摘要
目的 外科手术的并发症是普通外科手术病人手术完成出院后常面临的问题[1],如肝胆外科手术涉
及到术中麻醉、局部炎症的切除等。方法 对患者胃肠道功能均有不同程度的损伤,包括恶心、呕吐、腹胀、肠
梗、进食困难等[2]。结果 研究结果显示,肝胆外科手术临床诊疗后,可通过病人肠鸣音与肛门排气时间,判断
患者胃肠道功能恢复情况;结论 良好的预后也是患者术后康复与恢复正常饮食的基础及关键因素[3]。
关键词: 综合护理;肝胆胃肠外科手术;Meta 分析
Abstract
Objective Surgical complications are common problems faced by general surgical patients after
discharge [1], such as hepatobiliary surgery involving intraoperative anesthesia and resection of local inflammation.
Methods The gastrointestinal function of the patients was damaged to varying degrees, including nausea, vomiting,
abdominal distension, intestinal stalk and eating difficulty [2]. Results The results showed that after clinical diagnosis and
treatment of hepatobiliary surgery, the recovery of gastrointestinal function could be judged by bowel sound and anal
exhaust time. Conclusion Good prognosis is also the basis and key factor for postoperative rehabilitation and normal diet
of patients [3].
Key words: Comprehensive nursing; Hepatobiliary gastrointestinal surgery; meta-analysis
参考文献 References
[1] Merkow, R.P., Ju, M.H., Chung, J.W., Hall, B.L., Cohen, M.E.,Williams, M.V., Tsai, T.C.,Ko, C.Y., Bilimoria, K.Y., 2015.Underlying reasons associated with hospital read missionfollowing surgery in the United States. JAMA313 (5), 483–495.https://doi.org/10.1001/jama.2014.18614.
[2] 羊燕群,候陈凤,彭丹,潘锋,马志杭,陈建永.针刺足三里对 FD胃排空及血清 Motilin 和 Ghrelin 的影响[J].中华中医药学刊,2013,31(04):881-883.DOI:10.13193/j.archtcm.2013.04.179.yangyq.030.
[3] 王采. 针刺足三里、合谷对胆囊结石术后胃肠功能紊乱的影响[D].新疆医科大学,2019.
[4] 曹立幸,伍嘉仪,蒋志,陈其城,陈志强.中医外治法促进术后胃肠 功 能 恢 复 的 研 究 进 展 [J]. 广 州 中 医 药 大 学 学报,2018,35(06):1147-1152.DOI:10.13359/j.cnki.gzxbtcm.2018.06.041.
[5] Polster, D., 2015. Preventing readmissions with dischargeeducation. J. Nurs. Manag. 46(10), 37–38. https://doi.org/10.1097/01.NUMA.0000472592.47774.5b.
[6] 姜娜,张亚仙,李卓艳,夏虹.综合护理模式在慢性化脓性中耳炎患者围手术期应用的效果分析[J].现代中西医结合杂志,2015,24(30):3398-3400
[7] 李翠娥,胡秀学,黄波,陈颖.综合康复护理措施在结直肠癌患者围手术期中的应用效果研究[J].现代中西医结合杂志,2017,26(16):1815-1817.
[8] 陈淑叶.护理干预对肝胆患者外科手术后胃肠功能恢复的影响效果评价[J].中国社区医师,2019,35(26):119-120.