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目的:观察通过护理干预大承气汤灌肠对危重症患者胃肠功能障碍的疗效。方法:将41例危重症患者随机分为两组,治疗组在治疗原发病和西药常规治疗基础上联合大承气汤高位灌肠;对照组仅治疗原发病和西药常规治疗。两组疗程均为10天,于入选后24小时、48小时、72小时、第7天、10天,观察患者肠功能恢复情况及腹腔压力变化。结果:治疗第10天治疗组与对照组有效率比较为P<0.05,有统计学意义,腹腔压力比较无明显差异性,腹腔压力恢复时间治疗组较对照组短。结论:通过护理干预大承气汤灌肠更利于促进胃肠功能的恢复,改善患者的胃肠功能障碍。
Objective: To observe the effect of Dachengqi Decoction on gastrointestinal dysfunction in critically ill patients through nursing intervention. Methods: Thirty-one critically ill patients were randomly divided into two groups. The treatment group was treated with Dachengqi Decoction high enema on the basis of the treatment of primary disease and routine treatment of western medicine. The control group only treated the primary disease and western medicine routine treatment. Two groups of treatment were 10 days, 24 hours after the selection, 48 hours, 72 hours, 7 days, 10 days, observe the recovery of patients with intestinal function and abdominal pressure changes. Results: The effective rate of the treatment group and the control group on the 10th day of treatment was P <0.05, with statistical significance. There was no significant difference in the intra-abdominal pressure, and the treatment group of the intra-abdominal pressure recovery time was shorter than the control group. Conclusion: Through the intervention of Dachengqi Decoction, it is more conducive to promote the recovery of gastrointestinal function and improve gastrointestinal dysfunction in patients.