32例粘連性腸梗阻患者中西醫結合治療及護理
護理研究
作者：劉敏 張海朝
[摘要] 目的 觀察中西醫結合治療粘連性腸梗阻的療效及護理方法。 方法 全部64例粘連性腸梗阻患者均為2010年2月～2013年6月本院該科收治的患者。其中32例行常規西醫治療，餘32例聯合中藥進行治療，兩組均予以有效的護理幹預，比較兩組的自主排氣時間、排便時間、術後住院時間。 結果 本組64例患者排氣、排便，腹痛、腹脹、嘔吐等症狀消失，X 線示腸管積氣或液平麵消失，隨訪1年複發3 例，2例患者治療1 周後臨床症狀無明顯好轉，肛門仍未排氣、排便，X 線檢查有多個液平麵並腸管積氣，疑有絞窄性腸梗阻，及時進行手術治療。治療組的自主排氣時間、排便時間、術後住院時間均顯著短於對照組，組間比較，差異具有統計學意義（P
[關鍵詞] 粘連性腸梗阻；中西醫結合；胃管注入；護理
[中圖分類號] R473.6 [文獻標識碼] B [文章編號] 1673-9701（2015）08-0144-03
[Abstract] Objective To observe the curative effect of combination of traditional Chinese and western medicine in treatment of adhesive intestinal obstruction and nursing. Methods All of the 64 cases of adhesive intestinal obstruction patients were selected from 2010 February to June 2013 in our hospital. Among them 32 cases underwent conventional western medicine treatment，32 cases combined with traditional Chinese medicine treatment， effective nursing intervention，the time of hospitalization，independent exhaust and defecate time，postoperative were compared between two groups. Results 64 cases of patients with exhaust and defecation，abdominal pain，abdominal distension，vomiting and other symptoms disappeared，the X line showed intestinal pneumatosis orliquid plane disappeared，3 cases were followed up for 1 year recurrence，2 patients after treatment 1 week，the clinical symptoms had no significant improvement in anal not exhaust and defecation，X line inspection with a plurality of liquid plane and intestinal pneumatosis，suspected ofstrangulated intestinal obstruction，timely surgical treatment. The treatment group of independentexhaust and defecate time，postoperative hospitalization time was significantly shorter than that in control group（P
[Key words] Adhesive intestinal obstruction； Combination of traditional Chinese and western medicine； Nasogastric feeding； Nursing