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目的:观察厚朴排气合剂联合针对性护理防治腹部手术后肠麻痹的疗效及安全性。方法:选取200例腹部手术术后患者作为研究对象,随机分入观察组和对照组各100例。对照组患者采用常规治疗和护理,观察组在对照组的基础上加用厚朴排气合剂和针对性护理。观察比较2组患者术后肠麻痹发生情况、术后胃肠功能恢复情况和药物不良反应情况。结果:观察组术后肠麻痹发生率低于对照组,差异有统计学意义(P<0.01)。治疗后,观察组肠鸣音恢复时间、首次排气时间、进食时间和排便时间均短于对照组,差异均有统计学意义(P<0.01)。观察组无明显药物不良反应发生。结论:应用厚朴排气合剂联合针对性护理对腹部手术后肠麻痹患者进行干预,可以显著降低术后肠麻痹发生率,缩短胃肠功能障碍时间,且患者无明显不良反应,是安全有效的治疗方法。
Objective: To observe the curative effect and safety of Magnolia Vents combined with targeted nursing in the prevention and treatment of intestinal paralysis after abdominal surgery. Methods: 200 cases of postoperative patients undergoing abdominal surgery were selected as study subjects and randomly divided into observation group and control group with 100 cases each. The patients in the control group were treated with routine treatment and nursing. The observation group was treated with HOPU and targeted nursing on the basis of the control group. The incidence of postoperative intestinal paralysis, postoperative gastrointestinal function recovery and adverse drug reactions were observed and compared between the two groups. Results: The incidence of postoperative intestinal paralysis in observation group was lower than that in control group (P <0.01). After treatment, the recovery time of bowel sounds, the first time of evacuation, the time of feeding and the time of defecation in the observation group were shorter than those in the control group, with statistical significance (P <0.01). Observation group no obvious adverse drug reactions. Conclusion: The application of Magnolia Vetiver Bleeding Mixture and targeted nursing intervention for patients with intestinal paralysis after abdominal surgery can significantly reduce the incidence of postoperative intestinal paralysis and shorten the time of gastrointestinal dysfunction, and the patients have no obvious adverse reactions, which is safe and effective treatment method.