摘要
目的探讨术前胃肠道护理干预对老年全麻腹腔非胃肠道手术患者术后肠功能恢复的影响。方法选择2010年4月—2011年12月在我院普外科住院的120例全麻腹腔非胃肠道手术老年患者为研究对象,将其按照随机数字表法分为两组。对照组(n=60)术前常规禁食、禁饮;观察组(n=60)在常规禁食、禁饮的基础上行胃肠道护理干预,术前1 d 18:00给予口服复方聚乙二醇电解质散,术前观察患者服药后的不良反应;术后观察比较两组患者的腹胀程度、肠鸣音及首次肛门排气时间。结果观察组患者术前口服复方聚乙二醇电解质散后,仅出现恶心(5例)、呕吐(1例)、饱胀感(6例)等轻度不良反应,无腹痛、变态反应及其他严重不良反应。术后观察组腹胀程度(1.2±1.3)分、肠鸣音出现时间(18.2±6.0)h、排气时间(29.3±6.2)h,对照组腹胀程度(2.7±1.8)分、肠鸣音出现时间(23.7±10.0)h、排气时间(37.4±6.1)h,两组间以上指标差异均有统计学意义(P<0.01)。结论术前进行胃肠道护理干预,有利于老年全麻腹腔非胃肠道手术患者术后肠功能的恢复。
Objective To investigate the influence of gastrointestinal preoperative nursing intervention to the elderly recovery of intestinal function after anesthesia intra - abdominal non - gastrointestinal surgery. Methods A total of 120 elderly patients hospitalized in general surgical department for anesthesia abdominal non - gastrointestinal surgery from April 2010 to De- cember 2011 were divided randomly into groups Study and control. Control group conducted conventional preoperative fasting and forbidden to drink ; Study group performed, based on conventional measures, preoperative gastrointestinal tract （GIT） nursing and at 18 ： 00 of the day before operation given oral compound polyethylene glycol electrolyte powder. Adverse reactions were ob- served in study group before operation and abdominal distension, bowel tones （BT）, time of first anal exhaust compared between 2 groups after operation. Results Mild adverse reactions occurred in group study after taking preoperative oral compound poly- ethylene glycol electrolyte powder, such as nausea （5 cases）, vomiting （1 case）, feeling of repletion （6 cases）, etc. without abdominal pains, allergies and other serious complications. After operation, abdominal distension scored （ 1.2 ±1.3）, BT e- mergence time was （ 18. 2 ± 6.0） h, anal exhaust time （29.3 ± 6. 2） h in study group, while in control group （2. 7 ± 1.8 ）, （23.7 ± 10. 0） h, （37. 4 ± 6. 1 ） h, respectively. The postoperative bowel function indicators of study group were superior to those of control group, the difference was significant （P 〈 0. 01 ）. Conclusion Preoperative GIT nursing is conductive to recov- ery of elderly intestinal function after anesthesia intra - abdominal non - gastrointestinal surgery.
出处
《中国全科医学》
CAS
CSCD
北大核心
2012年第32期3807-3808,共2页
Chinese General Practice
基金
连云港市卫生局科研项目(1002)
关键词
老年人
全身麻醉
护理
胃肠功能
Aged
General anesthesia
Nursing care
Gastrointestinal
