腹部手术后粘连性肠梗阻90例护理体会

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1、腹部手术后粘连性肠梗阻90例护理体会四川省会东县参鱼中心卫生院四川会东513426【摘要】目的：探讨腹部手术后患者粘连性肠梗阻的护理方式及效果。方法：选取我院2013年6月-2015年6月收治的腹部手术后粘连性肠梗阻患者90例,将其随机分为观察组和对照组，各45例，对照组采取常规护理，观察组在此基础上给予综合护理干预。对比分析两组患者的临床效果及对护理工作的满意度情况。结果：观察组胃肠功能恢复时间、平均住院时间均明显短于对照组，组间比较差异均有统计学意义(P<0.01);观察组并发症发生率为6.7%，明显低于对照组的37.8%(P<0.01),观察组治疗总有效率95.6%,

2、明显高于对照组68.9%的总有效率(P<0.01);观察组患者满意度为97.8%,明显高于对照组的80.0%(P<0.01)o结论：综合护理干预对腹部手术后粘连性肠梗阻患者，能提高治疗总有效率和患者对护理工作的满意度，降低并发症发生率，值得推广应用。【关键词】腹部手术：粘连性肠梗阻；护理[abstract]objective：tostudytheadhesionsexintestinalobstructionafterabdominalsurgerypatientsnursingmethodsandeffect.methods：ourhospitalinJune2013-J

3、une201590patientswithadhesionsexintestinalobstructionafterabdominalsurgery,wererandomlydividedintoobservationgroupandcontrolgroup,45casesofcontrolgroupadoptedroutinenursingcare,observationgrouponthebasisofcomprehensivenursingintervention.Comparisonandanalysistheclinicaleffectoftwogroupsofpatient

4、sandthenursingjobsatisfaction.Results：theobservationgroupofgastrointestinalfunctionrecoverytime，averagehospitalizationtimeweresignificantlyshorterthanthecontrolgroup,comparethedifferencesbetweengroupswerestatisticallysignificant(P<0.01);Thecomplicationrateofobservationgroupwas6.7%,significant

5、lylowerthanthecontrolgroup37.8%(P<0.01),toobservetreatmentgrouptotaleffectiveness95.6%,significantlyhigherthanthecontrolgrouptotaleffectiverate68.9%(P<0.01)；Patientsatisfactionwas97.8%,theobservationgroupwasobviouslyhigherthanthatofcontrolgroup80.0%(P<0.01).Conclusion：comprehensivenursi

6、nginterventioninpatientswithabdominaladhesionsexintestinalobstructionafteroperation,canimprovethetreatmentofpatientswithatotaleffectiverateandsatisfactionofnursingwork，reducetheincidenceofcomplications,worthyofpopularizationandapplication.[keywords]Perioperativeperiod；radicalgastrectomyforgastri

7、ccancer；nursingquality腹部手术后粘连性肠梗阻是临床中腹部手术常见并发症，该症是腹腔内炎症或腹部手术创伤等引起肠壁水肿和滲出，进而引发动力性与机械性并存的粘连性肠梗阻。腹部手术后粘连性肠梗阻一般发病急、病情发展快，II临床症状复杂多变，因此，不易把握患者再次手术指征，如处理不当可引起短肠综合征、肠瘘以及腹腔感染等严重并发症［1】。为了探讨护理干预对腹部手术后粘连性肠梗阻患者的影响，本文选取我院90例患者的临床资料进行分析，将