国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2015年
3期
297-299
,共3页
肝移植术%肠胃蠕动%腹胀%减压
肝移植術%腸胃蠕動%腹脹%減壓
간이식술%장위연동%복창%감압
Liver transplantation%Gastrointestinal motility%Abdominal distension%Decompression
目的 分析导致肝癌行肝移植患者术后出现早期腹胀的原因并据此为患者临床护理的实施提供依据,制定有效的护理对策.方法 选取我院收治的82例肝癌行肝移植术后早期出现腹胀并发症的患者进行研究,针对患者的手术时间、麻醉药物、腹腔积液与粘连情况以及术后疼痛所造成的影响等方面资料展开分析,并据此为患者制定有效的护理措施.结果 肝癌患者行肝移植术后,腹胀发生的平均时间为(3.7±1.1)d,镇痛泵平均使用时间为(2.5±0.4)d,排气所用平均为(6.7±2.0)d,平均住院时间为(10.8±3.6)d.并且手术出现腹腔积液与粘连、麻醉药物用量高以及手术时间越长等都会增加术后发生并发症的概率.结论 针对腹腔积液与粘连、麻醉药物的使用以及手术时间等影响因素,可在术后通过应用抗生素、腹部热敷与按摩、温水足浴、营养支持以及尽早下床活动等对策来促进患者的肠胃蠕动,缓解腹内高压状态,进而加快患者的康复进度.
目的 分析導緻肝癌行肝移植患者術後齣現早期腹脹的原因併據此為患者臨床護理的實施提供依據,製定有效的護理對策.方法 選取我院收治的82例肝癌行肝移植術後早期齣現腹脹併髮癥的患者進行研究,針對患者的手術時間、痳醉藥物、腹腔積液與粘連情況以及術後疼痛所造成的影響等方麵資料展開分析,併據此為患者製定有效的護理措施.結果 肝癌患者行肝移植術後,腹脹髮生的平均時間為(3.7±1.1)d,鎮痛泵平均使用時間為(2.5±0.4)d,排氣所用平均為(6.7±2.0)d,平均住院時間為(10.8±3.6)d.併且手術齣現腹腔積液與粘連、痳醉藥物用量高以及手術時間越長等都會增加術後髮生併髮癥的概率.結論 針對腹腔積液與粘連、痳醉藥物的使用以及手術時間等影響因素,可在術後通過應用抗生素、腹部熱敷與按摩、溫水足浴、營養支持以及儘早下床活動等對策來促進患者的腸胃蠕動,緩解腹內高壓狀態,進而加快患者的康複進度.
목적 분석도치간암행간이식환자술후출현조기복창적원인병거차위환자림상호리적실시제공의거,제정유효적호리대책.방법 선취아원수치적82례간암행간이식술후조기출현복창병발증적환자진행연구,침대환자적수술시간、마취약물、복강적액여점련정황이급술후동통소조성적영향등방면자료전개분석,병거차위환자제정유효적호리조시.결과 간암환자행간이식술후,복창발생적평균시간위(3.7±1.1)d,진통빙평균사용시간위(2.5±0.4)d,배기소용평균위(6.7±2.0)d,평균주원시간위(10.8±3.6)d.병차수술출현복강적액여점련、마취약물용량고이급수술시간월장등도회증가술후발생병발증적개솔.결론 침대복강적액여점련、마취약물적사용이급수술시간등영향인소,가재술후통과응용항생소、복부열부여안마、온수족욕、영양지지이급진조하상활동등대책래촉진환자적장위연동,완해복내고압상태,진이가쾌환자적강복진도.
Objective To analyze and provide the basis for the implementation of clinical nursing cause liver cancer for patients after liver transplantation appears early abdominal distension,formulate effective nursing countermeasures.Methods In our hospital,82 cases of early abdominal complications in liver transplantation hepatic carcinoma patients after anesthesia,the operation time,patient's medication,peritoneal effusion and adhesion and postoperative pain caused by the impact of other data were analyzed,and then for the patient to develop effective nursing measures.Results After liver transplantation for hepatocellular carcinoma patients,the average time of abdominal distension was (3.7 ± 1.1) d,the average time of analgesia pump was (2.5 ± 0.4) d,the time of exhaust was (6.7 ± 2) d,hospitalization time was (10.8-± 3.6) d.Peritoneal effusion and adhesion,drug dosage during operation and the operation time increased postoperative complications.Conclusions After operation,the application of antibiotics,abdominal fomentation and massage,foot bath with warm water,nutrition and early ambulation could promote gastrointestinal motility,ease intra-abdominal hypertension status,so as to accelerate the progress of rehabilitation.
