施俊,顾春怡.二种不同护理干预对腹腔镜下输卵管整形通液联合盆腔粘连分解术后患者胃肠道功能的影响[J].上海护理,2017,17(7):
二种不同护理干预对腹腔镜下输卵管整形通液联合盆腔粘连分解术后患者胃肠道功能的影响
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中文关键词:  输卵管整形通液联合盆腔粘连分解术  咀嚼口香糖  大黄芒硝  胃肠道功能
英文关键词:
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作者单位E-mail
施俊 复旦大学附属妇产科医院 35856369@qq.com 
顾春怡* 复旦大学附属妇产科医院 yiransping@126.com 
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中文摘要:
      目的 探讨二种不同护理干预对腹腔镜下输卵管整形通液联合盆腔粘连分解术后患者胃肠道功能恢复的影响效果。方法 于2015年3月至2015年11月期间在复旦大学附属妇产科医院行腹腔镜下输卵管整形通液联合盆腔粘连分解手术的患者90例, 随机分为三组,每组30例。A组接受常规护理;B组在常规护理的基础上给予大黄芒硝外敷;C组在常规护理的基础上给予口香糖咀嚼。观察三组患者术后胃肠道功能的恢复情况。结果 三组患者术后腹胀、恶心、呕吐的发生率依次递减,组间差异有统计学意义(P<0.01);术后外敷大黄芒硝和咀嚼口香糖二排气时间和首次下床时间及术后住院时间均为C组
英文摘要:
      Objective To evaluate the effectiveness of two different nursing interventions on patient’s gastrointestinal function recovery after laparoscopic surgery. Method Ninety patients were investigated who underwent?laparoscopic fallopian tube plastic fluid combined with pelvic adhesions?in Obstetrics and Gynecology Hospital of Fudan University from March 2015 to November 2015. Patients were randomly divided into 3 groups: Group A: conventional nursing; Group B: external application of Rhubarb and Mirabilite on abdomen based on conventional nursing ; Group C: chewing gum based on conventional nursing .The postoperative recovery of gastrointestinal function was observed in each group. Results There were significant differences in the incidence of nausea, vomiting, and abdominal distension after surgery (P<0.01).The time of flatulence , first time of getting off the bed and the length of hospital stay after surgery were also decreasing from Group A to Group C(P<0.05). Conclusions External application of Rhubarb and Mirabilite on abdomen, or chewing gum have some effect on the recovery of gastrointestinal function for infertile patients undergoing laparoscopic and pelvic adhesiolysis. Among them, chewing gum is worthy of being promoted clinically.
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