行气通便贴应用于ICU机械通气患者腹胀的疗效观察与护理

To explore the clinical effect of xingqitongbian pellicle on mechanically ventilation patients with abdominal distension in ICU

目的比较不同处理方法对ICU机械通气患者腹胀的疗效。方法将2010年6月～2011年12月收住的82例患者,随机分为观察组和对照组,每组41例,观察组在常规护理基础上加用行气通便贴外敷脐部;对照组应用胃肠动力药物、胃肠减压和加强翻身、经常变换体位、使用开塞露塞肛刺激肠蠕动或肛管排气等常规护理方法;比较2组患者疗效。结果 2种处理方法对患者在肛门排气时间、排便时间的影响有差异,对解除机械通气患者腹胀,采用行气通便贴观察组的效果优于对照组。结论行气通便贴用于治疗ICU机械通气出现腹胀患者,具有促进胃肠功能恢复,使用方便、安全和缩短患者住院时间等优点,值得推荐在临床使用。

Objective To compare the effect of different treatments on the ICU mechanically ventilated patients with abdominal distension. Methods 82 cases collected in June 2010 to December 2011 were randomly divided into observation group （n=41） and control group （n=41）. The patients of observation group were treated by the basis of routine care and Xingqitongbian pelliele umbilicus; and those of control group were applied by gastrointestinal motility drugs, gastrointestinal decompression, strengthening stand up constantly changing position, enema anus to stimulate bowel movements or anal vent conventional care. The treatment outcome were compared in patients of both groups. Results The treatment outcome of observation is betterthan control group, there are significant differences between two groups. Conclusion Application of Xiugqitongbian pellicle in the treatment of ICU mechanical ventilation patients with abdominal distension has several advantages, such as promoting the recovery of gastrointestinal function, convenient and safe application, shortening the hospital stay, etc. So it is worthy to recommend in clinical application.