清源生化汤治疗创伤性休克对胃肠功能的影响护理观察

Nursing observation on the effect of the Qi and blood activating blood circulation on the gastrointestinal function in patients with traumatic shock

目的:护理观察清源生化汤对创伤性休克患者胃肠功能的作用。方法:61例患者随机分为治疗组(31例)和对照组(30例)。治疗组采用清源生化汤和常规治疗,对照组仅采用常规治疗。观察患者肠鸣音恢复时间,肛门排气、排便时间及腹内压的变化。结果:治疗组患者肠鸣音恢复时间、排气时间、排便时间均少于对照组,差异有统计学意义(P<0.05)。治疗组在第3、5、7天腹内压均较对照组明显降低,差异均有统计学意义(P<0.05),且治疗组在第3、5、7天较治疗前,差异有统计学意义(P<0.05),对照组在治疗第5、7天较治疗前,差异有统计学意义(P<0.05)。结论:早期应用清源生化汤可促进创伤性休克患者胃肠功能恢复。

Objective： To observe the nursing effect of Qingyuan Decoction on gastrointestinal function in patients with traumatic shock. Methods： 61 patients were randomly divided into treatment group（31 cases） and control group（30 cases）. Treatment group were treated with routine treatment and biochemical Qingyuan, control group received conventional treatment. To observe the changes of the recovery time of bowel sound, anal exhaust, defecation and abdominal pressure. Results： treatment group borborygmus recovery time, exhaust and defecation time were less than that of the control group, the difference was statistically significant（P〈0.05）. The treatment group in the 3, 5, 7 days of intra-abdominal pressure are significantly lower than in the control group, with statistically significant differences（P〈0.05） and the treatment group in the 3, 5, 7 days compared with those before treatment, the difference is statistically significant（P〈0.05） and the control group in the treatment 5 and 7 days compared with those before treatment, the difference is statistically significant（P〈0.05）. Conclusion： Early application of Qingyuan decoction can promote the recovery of gastrointestinal function in patients with traumatic shock.