CAJ | 학술논문

目的：对比观察对老年麻痹性肠梗阻患者的临床治疗及护理效果并分析其临床意义。方法从我院2009年11月～2012年12月收治入院的老年麻痹性肠梗阻患者中选取152例，随机分为观察组与对照组，两组患者均采用中药灌肠疗法进行治疗，对照组患者实施常规护理，观察组患者在此基础上加强综合护理干预，对比观察两组患者的临床效果。结果观察组患者治疗依从性、满意度明显高于对照组，焦虑（SAS）与抑郁（SDS）程度、肠鸣音恢复时间与排便时间明显少于对照组，差异有统计学意义（P＜0.05）。结论通过对麻痹性肠梗阻老年患者在实施中药灌肠治疗的过程中加强护理干预，能够有效缓解患者负面情绪，提高其依从性与满意度，加快恢复速度，具有较为理想的临床应用价值。
목적：대비관찰대노년마비성장경조환자적림상치료급호리효과병분석기림상의의。방법종아원2009년11월～2012년12월수치입원적노년마비성장경조환자중선취152례，수궤분위관찰조여대조조，량조환자균채용중약관장요법진행치료，대조조환자실시상규호리，관찰조환자재차기출상가강종합호리간예，대비관찰량조환자적림상효과。결과관찰조환자치료의종성、만의도명현고우대조조，초필（SAS）여억욱（SDS）정도、장명음회복시간여배편시간명현소우대조조，차이유통계학의의（P＜0.05）。결론통과대마비성장경조노년환자재실시중약관장치료적과정중가강호리간예，능구유효완해환자부면정서，제고기의종성여만의도，가쾌회복속도，구유교위이상적림상응용개치。
Objective To compare and observe the clinical treatment and nursing effect of elderly patients with paralytic ileus and analyze its clinical significance. Methods One hundred and fifty-two elderly patients with paralytic ileus in our hospital from November 2009 to December 2012 were selected and randomly divided into the observation group and the control group. The patients in two groups were treated with Chinese drug enema therapy, the patients in the control group received usual care, while the patients in the observation group enhanced comprehensive nursing intervention on the basis. The clinical effect of patients in the two groups were compared and observed. Results The treatment compliance and satisfaction of patients in the observation group were significantly higher than those in the control group, the degree of self-rating anxiety scale(SAS) and self-rating depressive scale(SDS), bowel sounds recovery time and defecating time were significantly less than those in the control group, the differences were statistically significant(P < 0.05). Conclusion Strengthening nursing interventions in the process of implementing Chinese drug enema therapy for elderly patients with paralytic ileus can effectively alleviate the negative emotion of patients, improve its compliance and satisfaction, accelerate the recovery, and it has the ideal clinical application value.