重度功能性便秘行结肠次全切除联合改良Duhamel术的护理方法及效果观察

发布时间：2018-04-09 03:11

本文选题：结肠次全切除术　切入点：改良Duhamel术　出处：《结直肠肛门外科》2016年S2期

【摘要】：目的探讨综合护理干预在重度功能性便秘行结肠次全切除联合改良Duhamel术的应用效果。方法选取2010年1月至2014年6月住院治疗的124例重度功能性便秘患者为研究对象,所有患者均经腹腔镜辅助下行结肠次全切除联合改良Duhamel术治疗。采用随机数字表法分为观察组和对照组各62例,对照组给予术后常规护理,观察组实施综合护理干预。比较两组患者近期疗效、并发症、生活质量。结果观察组术后肛门排气时间、平均住院时间均短于对照组(t=3.490~5.887,P0.05);术后直肠刺激、腹泻、大便失禁及肠梗阻等并发症发生率16.13%明显低于对照组32.26%(x~2=4.397,P0.05);术后2个月,观察组自觉症状、躯体生理功能状况、心理情绪状况、特殊疾病状况、GIQLI指数评分均明显高于对照组(t=4.430~11.234,P0.05)。结论综合护理干预有助于改善结肠次全切除联合改良Duhamel术患者胃肠功能,减少术后并发症,提高生活质量。
[Abstract]:Objective to investigate the effect of comprehensive nursing intervention on subtotal colectomy combined with modified Duhamel for severe functional constipation.Methods 124 patients with severe functional constipation who were hospitalized from January 2010 to June 2014 were studied. All patients were treated with laparoscopic subtotal colectomy combined with modified Duhamel.Two groups were randomly divided into two groups: observation group (n = 62) and control group (n = 62). The control group was given postoperative routine nursing and the observation group was given comprehensive nursing intervention.The short-term curative effect, complication and quality of life were compared between the two groups.Results the average hospitalization time of the observation group was shorter than that of the control group, and the incidence of postoperative rectal irritation, diarrhea, fecal incontinence and intestinal obstruction was 16.13%, significantly lower than that of the control group (32.26xX, 2.397g, P0.05, 2 months after operation).The scores of somatic physiological function, mental emotion, special disease and GIQLI index were significantly higher than those of the control group (P 0.05).Conclusion Comprehensive nursing intervention can improve gastrointestinal function of patients undergoing subtotal colectomy combined with modified Duhamel, reduce postoperative complications and improve quality of life.
【作者单位】：辽宁中医药大学附属第四医院;
【分类号】：R473.6

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