吹气球在老年胃肠手术快速康复护理中的应用

目的探讨吹气球在老年胃肠手术快速康复护理中的应用。方法：收集并分析了我院接诊的进行外科腹部胃肠手术的老年患者，按随机数字表法，分为对照组和观察组，对照组患者给予饮食、运动等生活干预指导，采用常规的护理干预措施．观察组患者在对照组的干预基础上应用吹气球法进行深呼吸训练，术前3日及术后麻醉清醒后进行深呼吸训练，比较2组患者手术及术后恢复指标。及2组患者术后并发症的情况。结果：对照组与观察组患者的手术时间无显著性差异（P〉O,05），2组患者在肛门排气时间、术后进食时间、术后下床时间、住院时间上相比，观察组均明显短于对照组，差异均有统计学意义（P〈0．05）。2组患者在术后出现切口感染和急性胃扩张的病例数上相比，对照组与观察组患者无显著性差异（P〉O．05）；2组患者在术后出现腹胀和呕吐的病例数上相比，观察组均明显低于对照组。且两者相比差异显著（P〈0．05）。结论：在老年胃肠手术的快速康复护理中应用吹气球，能有效改善进行外科腹部胃肠手术的老年患者术后的恢复情况，减少术后并发症和术后感染的出现，对老年胃肠手术的快速康复具有积极的辅助效果。

Objective To investigate blower in elderly patients with gastrointestinal surgery rapid rehabilitation nursing. Collected and analyzed 32 cases of hospital admissions for gastrointestinal surgical abdominal surgery in elderly patients, according to randomly divided into control group and observation group and control group in which 16 cases were treated with diet, exercise and other daily intervention guide using conventional care interventions, the observation group 16 patients in the intervention group based on the application of take a deep breath blowing balloons law training, take a deep breath before training 3 days after surgery and postoperative anesthesia awake, and the two groups were compared after surgery recovery targets, as well as two groups of postoperative complications in the situation. Results There was no significant difference （P〉 0.05） in the control group and the observation group were operative time, two groups of patients in the anal exhaust time, postoperative eating time and postoperative ambulation time, compared to the observation group were significantly on the length of stay shorter than the control group, the difference was statistically significant （P 〈0.05）. Observation group 1 cases of postoperative wound infection, abdominal distension two cases, one case of acute gastric dilatation, vomiting, three cases; patients in the control group incision infection in 2 cases, abdominal distension seven cases, one case of acute gastric dilatation and vomiting in 8 cases. Thus, in two groups of patients after surgery compared to the control group and the observation group were no significant difference （P〉 0.05） on the number of cases of wound infection and acute gastric expansion; two patients with abdominal distension and vomiting after surgery the number of cases compared to the observation group were siguificantly lower than the control group. And both had significant difference （P 〈0.05）. Conclusion RapidApplication blower rehabilitation nursing elderly gastrointestinal surgery, can effectively improve the recovery situation surgical abdominal postoperative gastrointestinal surgery in elderly patients, speed up the body of the functional recovery, reduce postoperative complications in elderly patients and gastrointestinal surgery the emergence of postoperative infection, rapid rehabilitation of elderly gastrointestinal surgery has a positive secondary effect, worthy of Clinical application.