腹部非胃肠术后序贯使用胃肠动力药临床观察

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1、腹部非胃肠术后序贯使用胃肠动力药临床观察临床外科杂志200()年第1期第8港论苦作者：王永兵陈年进单位：王永兵(226001南通医学院第二附院普外科)；陈年进(226001南通医学院第二附院普外科)关键词：胃肠动力；序贯疗法摘要：口的观察使用胃肠动力药对腹部非胃肠手术后胃肠功能恢复、疼痛、补液、并发症等的影响。方法155例随机分二组：试验组术后即给予胃复安静滴，早期进流质，服西沙必利或吗丁咻，3d耒排便给予便塞停；对照组仅行对症处理。结果试验组术后恶心、呕吐、腹胀发牛率低且程度轻，肛门排气恢复时间明显缩短，疼痛减轻，补液时间缩短，术后恢复快。结论腹部非胃肠道术后

2、序贯使用胃肠动力药是一种安全、有效、经济的辅助治疗方法。观察使用胃肠动力药対腹部非胃肠手术后胃肠功能恢复、疼痛、补液、并发症等的影响。方法155例随机分二组：试验组术后即给予胃复安静滴，早期进流质，服西沙必利或吗丁咻，3d未排便给予便塞停；对照组仅行对症处理。结果试验组术后恶心、呕吐、腹胀发生率低且程度轻，肚门排气恢复时间明显缩短，疼痛减轻，补液时间缩短，术后恢复快。结论腹部非胃肠道术后序贯使用胃肠动力药是一种安全、有效、经济的辅助治疗方法。分类号：R975文献标识码：A文章编号:1005-6483(2000)01-0020-02Clinicalobservat

3、ionofsequentialtherapywithgastrointestinalmotility-drugafternongastrointestinalabdominalsurgeryWANGYongbin,CHENNianjin(TheSecondAffilicatedHospitalofNantongMedicalCollege,Nantong226001,China)Abstract:ObjectiveToobservetheclinialeffectivenessofsequentialtherapywithgastrointestinalmoti

4、lity-drugafternongastrointestinalabdominalsurgery.MethodsAtotalof155caseswererandomlydividedinto2groups,theattemptedandthecontrolled.Patientsofthefirstgroupwerereceivedmetoclopramide10mgtwicesadaybyintravenousinjection,contiunedtwodaysjustafteroperation,eatedliquidsasearlyaspossible,

5、andtookcisaprideordomperideinthemeantime,oncesomedidn'tpassstooloverthreedays,theyshouldtakeBisacodyl.Inthecontrolled,patientswhohadvomittedoverthreetimesaftersurgerywerereceivedgastrointestialdecompression.ResultsComparedwiththecontrolledgroup,thereweresomedistinctivefeatureinattemp

6、tedone:1.TheincidenceofPONVreducedmarkedlyandthedegreeofitsubsided;2.thetimerecoveringflatusshortenedobviously;3.Patientswereabletotakefoodwithaminimumofdelayandthetimeofreplenishfluidcurtailled;4.Thefrequencyofabdominaldisteationabateddramaticly;5.Thepostoperativepainwasrelievedandp

7、ain-killerwaslesstaken;6.Thecomplicationofpostoperationwasdroppedoff.ConclusionItisavaluablesupportivetreatmenttotakesequentiallygastrointestinalmotilitymedicineafternongastrointestinalabdominalsurgery.Keywords:Gastrointestinalmotility；Sequentialtherapy腹部手术后由于麻醉、术中牵拉、术后疼痛等原因，常出现术后恶心、

8、呕叶.(postoper