摘要
目的 探讨术后粘连性肠梗阻患者应用非手术治疗临床疗效及其相关护理方法。方法 选取2012年11月~2014年4月 期间我院术后粘连性肠梗阻患者140例,对140例该患者在常规治疗的基础上,定时鼻饲润滑剂、消泡剂、缓泻剂, 行低压灌肠,并给予精心护理。结果 本组140例经非手术治疗治愈101例(72.14%),好转28例(20.00%),总有 效率92.14%, 非手术治疗无效中转手术治疗11例(7.86%)。均治愈出院,住院时间2-5周。非手术治疗恢复正常出 院后随访半年,仅有5例(3.88%)再次发生梗阻。结论 对术后粘连性肠梗阻患者,一方面给予积极非手术治疗, 另一方面加强心理护理、营养支持、胃肠减压等等,密切观察用药后反应,患者肠梗阻得到了有效缓解,值得临床 推广和应用。
Objective To investigate the clinical curative effect and nursing methods of postoperative patients with adhesive intestinal obstruction. Methods during April November 2012 to 2014 years after surgery of our hospital patients with adhesive intestinal obstruction in 140 cases, 140 cases of the patients on the basis of routine treatment, regular nasal feeding lubricant, fire foam agent, laxative, low pressure enema and give careful nursing. Results 140 cases were cured by non operative treatment in 101 cases (72.14%), improved in 28 cases (20%), the total effective rate was 92.14%, 11 cases (7.86%) were treated by non operative treatment. All patients were cured and discharged from hospital, and the hospital stay was 2-5 weeks. Only 5 patients (3.88%) of the patients of the patients were recovered after non operative treatment and the patients were followed up for half a year. Conclusion For patients with postoperative adhesive intestinal obstruction, on the one hand, give a positive non surgical treatment, on the other hand, to strengthen the psychological nursing, nutritional support, gastrointestinal decompression and so on, close observation of medication after reaction, patients with intestinal obstruction has been alleviated effectively alleviate, is worth the clinical promotion and application.
【关键词】粘连性肠梗阻;非手术治疗;疗效;观察;护理要点
【中图分类号】R473.6
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2016.01.015
前言
粘连性肠梗阻是临床上普通外科中常见的一种急 腹症,发病率约为肠梗阻的20%~40%[1],造成粘连性 肠梗阻的首要原因是手术治疗的创伤以及腹壁切口 [2],相关研究数据表明,不同方法的非手术治疗能使 73%~90%的术后粘连性肠梗阻患者得到缓解。 选取我院2012年11月~2014年4月期间术后粘连 性肠梗阻患者140例,对其实施非手术治疗及相关护 理,取得了理想的疗效,现将结果汇报如下。
罕少疾病杂志
第23卷, 第 1 期
2019年11月
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