腹部手术后并发粘连性肠梗阻的临床观察及护理

Clinical Observation and Nursing for Adhesive Ileus after Abdominal Operation

目的 探讨腹部术后粘连性肠梗阻的临床观察及护理。方法 对腹部术后发生粘连性肠梗阻 88例进行分析。结果 表明多数发生于术后 5d～ 1个月内 ,死亡 2例 ,占 2 2 7%。结论 认为术后要加强病情观察 ,能及时发现肠梗阻性质 ,而对粘连性肠梗阻采取禁食、胃肠减压、补液抗炎、纠正水电解质失衡 ,配合针刺、隔姜艾灸穴位 ,中药或花生油胃管注入等治疗 ,能解除梗阻症状。并强调术后早期要协助患者进行床上适应性活动 ,开塞露刺激肛门 ,温水泡足等方法 ,能促进肠蠕动尽早恢复 ,预防粘连性肠梗阻发生。

Objective\ To investigate the clinical observation and nursing for adhesive ileus after abdominal operation,Methods\ 88 cases were analysed.Results\ Showed that most cases occurred within 5 days to one month after operation.The death rate (2 cases) was 2.27%.Conclusion\ Careful postoperational observation of the patient is needed to find out the nature of abhesive ileus promptly.Various therapies,like fasting,combined with acupuncture moxibustion brady causis,traditional chinese medicines and gastrogavage of peanut oil,can help relieve the symptoms.It is also noted that early assistance to the patient's adaptive movements in bed after operation,stimulate anus with kaisailou,pustule on foot can help peristalses to recover promptly,and thus prevent adhesive ileus.