普外科术后胃肠减压不适症分析

目的:分析普外科术后胃肠减压不适症状的原因和处理方法。方法:将普外科术后行胃肠减压的141例患者随机分为观察组71例和对照组70例,分别采用传统胃管插管法和改进胃管插管法(胃管顶端涂抹5%复方利多卡因并适当增加胃管插管长度)行胃肠减压,所有患者出现不适症后均给予对症护理及积极心理干预。观察记录所有患者术后24 h及3 d胃肠减压不适症发生率(%)及两组患者腹部不适症状发生率(%)。结果:两组患者胃肠减压共同不适症主要为咽喉疼痛、口渴饥饿、排痰困难、语言表达能力受限、腹胀恶心、呕吐,对症护理及积极心理干预后不适症发生率显著降低(P<0.01),观察组腹部不适症状发生率显著低于对照组(P<0.01)。结论:加强对症护理及积极心理干预可显著降低普外科术后胃肠减压不适症发生,在胃管顶端涂抹5%复方利多卡因并适当增加胃管插管长度可显著降低腹部不适症发生率。

The Discomfort Symptoms in patients with Gastrointestinal Decompression after General surgery:Clinical Analysis

Objective Analyse the discomfort symptoms of gastrointestinal decompression after general surgery.Methods The general surgery postoperative gastrointestinal decompression in 141cases were randomly divided into the observation group 71 cases and control group 70 cases,respectively,using the traditional nasogastric intubation method and improvement of stomach tube intubation method(gastric tube top with 5% compound lidocaine and appropriately increased nasogastric intubation length) line of gastrointestinal decompression,all patients had symptoms were given nursing care and positive psychological intervention.Observation records of all patients after the 24 h and 3 d gastrointestinal decompression unwell disease incidence(%) and two groups of patients with abdominal discomfort symptoms occur rate(%).Results The major discomfort symptoms were throat pain,thirsty and hunger,phlegm difficult,speaking limited and abdominal discomfort.The rate of discomfort is significantly lower after directive nursing(P<0.01) and the rate of abdominal discomfort is lower in observation group(P<0.01).Conclusion Directive nursing and psychological intervention is remarkable effective in decreasing the rate of discomfort and lengthening the gastric tube can significantly decreasing the rate of abdominal discomfort.