CAJ | 학술논문

目的：探讨早期中医护理干预对危重患者胃肠功能维护的效果。方法选取2011年7月～2013年6月在我院普外科行胃肠道手术的患者65例，采用随机数字表法分为护理干预组33例和对照组32例。对患者的胃肠功能指标，入院1周内胃肠功能监测指标异常发生率及临床疗效进行比较。结果护理干预组的肠蠕动恢复时间、肛门排气时间和排便时间均明显小于常规护理组，两组比较，差异有统计学意义（ P＜0.05）。护理干预组的患者腹围改变率，肠鸣音消失，腹内压增高，便秘，肠内营养不耐受的发生率明显低于对照组，差异有统计学意义（P＜0.05）。护理干预组ACS及MODS的发生率明显低于对照组，差异有统计学意义（P＜0.05）。护理干预组的肠胃功能恢复率为93.94%，对照组为78.13%，两组比较差异有统计学意义（P＜0.05）。结论对危重患者进行早期中医护理干预，可以改善患者的胃肠功能，减少并发症发生率，值得临床推广应用。
목적：탐토조기중의호리간예대위중환자위장공능유호적효과。방법선취2011년7월～2013년6월재아원보외과행위장도수술적환자65례，채용수궤수자표법분위호리간예조33례화대조조32례。대환자적위장공능지표，입원1주내위장공능감측지표이상발생솔급림상료효진행비교。결과호리간예조적장연동회복시간、항문배기시간화배편시간균명현소우상규호리조，량조비교，차이유통계학의의（ P＜0.05）。호리간예조적환자복위개변솔，장명음소실，복내압증고，편비，장내영양불내수적발생솔명현저우대조조，차이유통계학의의（P＜0.05）。호리간예조ACS급MODS적발생솔명현저우대조조，차이유통계학의의（P＜0.05）。호리간예조적장위공능회복솔위93.94%，대조조위78.13%，량조비교차이유통계학의의（P＜0.05）。결론대위중환자진행조기중의호리간예，가이개선환자적위장공능，감소병발증발생솔，치득림상추엄응용。
ObjectiveTo study the effect of early Chinese observation on nursing intervention ongastrointestinal function in critically ill patients maintenance. Methods 65 cases of general surgery for gastrointestinal operation patients in the hospital from 2011 July to 2013 June were collected and randomly divided into nursing intervention group (33 cases) and control group (32 cases).The function index of the patients with gastrointestinal, monitoring indicators within 1 weeks of admission rate of abnormal gastrointestinal function and clinical efficacy were all compared. Results The intestinal peristalsis recovery time, anal exhaust time and defecation time of nursing intervention group were significantly less than the usual care group, the difference was significant (P<0.05). The rate of change of nursing intervention group patients abdominal circumference, bowel cries sound disappear, increased intra-abdominal pressure, constipation, enteral nutrition intolerance incidence were all significantly lower than that of the control group, the difference was significant(P<0.05). ACS and MODS of Nursing intervention group were significantly lower than the control group, the difference was significant (P<0.05). Recovery of gastrointestinal function nursing intervention group was 93.94%, while the control group was 78.13% in, the difference between the two groups was significant(P<0.05).ConclusionEarly nursing intervention on the patients with critically ill patients can improve gastrointestinal function and reduce the incidence of complications, it is worthy of clinical application.