腹部手术后粘连性肠梗阻的原因分析及护理对策  

Analysis of the Causes and Nursing Countermeasures of Adhesive Intestinal Obstruction after Abdominal Operation

作　　者：潘颖 PAN Ying(The Fourth Department of Surgery,Beipiao Hospital of Traditional Chinese Medicine,Beipiao 122100,China)

机构地区：[1]北票市中医院外四科,辽宁北票122100

出　　处：《中国医药指南》2021年第4期137-138,共2页Guide of China Medicine

摘　　要：目的分析腹部手术粘连性肠梗阻出现的原因,总结有效的护理干预对策。方法选取2018年1月至2019年3月来我院进行腹部手术出现粘连性肠梗阻的100例患者作为观察组,选择同期来我院进行腹部手术出现粘连性肠梗阻的100例患者作为对照组。对两组患者的临床资料进行回顾性分析和总结,调查患者合并粘连性肠梗阻出现的原因,同时总结有效的护理方法。结果对照组患者存在心理状态不良92例,术前肠道准备不充分96例,存在炎性反应93例,存在手术创伤90例,胃肠减压引流效果不佳97例,饮食欠佳98例,运动量不足100例,而观察组心理状态不良12例,术前肠道准备不充分16例,存在炎性反应14例,存在手术创伤10例,胃肠减压引流效果不佳16例,饮食欠佳18例,运动量不足19例,两组比较差异有统计学意义(P<0.05)。结论临床腹部手术后导致患者出现粘连性肠梗阻的原因表现在多个方面,因此在临床上应综合采取有效的措施进行预防和干预,以提升对患者防御的方法,确保患者具有良好的生活质量。Objective To analyze the causes of adhesive intestinal obstruction in abdominal surgery and summarize the effective nursing intervention measures.Methods The patients from January 2018 to March 2019 were divided into the observation group and the control group,with 100 cases in each group.The clinical data of the two groups were retrospectively analyzed and summarized,the causes of patients with adhesive intestinal obstruction were investigated,and the effective nursing methods were summarized.Results In the control group,there were 92 cases with poor psychological state,96 cases with inadequate preoperative intestinal preparation,93 cases with inflammatory reaction,90 cases with surgical trauma,97 cases with poor gastrointestinal decompression and drainage effect,98 cases with poor diet,and 100 cases with insufficient exercise.In the observation group,there were 12 cases with poor psychological state,16 cases with inadequate preoperative intestinal preparation,14 cases with inflammatory reaction,and 10 cases with surgical trauma,16 patients with poor gastrointestinal decompression and drainage,18 patients with poor diet and 19 patients with insufficient exercise.There was statistical difference between the two groups(P<0.05).Conclusion The causes of adhesive intestinal obstruction in patients after clinical abdominal surgery are manifested in many aspects,so we should take comprehensive and effective measures to prevent and intervene effectively,improve the means of defense for patients,and ensure that patients have a good quality of life.

关 键 词：腹部手术 粘连性肠梗阻 护理对策 

分 类 号：R473.6[医药卫生—护理学] R574.2[医药卫生—临床医学]