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目的:分析皮硝外敷对老年炎性肠梗阻患者临床肠道功能影响以及护理方法。方法:选择2014年2月~2015年2月河北省元氏县医院外科诊断老年术后炎性肠梗阻患者80例,随机分为皮硝组与对照组各40例。对照组患者依据高等医学教育本科教材第八版《外科学》给予禁饮食、胃肠减压、补充水电解质,纠正酸碱失衡等对症处理。皮硝组患者在对照组治疗基础上给予皮硝150~250g腹部外敷12h,每日2次。利用视觉模糊法比较2组患者腹胀、腹痛程度。观察2组患者肠鸣音恢复程度、肛门排气时间(h)、肛门排便时间(h)。结果:治疗前2组患者年龄、性别、手术病因等基础资料差异无统计学意义(P>0.05)。治疗后,皮硝组与对照组比较,腹痛程度[(2.46±0.49)分比(4.91±0.38)分,t=2.993]、腹胀程度[(2.51±0.36)分比(4.80士0.37)分,t=3.031]、肛门排气时间[(27.97±8.52)h比(35.80±7.92)h,t=3.275]、肛门排便时间[(35.80±7.94)h比(41.90±6.98)h,t=2.861]明显减少,肠鸣音[(4.91±0.52)次/min比(2.01±0.36)分/min,t=3.048]明显增加,2组比较差异有统计学意义(P<0.05)。结论:皮硝外敷可以有效改善老年术后炎性肠梗阻患者肠道功能,促进肠功能恢复。
OBJECTIVE: To analyze the clinical effects of percutaneous application of Pi-nit on the clinical intestinal function in elderly patients with inflammatory bowel obstruction and its nursing methods. Methods: From February 2014 to February 2015, 80 patients with inflammatory intestinal obstruction in Yuanshi Hospital of Hebei Province were randomly divided into two groups, 40 cases in each group. Patients in the control group were given symptomatic treatment according to the eighth edition of the “Medical Science” undergraduate medical textbooks forbidden from diet, gastrointestinal decompression, water and electrolyte supplementation, and acid-base imbalance correction. Dermatan patients in the control group on the basis of treatment given Pi nitrate 150 ~ 250g external application of the abdomen 12h, 2 times a day. Visual ambiguity method was used to compare the two groups of patients with abdominal distension and abdominal pain. The degree of bowel sound recovery, anal exhaust time (h) and anal defecation time (h) were observed in two groups. Results: There was no significant difference in the basic data of the two groups before treatment, such as age, gender, and surgical etiology (P> 0.05). After treatment, compared with the control group, the level of abdominal pain was (2.46 ± 0.49) (4.91 ± 0.38), t = 2.993, and the degree of abdominal distension was (2.51 ± 0.36) (4.80 ± 0.37), t = 3.031], anal exhaust time (27.97 ± 8.52 h vs 35.80 ± 7.92 h, t = 3.275), anal defecation time (35.80 ± 7.94 h vs (41.90 ± 6.98) h, t = 2.861) (4.91 ± 0.52) times / min (2.01 ± 0.36) min / min, t = 3.048]. The difference between the two groups was statistically significant (P <0.05). Conclusion: Percutaneous application of Pi Neng can effectively improve the intestinal function and promote the recovery of intestinal function in elderly patients with inflammatory intestinal obstruction.