 目的:介绍本科应用中西医结合治疗腹部术后肠麻痹的护理体验。方法:单纯应用西医的护理方法作为对照组,应用中西医结合的护理方法为实验组,两组对照,观察患者痊愈时间、3 d内痊愈率。结果:3 d内的痊愈率实验组为93%,对照组为50% ,实验组与对照组的3 d痊愈率比较,差异有统计学意义(P<0.01)。结论:中西医结合的治疗与护理有很好的互补性,因此应用中西医结合治疗和护理腹部术后肠麻痹能加快患者痊愈,缩短患者的住院时间,提高3 d痊愈率,促进患者痊愈。
[关键词] 腹部术后;肠麻痹;中西医结合
[中图分类号] R473.6 [文献标识码]C [文章编号]1674-4721(2010)05(c)-108-02
Integrated treatment of intestinal paralysis care of abdominal surgery
DENG Xuelian,HUANG Junxiao
(Deqartment of Second Surgery, The People's Hospital of Wuchuan City,Gauangdong Province, Wuchuan 524500, China)
[Abstract] Objective: To introduce the undergraduate application of integrated Chinese and Western medicine treatment of abdominal postoperative intestinal paralysis care nursing experience. Methods: It was a simple application using Western methods of treatment and care as the control group and the application of integrated Chinese and Western medicine treatment and care of the experimental group were compared, patients were observed up recovery time, cure rate within 3 days compared summary. Results: The combination of Chinese and Western medicine method of curative care within 3 days of the recovery rate of 93%, 50% of the control group, The experimental group and control group 3 days cure rate had statistically significantly differences(P<0.01). Conclusion: The combination of Chinese and Western medicine treatment and care have a good complementary, The combined application of Chinese and Western medicine treatment and care in abdominal surgery patients with intestinal paralysis can speed up recovery and shorten the patients' hospital stay, increased by 3 days cure rate.
[Key words] Abdominal surgery; Enteroparalysis; Combining Chinese and Western medicine
腹部术后肠麻痹多见于重症腹部手术后,高龄、体弱的患者。临床上表现为术后1～3周内,进食后出现腹痛、腹胀、呕吐等症状;影像学表现为全小肠和结肠胀气。腹部听诊肠鸣音减弱或消失[1]。治愈标准:肛门恢复排气、排便,24 h鼻胃管引流液少于400 ml,肠鸣音恢复,腹部柔软,无腹胀、腹痛、呕吐等症状,恢复饮食后症状不再出现[2]。在本科采用了中西医结合的方法治疗和护理腹部术后肠麻痹取得了较以往更好的疗效,达到了加快患者痊愈,缩短患者的住院时间,提高3 d内痊愈率的目的。
1 资料与方法
1.1 一般资料
2008年1月～2010年3月,腹部术后出现肠麻痹的患者56例,男35 例,女21 例,年龄65～81 岁,其中80岁以上3例。胃穿孔、胃大部切除术后10例,结肠癌术后10例,阑尾切除术后10例,肠破裂肠修补术后9例,胆系感染胆囊切除术后12例,复发性肝胆管结石O-Y术后5例 ......
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