中西医结合理论的综合护理对行腹部手术治疗患者术后排气和胃肠道功能恢复时间的影响  

Effect of comprehensive nursing based on the theory of integrated traditional Chinese and western medicine on postoperative anal exhaust and gastrointestinal function recovery of patients undergoing abdominal surgery

作　　者：辛兰芝 侯丽丽 XIN Lanzhi;HOU Lili(Department of General Surgery,Yanggu County People􀆳s Hospital,Yanggu,Shandong,252300,China)

机构地区：[1]阳谷县人民医院普外科,山东阳谷252300

出　　处：《中西医结合护理（中英文）》2021年第6期69-72,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨行腹部手术治疗的患者应用中西医结合理论的综合护理,对其术后排气和胃肠道功能的影响。方法选取2019年8月至2020年8月于阳谷县人民医院行腹部手术治疗的100例患者,按照随机数字表法分入对照组(n=50)和观察组(n=50)。对照组患者接受常规护理,观察组患者接受中西医结合理论的综合护理。比较2组患者的排气时间和胃肠道功能恢复时间、并发症发生率以及护理满意度。结果观察组的肛门首次排气时间和首次排便时间均显著早于对照组(P均<0.05),腹胀和腹痛缓解时间以及胃肠蠕动恢复时间均显著短于对照组(P均<0.05)。观察组的并发症发生率为4.00%,显著低于对照组的20.00%(P<0.05)。观察组的护理满意度各项评分(护理意识、护理操作规范、感染控制、护理配合和护理安全)均显著高于对照组(P均<0.05)。结论中西医结合理论的综合护理可以缩短行腹部手术治疗患者的胃肠道功能恢复时间,有助于预防术后粘连性肠梗阻等并发症发生。Objective To explore the application effect of comprehensive nursing based on the theory of integrated traditional Chinese and western medicine on postoperative anal exhaust and gastrointestinal function recovery in patients undergoing abdominal surgery.Methods A total of100patients who underwent abdominal surgery at Yanggu County People.s Hospital from August2019to August2020were selected.They were divided into a control group(n=50)and an observation group(n=50)by random number table method.The control group was treated with routine nursing,and the observation group was treated with comprehensive nursing based on the theory of integrated traditional Chinese and western medicine.The anal exhaust time,recovery time of gastrointestinal function,incidence of complications and nursing satisfaction were compared between the two groups.Results The time of first anal exhaust and time of first defecation of the observation group were significantly earlier than those of the control group(both P<0.05).The time of abdominal distension and pain relief and the recovery time of gastrointestinal motility of the observation group were significantly shorter than those of the control group(both P<0.05).The incidence of complications in the observation group was4.00%,which was significantly lower than20.00%in the control group(P<0.05).The scores of nursing satisfaction(nursing awareness,nursing practice,infection control,nursing cooperation and nursing safety)of the observation group were significantly higher than those of the control group(all P<0.05).Conclusion The comprehensive nursing based on the theory of integrated traditional Chinese and western medicine can shorten the recovery time of gastrointestinal function in patients undergoing abdominal surgery and prevent adhesive intestinal obstruction and other postoperative complications.

关 键 词：中西医结合护理 腹部 手术 胃肠道功能 

分 类 号：R248.2[医药卫生—中医临床基础]