CAJ | 학술논문

[目的]探讨热敷、芒硝外敷、复方丁香开胃贴敷脐对泌尿外科老年病人术后胃肠功能恢复的有效性。[方法]将纳入的320例病人按手术路径分成腹膜外手术和经腹手术两层，将两层中的病人随机分成观察组、热敷组、芒硝组、丁香组，观察组采用常规手术护理，热敷组病人术后采用热水袋热敷腹部，芒硝组病人术后采用芒硝外敷腹部，丁香组病人术后应用复方丁香开胃贴敷脐。观察4组病人术后第1次排气和排便时间。[结果]对于腹膜外手术后病人，与观察组相比，热敷组、芒硝组、丁香组病人的排气时间和排便时间均提前，差异有统计学意义(P<0.05)；而热敷组、芒硝组、丁香组两两比较，病人的排气和排便时间差异无统计学意义(P>0.05)。对于经腹手术后的病人，与观察组相比，热敷组和芒硝组病人的排气时间和排便时间差异无统计学意义(P>0.05)，而丁香组病人的排气和排便时间较其他3组提前，差异有统计学意义(P<0.05)。[结论]热敷、芒硝外敷、复方丁香开胃贴敷脐促进泌尿外科老年病人泌尿外科腹膜外手术后胃肠功能恢复的效果是一样的，而复方丁香开胃贴敷脐是促进泌尿外科老年病人经腹手术后胃肠功能恢复的有效措施。
[목적]탐토열부、망초외부、복방정향개위첩부제대비뇨외과노년병인술후위장공능회복적유효성。[방법]장납입적320례병인안수술로경분성복막외수술화경복수술량층，장량층중적병인수궤분성관찰조、열부조、망초조、정향조，관찰조채용상규수술호리，열부조병인술후채용열수대열부복부，망초조병인술후채용망초외부복부，정향조병인술후응용복방정향개위첩부제。관찰4조병인술후제1차배기화배편시간。[결과]대우복막외수술후병인，여관찰조상비，열부조、망초조、정향조병인적배기시간화배편시간균제전，차이유통계학의의(P<0.05)；이열부조、망초조、정향조량량비교，병인적배기화배편시간차이무통계학의의(P>0.05)。대우경복수술후적병인，여관찰조상비，열부조화망초조병인적배기시간화배편시간차이무통계학의의(P>0.05)，이정향조병인적배기화배편시간교기타3조제전，차이유통계학의의(P<0.05)。[결론]열부、망초외부、복방정향개위첩부제촉진비뇨외과노년병인비뇨외과복막외수술후위장공능회복적효과시일양적，이복방정향개위첩부제시촉진비뇨외과노년병인경복수술후위장공능회복적유효조시。
Obj ective:To probe into the effectiveness of hot compress,glaub-er’s salt external application,compound cloves appetizing patch for postop-erative gastrointestinal functional recovery of elderly patients in department of urological surgery.Methods:A total of 320 patients were divided into two layers including extraperitoneal surgery and abdominal surgery based on surgical path.Each layer of patients were randomly divided into four groups of observation group,hot compress group,glauber group and cloves group. Patients in observation group received conventional surgical care,patients in hot compress group used hot water bottle for abdominal hot compress, glauber group of patients used glauber for abdominal external application, the patients in cloves group used compound cloves appetizer stickers for posted umbilicus after operation,then to observe the first exhaust and defe-cation in four groups of patients.Results:For patients after extraperitoneal surgery,compared with the observation group,the patients’exhaust time and defecation time were ahead in hot compress group,glauber group and cloves group,and the difference was statistically significant (P<0.05 );while hot compress group,glauber group,cloves group pairwise compari-son,there were no significant differences in exhaust time and defecation time(P>0.05).For patients after abdominal surgery,compared with the observation group,there was not statistically significant difference in exhaust time and defecation time between hot compress group and glauber group(P>0.05). While the exhaust time and defecation time of patients were advanced in cloves group compared with other three groups,the difference was statisti-cally significant (P<0.05).Conclusion:The effect of hot compress,glauber external application and compound cloves appetizer stickers paste umbilical for promoting the recovery of gastrointestinal function of elderly patients in department of urological surgery after extraperitoneal surgery is the same, but the compound cloves appetizer poaste umbilical is the effective measure to promote the recovery of gastrointestinal function of patients after abdom-inal surgery.