试论优质护理对预防术后粘连性肠梗阻的临床有效性.docVIP

精品论文 参考文献 试论优质护理对预防术后粘连性肠梗阻的临床有效性 　吕萍 　　（四川省蓬安县中医医院 四川南充 637800） 　　【摘要】目的：优质护理对预防术后粘连性肠梗阻的临床有效性分析。方法：随机选取2015年1月至2016年1月期间我院接收并行腹部外科手术的患者70例，分为两组，常规组行常规护理，优质组行优质护理，分析两组护理效果。结果：优质组护理后首次排气时间、首次排便时间及平均住院天数等均优于对照组(P＜0.05)；且优质组粘连性肠梗阻发生率为5.71%，低于对照组的22.86%，比较有统计学的意义(P＜0.05)。结论：优质护理对预防术后粘连性肠梗阻的临床效果显著，值得推广。 　　【关键词】优质护理;预防;术后;粘连性肠梗阻 　　【中图分类号】R473.6 【文献标识码】A 【文章编号】1007-8231（2016）08-0015-02 　　 The clinical effectiveness of high quality nursing care for the prevention of postoperative adhesive intestinal obstruction 　　 Lv Ping. Pengan County, Sichuan Province Hospital of traditional Chinese medicine, 637800,China 　　【Abstract】Objective To analyze the clinical efficacy of high quality nursing to prevent postoperative adhesive ileus. Methods randomly selected from January 2015 to January 2016 in our hospital 70 patients receiving concurrent abdominal surgery, were divided into two groups, the conventional group received routine nursing care, quality group received high quality nursing, analysis the nursing effect of two groups high quality nursing group. Results After the first exhaust time, first defecation time and average hospitalization days were better than the control group (P lt; 0.05); and the high incidence of intestinal adhesion obstruction was 5.71%, 22.86% lower than the control group, compared with statistical significance (P lt; 0.05). Conclusion The clinical effect of high quality nursing care to prevent postoperative adhesive ileus is significant, worthy of promotion. 　　【Key words】High quality nursing; Prevention; Postoperative; Adhesive intestinal obstruction 　　术后粘连性肠梗阻是腹部外科手术常见的一种并发症，有数据调查显示，约有40%的腹部外科手术患者会并发粘连性肠梗阻，而其中约8%至13%的患者会因粘连性肠梗阻而死亡[1]。为进一步提升术后患者生活的质量，降低死亡率，须选择一种切实可行的护理措施，预防术后粘连性肠梗阻。本文主要分析优质护理对预防术后粘连性肠梗阻的临床价值，并作如下报道： 　　1.资料和方法 　　1.1 临床资料 　　随机选取2015年1月至2016年1月期间我院接收并行腹部外科手术的患者70例，根据不同护理方法分为两组，其中，行常规护理的35例患者为常规组，该组男性20例，女性15例；患者年龄在32～73岁之间，平均年龄（49plusmn;2.36）岁。另行优质护理的另35例为优质组，该组男性19例，女性16例；患者年龄在33～72岁之间，平均年龄（48p