经膀胱腹内压监测法在腹部手术患者胃肠功能恢复中的应用  

Application of tans-bladdeRintra-abdominal pressure monitoring on gastrointestinal function recovery in patients undergoing abdominal surgery

作　　者：李葵芬 陈亚燕 帅意好 区燕云 张启鹤 LI Kuifen;CHEN Yayan;SHUAI Yihao(Department of General Surgery,the Fourth People’s Hospital of Nanhai District,Guangdong,Foshan 528211,China)

机构地区：[1]广东省佛山市南海区第四人民医院普外科,528211

出　　处：《河北医药》2024年第11期1665-1669,共5页Hebei Medical Journal

基　　金：佛山市自筹经费类科技创新项目入库培育项目(编号:2220001005275)。

摘　　要：目的观察经膀胱腹内压监测法在腹部手术患者胃肠功能恢复中的应用效果。方法选取2022年1月至2023年5月行腹部手术的85例患者为研究对象,其中干预组42例,对照组43例。对照组患者围术期予以常规护理措施,在此基础上,干预组患者予以基于经膀胱腹内压监测法的胃肠功能恢复护理干预。记录2组患者术后肠鸣音出现时间、术后首次排气时间、术后首次进食半流质时间、住院时间、术后胃肠道症状发生情况,同时采用胃肠道症状分级评分量表(gastrointestinal symptoms rating scale,GSRS)、舒适状况量表(general comfort questionnaire,GCQ)评估干预效果。结果干预组患者与对照组患者比较,术后肠鸣音出现时间、术后首次排气时间、术后首次进食半流质时间、住院时间明显缩短,差异均有统计学意义(P<0.05)。干预组患者术后胃肠道症状发生率低于对照组患者,差异无统计学意义(P>0.05);干预后,干预组患者与对照组患者比较,GSRS量表各症状评分及总分明显降低(P<0.05);GCQ量表生理、心理精神、社会文化维度评分及总分明显升高,差异均有统计学意义(P<0.05)。结论在腹部手术患者中应用经膀胱腹内压监测法的胃肠功能恢复护理措施,能够促进患者胃肠功能恢复,降低患者胃肠道症状发生率,改善患者胃肠不适症状,提高患者舒适度。Objective This study aimed to evaluate the effectiveness of tans-bladdeRintra-abdominal pressure monitoring on gastrointestinal function recovery in patients undergoing abdominal surgery.Methods A total of 85 patients undergoing abdominal surgery in ouRhospital between January 2022 and May 2023 were included in this study.Patients in the control group(n=43)received standard perioperative nursing care,patients in the intervention group(n=42)additionally received tans-bladdeRintra-abdominal pressure monitoring foRgastrointestinal function recovery.The time to postoperative bowel sound,postoperative first exhaust,postoperative first intake of semi-liquid diet,hospitalization,as well as incidence of postoperative gastrointestinal symptoms were recorded in the two groups.The Gastrointestinal Symptoms Rating Scale(GSRS)and the General Comfort Questionnaire(GCQ)were performed to assess intervention effects.Results AfteRthe intervention,the intervention group exhibited significantly shorteRtime to postoperative bowel sound,postoperative first exhaust,postoperative first intake of semi-liquid diet,hospitalization compared to the control group(P<0.05).The incidence of postoperative gastrointestinal symptoms in the intervention group was similaRto the control group(P>0.05).AfteRthe intervention,the research group had significantly loweRdimension scores and overall score of GSRS scale compared to the control group(P<0.05).The intervention group also presented significantly higheRdimensions cores in physiological,psychological,and social-cultural,as well as the total score of the GCQ scale(P<0.05).Conclusion The application of tans-bladdeRintra-abdominal pressure monitoring on gastrointestinal function recovery in patients undergoing abdominal surgery can effectively promote gastrointestinal function recovery,reduce incidence of postoperative gastrointestinal symptoms,improve discomfort symptoms,and enhance patient comfort.

关 键 词：经膀胱腹内压监测法 腹部手术 胃肠症状 围术期护理 

分 类 号：R248.2[医药卫生—中医临床基础]