早期护理干预对降低妇科腹腔镜患者术后腹胀的效果

The effect of early nursing intervention on reducing postoperative abdominal distension in gynecological laparoscopic patients

目的探讨早期护理干预在降低妇科腹腔镜患者术后腹胀发生率与促进腹胀改善方面的应用效果。方法选取本院收治的70例妇科腹腔镜手术患者为研究对象,按照随机数字表法分为两组,各35例。对照组开展基础护理,研究组开展早期护理干预。比较两组患者腹胀发生情况、改善效果以及腹胀相关指标水平。结果对照组术后腹胀发生率为82.86%(29/35),研究组术后腹胀发生率为60%(21/35),两组比较差异有统计学意义(P<0.05)。研究组腹胀改善总有效率为90.48%,高于对照组的65.52%,差异有统计学意义(P<0.05)。研究组胃肠蠕动恢复时间[(8.51±2.09)h]、下床活动时间[(18.31±1.32)h]、排气时间[(14.38±2.38)h]及住院时间[(5.09±0.69)d]均短于对照组[(10.26±2.35)h、(22.05±2.95)h、(17.14±3.24)h、(6.39±0.85)d],差异有统计学意义(P<0.05)。结论早期护理干预可有效降低妇科腹腔镜患者术后腹胀发生率,促进术后腹胀改善,缩短住院时间,值得推广与应用。

Objective To explore the application effect of early nursing intervention in reducing the incidence of postoperative abdominal distension in gynecological laparoscopic patients and promoting improvement of abdominal distension.Methods 70 gynecological laparoscopic surgery patients admitted to our hospital were selected as the research subjects,and were randomly divided into two groups using a random number table method,with 35 cases in each group.The control group received basic nursing care,while the research group received early nursing intervention.Compare the incidence,improvement effect,and levels of abdominal distension related indicators between two groups of patients.Results The incidence of postoperative abdominal distension in the control group was 82.86%(29/35),while in the study group it was 60%(21/35).The difference between the two groups was statistically significant(P<0.05).The total effective rate of improving abdominal distension in the research group was 90.48%,which was higher than the control group's 65.52%,and the difference was statistically significant(P<0.05).The recovery time of gastrointestinal peristalsis[8.51±2.09)hl,time to get out of bed activity[18.31±1.32 h],time to exhaust[(14.38±2.38)h],and length of hospital stay[5.09±0.69 d]in the study group were all shorter than those in the control group[(10.26±2.35)h,(22.05±2.95)h,(17.14±3.24)h,(6.39±0.85)d)],and the differences were statistically significant(P<0.05).Conclusion Early nursing intervention can effectively reduce the incidence of postoperative abdominal distension in gynecological laparoscopic patients,promote the improvement of postoperative abdominal distension,shorten hospital stay,and is worthy of promotion and application.