微波照射联合胃肠道外科快速康复对胃肠道术后并发症的影响及护理  

The influence and nursing of microwave irradiation combined gastrointestinal surgery rapid recovery to gastrointestinal complications after surgery

作　　者：黄洪运 严云丽 

机构地区：[1]广东省惠东县人民医院外四区,惠州市516300

出　　处：《护理实践与研究》2016年第8期43-45,共3页Nursing Practice and Research

摘　　要：目的：探讨微波照射联合胃肠道外科快速康复对胃肠道术后并发症的影响,以期提高临床诊治水平。方法：选取我科2012年2月-2014年2月96例结直肠切除手术患者为研究对象,随机等分成对照组和观察组,对照组予传统方法治疗护理;观察组加用微波照射联合胃肠道外科快速康复治疗,比较两组治疗后相关指标及并发症发生等情况。结果：观察组在停止输液时间、肠道功能恢复正常时间上较对照组明显缩短,两组比较差异有统计学意义（P〈0.05）,而在术中出血量上比较差异则无统计学意义（P〉0.05）;对照组在恶心呕吐、咽喉疼痛、腹腔感染、切口感染、吻合口瘘、炎症性肠梗阻、应激性溃疡、尿路感染发生率上较观察组高,两组比较差异有统计学意义（P〈0.05）;两组治疗后在血皮质醇、C反应蛋白、白细胞介素6较治疗前均有所下降,治疗前后比较差异有统计学意义（P〈0.05）,观察组治疗后血皮质醇、C反应蛋白、白细胞介素6较对照组治疗后改善更加明显（P〈0.05）。结论：微波照射联合胃肠道外科快速康复能减少并发症发生率,加强护理则能缩短治疗时间。Objective： To explore the influence on microwave irradiation combined gastrointestinal surgery rapid recovery to gastrointestinal complications after surgery to improve the level of clinical diagnosis and treatment. Methods： Selected 96 cases colorectal surgery patients in our department from February,2012 to February,2014 as research objects and divided them into control group and observation group at random. Control group had traditional treatment nursing while observation group added the treatment of microwave irradiation combined gastrointestinal surgery rapid recovery instead of only having traditional treatment nursing. The related indexes and the complication occurrence after treatment in two groups were compared. Results： The infusion stopping time and time for intestinal function recovery in observation group were shorter than control group. The comparison difference of two groups was of statistic significance（ P〈0. 05）. The comparison difference of the blood loss in the operation was not tatistic significance（ P〈0. 05）; The incidence of nausea and vomiting,sore throat,abdominal infections,wound infection,anastomotic leak,inflammatory bowel obstruction,stress ulcer and urinary tract infection in control group were higher than observation group. The comparison difference in two groups was of statistic significance（ P〈0. 05）; the serum cortisol,C reactive protein and interleukin 6 in two groups after treatment were lower than before treatment,the comparison difference of after treatment and before treatment was of statistic significance（ P〈0. 05）. The effect of serum cortisol,C reactive protein and interleukin 6 in observation group was better than control group（ P〈0. 05）. Conclusion： The complication occurrence could be reduced by microwave irradiation combined gastrointestinal surgery rapid recovery. Strengthening nursing could shorten the treatment time.

关 键 词：微波照射 胃肠道外科快速康复 并发症 护理 

分 类 号：R473.6[医药卫生—护理学]