护理干预在腹膜后肿瘤术后并发肠吻合口瘘患者治疗中的作用  

Role of nursing intervention in treatment of retroperitoneal sarcomas complicated with intestinal anastomotic fistul

作　　者：郭阳[1] 孙玉玲[1] 王海英[1] 刘雷 乌日乐 GUO Yang;sun Yu-iing;WANG Hai-ying LIU Lei;WU Ri-le(Department of Infectious Diseases,Shijitan Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院感染科,北京100038

出　　处：《中国急救复苏与灾害医学杂志》2019年第11期1068-1070,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的探讨护理干预在腹膜后肿物术后并发肠吻合口瘘治疗中的重要作用及护理要点。方法选取2016年2月-2018年2月北京世纪坛医院腹膜后肿瘤术后并发肠吻合口瘘患者50例,并随机分为观察组和对照组,每组25例。对照组患者术后发生肠吻合口瘘行腹腔冲洗期间住在普通病房,由患者家属陪护;观察组患者术后肠吻合口瘘腹腔冲洗期间转入本科监护室,由护士24h监护观察患者病情及腹腔双套管冲洗情况。结果观察组肠吻合口瘘愈合时间(20.22±8.46)d,住院时间(29.32±7.63)d,短于对照组分别为(33.91±13.53)d和(37.44±10.61)d,差异均有统计学意义(P<0.05)。观察组患者腹腔引流管堵塞(8.0%)、吻合口周围皮肤感染(12.0%)、褥疮(8.0%)和肺部感染(12.0%)的发生率均低于对照组(分别为32.0%,44.0%,40.0%和36.0%),差异均有统计学意义(P<0.05)。结论腹膜后肿瘤术后并发肠吻合口瘘行腹腔冲洗后进行护理干预可保证有效冲洗,提高肠吻合口瘘的治愈率,缩短住院时间,减少并发症。Objective To explore the important role of nursing intervention in the treatment of retroperitoneal sarcoma complicated with intestinal anastomotic fistula.Methods Fifty patients with intestinal anastomotic fistula after operation of retroperitoneal sarcoma in Beijing Shijitan Hospital from February 2016 to February 2018 were randomly divided into case group and control group,25 cases in each group.In the control group,the patients with intestinal anastomotic fistula after operation were performed with abdominal irrigation in the general ward,and were accompanied by the family members of the patient.The patients in case group were transferred to the intensive care unit,and were monitored by nurses in 24 hours a clay.Results The healing time[(20.22±8.46)days]and hospitalization time[(29.32±7.63)days]of the case group both were shorter than that of the control group[(33.91±13.53)days and(37.44±10.61)days],the difference was significant(P<0.05).The incidence rates of obstruction of abdominal drainage tube(8.0%),skin infection around the anastomotic stoma(12.0%),bedsore(8.0%)and pulmonary infection(12.0%)of the case group were all lower than those of the control group(32.0%,44.0%,40.0%and 36.0%respectively),the differences were significant(P<0.05).Conclusion Nursing intervention after abdominal irrigation ensures effective irrigation,improves the curative rate of intestinal anastomotic fistula,shortens hospital stay,and reduces complications.

关 键 词：腹膜后肿瘤 吻合口瘘 腹腔冲洗 护理 

分 类 号：R47[医药卫生—护理学]