摘要
目的针对妇产科腹部手术患者术后行中西医治疗联合护理干预,观察其对患者肠功能恢复的促进作用。方法纳入2018年5月至2020年5月于镇江第四人民医院行妇产科腹部手术的100例患者,按随机信封的单双号分为观察组(中西医治疗+护理干预)和对照组(西医治疗+常规护理),每组50例。记录患者肠功能恢复相关指标,检测术后1 d和3 d的血清胃泌素(GAS)和一氧化氮(NO)水平,统计术后不良反应发生率。结果观察组的肠鸣音恢复时间、首次排气时间、进流食时间和排便时间均显著短于对照组(P值均<0.05)。两组的术后3 d血清GAS水平较术后1 d均显著提高(P值均<0.05),血清NO水平较术后1 d均显著降低(P值均<0.05),且观察组的上述水平与对照组比较差异均有统计学意义(P值均<0.05);两组的术后1 d血清GAS和NO水平比较差异均无统计学意义(P值均>0.05)。术后两组的不良反应发生率分别为6.00%和22.00%,观察组较对照组显著降低(P<0.05)。结论中西医治疗联合护理干预应用于妇产科腹部手术后患者,在促进肠功能恢复、改善GAS和NO水平方面有着突出效果,不良反应减少,可予以推广。
Objective To observe the effect of combined treatment of traditional Chinese medicine and western medicine combined with whole course nursing intervention on the recovery of intestinal function in obstetric and gynecologic patients undergoing abdominal surgery.Methods A total of 100 patients undergoing abdominal surgery in the Department of Obstetrics and Gynecology at the Fourth People’s Hospital of Zhenjiang from May 2018 to May 2020 were selected and randomly divided into an observation group(combined treatment of traditional Chinese medicine and western medicine and whole course nursing intervention)and a control group(western medicine treatment and routine nursing)according to the odd and even numbers of random envelopes,with 50 cases in each group.The related indicators of intestinal function recovery were recorded.The levels of serum gastrin(GAS)and nitric oxide(NO)were measured 1 and 3 days after operation,and the incidence of adverse reactions after operation was statistically analyzed.Results The recovery time of bowel sounds,time to first flatus,intake time of liquid diet and time to first defecation of the observation group were significantly shorter than those of the control group(all P<0.05).The serum GAS level of the two groups at 3 days after operation was significantly higher than that at 1 day after operation,and the serum NO level was significantly lower than that at 1 day after operation(both P<0.05).The difference between the observation group and the control group was statistically significant(both P<0.05).There was no significant difference in the levels of serum GAS and NO between the two groups1 day after operation(both P>0.05).The incidence of adverse reactions after operation in the two groups were 6.00% and 22.00% respectively,and the observation group was significantly lower than the control group(P<0.05).Conclusion The application of combination of traditional Chinese and western medicine combined with nursing intervention in obstetric and gynecologic patients undergoing abdominal
作者
卢玥
LU Yue(Department of Obstetrics and Gynecology,Fourth People's Hospital of Zhenjiang,Zhenjiang,Jiangsu,212000,China)
出处
《中西医结合护理（中英文）》
2021年第1期53-56,共4页
Journal of Clinical Nursing in Practice
关键词
妇产科腹部手术
肠功能
中西医治疗
护理要点
不良反应
abdominal obstetric and gynecologic surgery
intestinal function
combined treatment of traditional Chinese medicine and western medicine
nursing point
adverse reaction
