护理干预促进胃肠道手术早期康复90例分析  

Nursing intervention to promote early rehabilitation in 150 patients underwent abdominal surgery

作　　者：王星珍[1] 卢莉红[1] 邓惠妍[1] 

机构地区：[1]广西柳州市柳铁中心医院

出　　处：《海南医学院学报》2016年第11期1173-1174,1178,共3页Journal of Hainan Medical University

基　　金：广西自治区卫生厅基金项目(Z2011236)~~

摘　　要：目的：探讨腹部手术后病人早期咀嚼木糖醇口香糖与肛缩运动对促进术后患者胃肠功能恢复的影响。方法：将90例腹部手术患者随机分为观察组与对照组各45例,对照组给予常规护理,观察组在常规护理基础上给予咀嚼口香糖与缩肛运动训练。结果：观察组肛门排气排便时间、留置胃管和导尿管时间、进食时间、住院天数与对照组比较明显缩短,差异具有统计学意义（P〈0.05）;两组术后镇痛时间、恶心呕吐发生率、并发症发生率比较,差异无统计学意义（P〉0.05）。结论：通过加强围术期护理,增加咀嚼与肛缩运动可促进腹部手术后患者胃肠功能恢复,缩短住院时间,减轻了患者痛苦,患者恢复快,增加舒适感,安全、有效,值得临床推广应用。Objective：To investigate influence of xylitol chewing gum and anal contraction movementfor recovery of gastrointestinal function in patients underwent abdominal surgery.Methods：A total of 90 patients underwent abdominal surgery were randomly divided into observation group and control group,45 patients in the control group were given routine nursing care,observation group were odered to chew gum and do anus movements on the basis of conventional nursing.Results：Anal exhaust time,indwelling gastric tube and catheter time defecate,eating time,hospitalization length of the observation group were significantly reduced compared with controls（P〈0.05）,but no significant difference in postoperative analgesia time,incidence of nausea and vomiting incidence of complications was found between the two groups（P〉0.05）.Conclusion：Strengthened perioperative nursing measures including chewing gum and doing anus movements can promote recovery of gastrointestinal functional recovery in patients underwent abdominal surgery.

关 键 词：护理干预 腹部手术 康复 咀嚼 口香糖 肛缩运动 

分 类 号：R473.73[医药卫生—护理学]