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护理干预对促进妇科腹腔镜术后胃肠蠕动功能恢复的效果分析(1)
http://www.100md.com 2018年2月26日 《医学信息》 2018年第8期
     摘 要:目的 分析护理干预对妇科腹腔镜术后胃肠蠕动功能恢复的影响作用。方法 选取我院收治的行腹腔镜术患者50例,按照入院顺序将其分为观察组和对照组,各25例。对照组术后运用传统护理方式护理,观察组在对照组基础上应用合理的护理干预。比较两组患者的术后胃肠蠕动功能开始时间、肛门排气开始时间以及患者腹胀发生情况。结果 观察组术后胃肠蠕动功能开始时间和肛门排气开始时间分别为(7.68±1.79)h和(14.92±2.41)h,优于对照组的(11.77±3.45)h和(22.64±2.51)h,差异具有统计学意义(P<0.05);观察组腹胀发生率为20.00%,低于对照组的40.00%,差异具有统计学意义(P<0.05)。结论 对妇科腹腔镜术后患者采取护理干预,可加快术后胃肠蠕动功能恢复速度,降低腹胀发生率,值得临床推广。

    关键词:妇科;腹腔镜术;胃肠蠕动功能;护理干预

    中图分类号:R473.71 文献标识码:A DOI:10.3969/j.issn.1006-1959.2018.08.061
, 百拇医药
    文章编号:1006-1959(2018)08-0170-02

    Effect of Nursing Intervention on Functional Recovery of Gastrointestinal Peristalsis after Gynecologic Laparoscopy

    WANG Zhu

    (Operation Room,Subject Two,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)

    Abstract:Objective To analyze the effect of nursing intervention on the recovery of gastrointestinal peristalsis after gynecological laparoscopy.Methods 50 cases of laparoscopic surgery were selected and divided into two groups according to the order of admission: observation group(n=25)and control group(n=25).Traditional nursing care was used in the control group and reasonable nursing intervention was applied in the observation group on the basis of the control group.The beginning time of gastrointestinal peristalsis, the beginning time of anal exhaust and the incidence of abdominal distension were compared between the two groups.Results The starting time of gastrointestinal motility and anal exhaustion time in the observation group were(7.68±1.79)h and(14.92±2.41)h, respectively,which were better than those in the control group(11.77±3.45)h and(22.64±2.51)h,the difference was statistically significant(P<0.05),the incidence of bloating in the observation group was 20.00%,which was lower than 40.00% in the control group,the difference was statistically significant(P<0.05).Conclusion Nursing intervention for gynecological laparoscopic surgery patients can speed up the recovery of gastrointestinal motility function and reduce the incidence of bloating,which is worthy of clinical promotion.
, 百拇医药
    Key words:Gynecology;Laparoscopy;Gastrointestinal peristalsis;Nursing intervention

    腹腔镜手术是目前妇科较为常见的手术治疗方法,虽有诸多优点,但其术后出现的腹部胀气、肠胃功能障碍、胃肠蠕动功能障碍以及肠胃排气功能障碍等并发症是不可忽视的[1]。为此,我院对妇科腹腔镜術后患者运用有效的护理干预,对于促进患者肠胃功能恢复起到了良好效果,现报道如下。

    1资料与方法

    1.1一般资料 选取2016年7月~2017年6月黑龙江省佳木斯市中心医院妇科共收治行腹腔镜术患者50例,本研究经医院伦理会批准。按照入院顺序将患者分为观察组和对照组,每组25例。观察组年龄22~58岁,平均年龄(33.56±5.28)岁;体重40~70 kg,平均体重(58.72±4.79)kg;其中异位妊娠10例,子宫肌瘤5例,卵巢囊肿6例,盆腔炎性包块2例,输卵管阻塞2例。对照组年龄17~55岁,平均年龄(35.67±2.13)岁;体重42~65 kg,平均体重(57.23±2.13)kg;其中异位妊娠6例,子宫肌瘤3例,卵巢囊肿10例,盆腔炎性包块3例,输卵管阻塞3例。两组患者一般资料比较,差异无统计学意义(P>0.05),可对比。, http://www.100md.com(王主)
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