腹部术后早期炎性肠梗阻非手术治疗及护理  

Non-surgical treatment and nursing care in early inflammatory intestinal obstruction after abdominal surgery

作　　者：薛澄琳[1] 周霞[1] 何业萍[1] 汤治平[1] 

机构地区：[1]南方医科大学附属小榄医院普外科,广东中山528415

出　　处：《现代医药卫生》2012年第5期651-652,654,共3页Journal of Modern Medicine & Health

摘　　要：目的探讨腹部术后早期炎性肠梗阻(EPISBO)非手术治疗措施及临床护理价值。方法回顾性分析56例EPISBO患者的治疗及护理临床资料。结果 56例患者中55例均经非手术治疗及配合有效的心理护理,腹痛、腹胀的观察,胃肠减压护理,胃肠外营养支持护理,中药大承气汤经胃管注入加保留灌肠,应用生长抑制素口腔护理等措施,均于7～23 d(平均18 d)治愈出院,1例经及时转手术治疗后治愈。结论综合的非手术治疗方法和有效的护理措施是提高EPISBO治愈率的关键。Objective To evaluate the value of non-surgical treatment and clinical nursing in early postoperative inflammatory ileus.Methods The clinical data in 56 cases of early postoperative inflammatory ileus were performed the retrospective analysis.Results Among 56 cases,55 cases received non-surgical treatment coordinatd with the nursing measures such as effective psychological care,observation on abdominal pain and distension,nursing care of gastrointestinal decompression,parenteral nutrition（TPN） nursing,infusion with Dachengqi Decoction by gastric tube plus retention enema,amicine and oral care.All patients were cured and discharged from hospital in 7-23 d（average 18 d）.Conclusion Comprehensive non-surgical treatment methods and effective nursing measures are the keys to increase the cure rate of early inflammatory ileus after abdominal operation.

关 键 词：炎性肠梗阻 腹部手术 非手术治疗 手术后医护 

分 类 号：R574.2[医药卫生—消化系统]