CAJ | 학술논문

目的：探讨原位回结肠新膀胱术后患者恢复程度与腹内压变化的相关性研究,以指导护理工作,防止并发症。方法：对60例患者根据 UBP 不同分为实验组和对照组,行膀胱全切、原位回结肠代膀胱术后患者进行 UBP 与生命体征、术后恢复程度观察指标的监测。结果：实验组患者胃肠功能恢复明显优于对照组,两组患者 MP 比较差异无统计学意义(t=1.64,P>0.05),心率、呼吸频率、疼痛三个指标,两组比较差异有统计学意义(P<0.05)；腹内压与术后恢复患者各项指标采用相关性分析显示,两组患者腹内压与肠鸣音恢复时间、肛门排气时间、心率、呼吸频率、疼痛呈正相关,与每日进食量、实验组患者平均动脉压呈负相关(P<0.05),对照组患者腹胀、并发症发生率高于实验组,差异有统计学意义(P<0.05)。结论：原位回结肠新膀胱手术后恢复与腹内压变化有密切关系。 UBP 监测腹内压,是观察原位回结肠新膀胱手术后患者病情及手术后恢复程度的好方法。
목적：탐토원위회결장신방광술후환자회복정도여복내압변화적상관성연구,이지도호리공작,방지병발증。방법：대60례환자근거 UBP 불동분위실험조화대조조,행방광전절、원위회결장대방광술후환자진행 UBP 여생명체정、술후회복정도관찰지표적감측。결과：실험조환자위장공능회복명현우우대조조,량조환자 MP 비교차이무통계학의의(t=1.64,P>0.05),심솔、호흡빈솔、동통삼개지표,량조비교차이유통계학의의(P<0.05)；복내압여술후회복환자각항지표채용상관성분석현시,량조환자복내압여장명음회복시간、항문배기시간、심솔、호흡빈솔、동통정정상관,여매일진식량、실험조환자평균동맥압정부상관(P<0.05),대조조환자복창、병발증발생솔고우실험조,차이유통계학의의(P<0.05)。결론：원위회결장신방광수술후회복여복내압변화유밀절관계。 UBP 감측복내압,시관찰원위회결장신방광수술후환자병정급수술후회복정도적호방법。
Objective:To perform a correlation study of recovery degrees and intra-abdominal pressure changes for patients af-ter ilealcolon neobladder surgery, so as to guide the nursing works and prevent complications. Methods:60 cases were divided into ex-perimental group and control group based on different UBP and suffered from bladder hysterectomy and ilealcolon neobladder surgery. Then, their UBP, vital signs, postoperative recovery degrees were observed and monitored. Results: The gastrointestinal functional re-covery of experimental group was significantly better than that of control group, and there was no difference in MP between the two groups (t=1. 64, P>0. 05). There were differences in heart rate, breathing rate, and pains between the two groups (P<0. 05). The correlation analysis for the intra-abdominal pressure and postoperative recovery indices of the two groups showed that the intra-abdomi-nal pressure was positively correlated with bowel sounds recovery time, anus exhaust time, heart rate, breathing rate, and pains, but was negatively correlated with daily food intake; and the intra-abdominal pressure was also negatively correlated with the mean arterial pressure (P<0. 05). The incidence rates of abdominal distention and complications of control group were higher than those of experi-mental group, and there were statistical difference between the two groups. Conclusions: After the ilealcolon neobladder surgery, the recovery is closely related with the intra-abdominal pressure changes. Therefore, UBP for monitoring the intra-abdominal pressure is a good method for observing the patients' conditions and recovery degrees after the surgery.