胃液回输对腹部手术患者术后胃肠道功能恢复的促进作用研究及护理对策分析

Role in Promoting Gastric Reinfusion of Patients after Abdominal Surgery Recovery of Gastrointestinal Function Studies and Nursing Countermeasures

目的:探索研究胃液回输对腹部手术患者术后胃肠道功能恢复的促进作用及其临床护理分析。方法:选取2012年3月-2013年9月来笔者所在医院行腹部手术后发生肠梗阻伴胃液丢失患者50例,并随机分为观察组和对照组,各25例。其中对照组术后采用传统方法,如胃肠道减压、静脉补液、服用甲氧氯普胺及伊托必利等药物促进胃肠蠕动及恢复,观察组除采用传统方法治疗外,术后2 d开始将胃液通过空肠造瘘管或鼻肠管进行回输,监测记录患者胃肠道的恢复情况以及治疗后7、15 d的各项生化指标。结果:两组患者各种监测指标及恢复效果较治疗前均有所好转(P<0.05),并且观察组的效果较对照组更为显著,差异有统计学意义(P<0.05)。结论:术后胃液回输能够促进腹部手术患者胃肠道功能的恢复,有利于纠正患者水电解质平衡紊乱。

Objective：To explore the role of promoting the study of gastric reinfusion of patients after abdominal surgery recovery of gastrointestinal function and clinical care analysis.Method：From March 2012 to September 2013 in our hospital after abdominal surgery with gastric intestinal lost 50 patients were randomly divided into the observation group and the control group,25 cases in each group.The control group was given traditional methods,such as gastrointestinal decompression,intravenous fluids,taking metoclopramide and other drugs it pride promote gastrointestinal motility and recovery,in addition to the traditional method,the observation group,the postoperative 2 d begin by jejuna gastric intestinal fistula or nasal carried reinfusion,monitoring and recording the recovery of the gastrointestinal tract as well as in patients with biochemical indicators 7 d and 15 d after treatment.Result：The effect of a variety of indicators of two groups for monitoring and recovery were better than before treatment（P〈0.05）,and the effect of the observation group was significantly more than the control group,the difference was statistically significant（P〈0.05）.Conclusion：Gastric reinfusion after gastric abdominal surgery can promote recovery of gastrointestinal function,help to correct water and electrolyte balance disorder patients.