护理干预对急性弥漫性腹膜炎患者术后胃肠功能和并发症的影响  

Influence of nursing intervention on postoperative gastrointestinal func-tion and complication of patients with acute diffuse peritonitis

作　　者：余小娟 甘慧玲 童巧薇 

机构地区：[1]浙江省富阳市人民医院外科,浙江富阳311400 [2]浙江省台州市恩泽医疗中心(集团)路桥院区外科,浙江台州318050

出　　处：《中国医药导报》2014年第6期114-116,共3页China Medical Herald

基　　金：浙江省医学会临床科研基金课题(编号2012ZYC-A94)

摘　　要：目的 观察护理干预对急性弥漫性腹膜炎患者术后胃肠功能和并发症的影响.方法 选择2009年5月～2013年8月在浙江省富阳市人民医院行手术治疗急性弥漫性腹膜炎患者70例为研究对象,采用随机数字表法将其分为干预组和对照组,每组各35例.两组患者均在气管插管全麻行手术治疗.对照组和干预组患者分别给予术后常规护理和综合性护理干预,观察并比较两组患者胃肠蠕动功能、术后住院时间和术后并发症的发生率.结果 干预组患者肠鸣音恢复时间、肛门排气、排便时间和术后住院时间[（15.40±3.97）h、（28.12±7.81）h、（43.27±8.16）h、（8.16±1.94）d]均明显短于对照组[（21.24±7.02）h、（34.71±9.82）h、（52.14±12.15）h、（10.04±2.17）d],差异均有统计学意义（t=2.41、2.24、2.18、2.23,均P＜0.05）;干预组患者总的并发症发生率为8.57％,明显低于对照组（28.57％）,差异有统计学意义（x2=4.63,P＜0.05）.结论 综合性护理干预可促进急性弥漫性腹膜炎术后患者胃肠蠕动功能的恢复,缩短患者肠鸣音恢复时间、肛门排气、排便时间,减少患者术后并发症的发生率.Objective To discuss the influence of nursing intervention on postoperative gastrointestinal function and complication of patients with acute diffuse peritonitis.Methods 70 cases of patients with acute diffuse peritonitis who were going to be operated from May 2009 to August 2013 in the People＇s Hospital of Fuyang City in Zhejiang Province were selected as study objects and randomly divided into intervention group and control group according to the random number table method,with 50 cases in each group.The patients in two groups were given general anesthesia operation treatment by trachea cannula,the patients in control group and intervention group were respectively given routine nursing intervention and comprehensive nursing intervention after the operation.The occurrence rates of function gastrointestinal peristalsis,postoperative length of stay and complication of patients in two groups were observed and compared.Results The time of bowel sound recovery,anal exhaust,defecation and postoperative length of stay in intervention group [（15.40±3.97） h,（28.12±7.81） h,（43.27±8.16） h,（8.16±1.94） d] were much shorter than those in control group [（21.24±7.02） h,（34.71±9.82） h,（52.14±12.15） h,（10.04±2.17） d],the differences were statistically significant （t =2.41,2.24,2.18,2.23,all P 〈 0.05）.The total complication occurrence rate of patients in intervention group （8.57%） was much lower than that in control group （28.57%）,the difference was statistically significant （x 2=4.63,P 〈 0.05）.Conclusion Comprehensive nursing intervention can promote the recovery of gastrointestinal peristalsis function of patients with acute diffuse peritonitis,shorten the recovery time of bowel sound and anal exhaust and defecation time,and reduce the occurrence rate of postoperative complication of patients.

关 键 词：急性弥漫性腹膜炎 护理干预 胃肠功能 并发症 

分 类 号：R656.41[医药卫生—外科学]