| 护理干预对胃肠道手术患者术后心理状态、胃肠功能、血浆胃动素及胃泌素的影响 |
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| 引用本文： | 黄凌云,王建平,姜益,李孝珍,戴文雅,韩子华,郑锦辉.护理干预对胃肠道手术患者术后心理状态、胃肠功能、血浆胃动素及胃泌素的影响[J].中国现代医生,2013,51(5):104-106. |
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| 作者姓名： | 黄凌云 王建平 姜益 李孝珍 戴文雅 韩子华 郑锦辉 |
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| 作者单位： | 黄凌云 (浙江省瑞安市中医院外科,浙江瑞安,325200)；王建平 (浙江省瑞安市中医院外科,浙江瑞安,325200)；姜益 (浙江省瑞安市中医院外科,浙江瑞安,325200)； 李孝珍 (浙江省瑞安市中医院外科,浙江瑞安,325200)；戴文雅 (浙江省瑞安市中医院检验科,浙江瑞安,325200)； 韩子华 (浙江省台州医院路桥院区外科,浙江台州,318050)； 郑锦辉 (浙江省台州医院路桥院区外科,浙江台州,318050)； |
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| 基金项目： | 2012年温州市卫生局课题立项资助(项目编号：2012B033)浙江省医学会临床科研基金(项目编号：2006ZYC15) |
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| 摘 要： | 目的探讨护理干预对胃肠道手术患者术后心理状态、胃肠功能、血浆胃动素及胃泌素的影响。方法将80例胃肠道手术患者随机分为综合性护理组和常规护理组。常规护理组患者予以传统围手术期护理，综合性护理组在常规护理组基础上予以综合性护理干预。结果术后3d，综合性护理组患者SAS和SDS评分均较术前明显下降（P均〈0．05）。综合性护理组肠蠕动恢复时间、肛门排气时间和排便时间均明显快于常规护理组（P〈0．05）。术后3d，两组患者血浆胃动素及胃泌素水平均较术前明显上升（P〈0．05或P〈0．01），且综合性护理组上升幅度更明显（P〈0．05）。结论综合性护理干预可改善胃肠道手术后患者的心理状态，促进患者胃肠功能尽快恢复，尽早恢复饮食，作用与提高患者血浆胃动素及胃泌素水平有关。
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| 关 键 词： | 胃肠道手术 护理干预 心理状态 胃肠功能 胃动素 胃泌素 |
Effect of nursing intervention on tion and plasma levels of motilin trointestinal tract operation the mental status, gastrointestinal func- and gastrin of patients undergoing gas- |
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| Authors: | HUANG Lingyun WANG Jianping JIANG Yi＇ LI Xiaozhen＇ DAI Wenya HAN Zihua ZHENG Jinhui |
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| Institution: | 1.Surgical Department,Ruian Traditional Chinese Medical Hospital, Zhejiang, Ruian 325200,China;2.Clinical laboratory, Ruian Traditional Chinese Medical Hospital, Zhejiang, Ruian 325200,China;3.Department of Clinic Laboratory,Taizhou Hospital Luqiao Branch, Zhejiang, Taizhou 318050, China |
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| Abstract: | Objective To explore the effect of nursing intervention on the mental status, gastrointestinal function and plasma levels of motilin and gastrin of patients under going gastrointestinal tract operation. Methods All 80 patients undergoing gastrointestinal tract operation were divided randomLy into nursing intervention group and traditional nurs- ing group. All patients received traditional gastrointestinal perioperative care. Patients in nursing intervention group received comprehensive nursing intervention. Results Three days after surgery, SAS and SDS scores in nursing inter- vention group decreased significantly than that before surgery （P 〈 0.05）. Peristalsis recovery times, flatus time and defecations time of patients of nursing intervention group were significantly shorter than that of traditional nursing group（P 〈 0.05）. 3 days after surgery, the plasma levels of motilin and gastrin of the two groups increased significant- ly than that before surgery （P 〈 0.05 or P 〈 0.01 ）, and the increasing range is more obviously in nursing intervention group （P 〈 0.05）. Conclusion Nursing intervention can increase mental status, felicitate the recovery of gastrointesti- nal function and diet for patients under going gastrointestinal tract operation, and the mechanism may relate to the in- creasing levels of motilin and gastrin. |
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| Keywords: | Gastrointestinal tract operation Nursing intervention Mental status Gastrointestinal function Motilin Gastrin |
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