肾穿刺术后不同时间口服消胀药物对腹胀的影响  

The clinical research of oral administration of dimethicone tablets at different times after renal puncture

作　　者：张金萍[1] 张杰[1] 

机构地区：[1]解放军总医院肾三科,北京100853

出　　处：《中华现代护理杂志》2011年第25期3076-3077,共2页Chinese Journal of Modern Nursing

摘　　要：目的探讨肾穿刺术后不同时间口服二甲硅油片消胀药物对术后腹胀的影响，为临床护士执行医嘱提供依据。方法运用观察研究法，对211例接受肾穿刺术的患者按方便抽样法分为3组，分别于肾穿刺术后5，6，7h口服二甲硅油片，分析比较术后腹胀程度和舒适度。结果5h组与6h组患者腹胀发生率差异有统计学意义（x^2=5．64，P=0．000）15h组与7h组患者腹胀发生率差异有统计学意义（x2=4．65，P=0．000）；6h组与7h组患者腹胀发生率差异无统计学意义（x^2=1．38，P=0．169）；5h组、6h组和7h组患者的舒适度分别为（5．17±0．92）分、（6．53±0．74）分和（5．89±0．75）分，差异有统计学意义（F=49．53，P〈0．01）。结论肾穿刺术后6h应用消胀药物，可降低腹胀的发生，提高患者的舒适度，是较为合适的服药时间。Objective To explore the clinical effect of oral administration of dimethicone tablets at different times on abdominal distension after renal puncture. Methods Using the cluster-sampling method, 211 patients were divided into three groups. Group 5h, group 6 h and group 7 h were given dimethicone tablets orally at 5 h, 6 h, 7 h after renal puncture, respectively. The degree of abdominal distension and comfort were analyzed and compared. Results The incidence of abdominal distension in group 6 h （ X^2 = 5.64, P = 0. 000） and group 7 h （ X^2 = 4.65, P = 0. 000） was lower than in group 5 h, which was not significantly different between group 6 h and 7 h （ X^2 = 1.38 ,P =0. 169）. The score of the discomfort degree relating to abdominal distension were （5.17 ±0.92）, （6.53±0.74） and （5.89±0.75 ）, respectively. The differences were significant（ F = 49. 53, P 〈 0. 01 ）. Conclusions Oral administration of dimethicone tablets at 6h after renal puncture can release the abdominal distension effectively, improve the comfortable degree. It is the optimal medication time of dimethicone tablets after renal puncture.

关 键 词：穿刺术 肠胃胀气 二甲硅油片 

分 类 号：R473.6[医药卫生—护理学]