经胃管注入石蜡油联合芒硝敷脐在不完全性肠梗阻患者中的应用效果  

The application effect of injecting paraffin oil through gastric tube combined with mirabilite on the navel in patients with incomplete intestinal obstruction

作　　者：黄碧钰 刘珊 王翊琴 余晓铃 HUANG Biyu;LIU Shan;WANG Yiqin;YU Xiaoling(The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian,350000,China)

机构地区：[1]福建中医药大学附属人民医院,福建福州350000

出　　处：《中西医结合护理(中英文)》2025年第1期45-48,共4页Journal of Clinical Nursing in Practice

摘　　要：目的研究经胃管注入石蜡油与芒硝敷脐相结合的疗法在不完全性肠梗阻患者中的临床疗效。方法本研究所选择的对象为2020年9月至2022年2月福建中医药大学附属人民医院结直肠外科收治的不完全性肠梗阻患者,总计50例,通过随机数字法分配原则将其划分为2个组别,每组包含25例患者。对照组接受常规治疗及护理方案,观察组在此基础上加用经胃管注入石蜡油联合芒硝敷脐治疗。对比2组患者的治疗总有效率、临床症状体征的改善时间、不良反应以及住院时间。结果相较于对照组64.00%的治疗总有效率,观察组高达92.00%(P<0.05)。观察组首次肛门排气及排便、腹痛缓解以及肠鸣音恢复的时间均较对照组更早(P均<0.05)。2组不良反应发生情况经比较,差异无统计学意义(P>0.05)。观察组的住院时间短于对照组(P<0.05)。结论经胃管注入石蜡油联合芒硝敷脐对不完全性肠梗阻的效果明显,可加速患者的胃肠道功能恢复,缩短住院时间,提高总体治疗有效率。Objective To study the clinical efficacy of a combination therapy of injecting paraffin oil through a gastric tube and applying mirabilite to the navel in patients with incomplete intestinal obstruction.Methods The subjects selected in this study were 50 patients with incomplete intestinal obstruction admitted to the Colorectal Surgery Department of the Affiliated Peoples Hospital of Fujian University of Traditional Chinese Medicine from September 2020 to February 2022.The patients were divided into two groups by random number allocation principle,with 25 patients in each group.The control group received routine treatment and nursing plans,while the observation group received additional treatment by injecting paraffin oil through a gastric tube and applying mirabilite to the navel.The total effective rate of treatment,the time of improvement of clinical symptoms and signs,adverse reactions,and hospitalization time were compared between the two groups of patients.Results Compared with the control group with a total effective rate of 64.00%,the observation group had a high effective rate of 92.00%(P<0.05).The observation group had earlier time for the first anal exhaust and defecation,relief of abdominal pain,and recovery of bowel sounds compared to the control group(all P<0.05).There was no statistically significant difference in the occurrence of adverse reactions between the two groups(P>0.05).The hospitalization time of the observation group was shorter than that of the control group(P<0.05).Conclusion The combination of injecting paraffin oil through a gastric tube and applying mirabilite to the navel has a significant effect on incomplete intestinal obstruction,which can accelerate the recovery of gastrointestinal function in patients,shorten hospitalization time and improve the overall treatment efficiency.

关 键 词：不完全性肠梗阻 石蜡油 芒硝 穴位贴敷 

分 类 号：R473.6[医药卫生—护理学]