彭艳

[摘要] 目的 探討针对性护理在促进腹腔镜手术患者术后胃肠蠕动功能恢复中的应用效果。 方法 将2015年2月～2017年2月在我院择期行腹腔镜胆囊手术的62例患者纳入本研究，按照随机数字表法将62例患者分为观察组和对照组各31例，对照组患者采取常规护理，观察组患者在此基础上实施针对性护理，比较两组患者术后胃肠不良情况、术后恢复情况以及护理满意度情况。 结果 观察组患者术后胃肠不良情况总发生率显著低于对照组，差异有统计学意义（P<0.05）；观察组患者术后肛门平均排气时间、肠鸣音平均恢复时间、首次排便平均时间、正常饮食平均恢复时间及平均住院时间均显著低于对照组，差异有统计学意义（P<0.05）；观察组患者护理总满意度明显高于对照组，差异有统计学意义（P<0.05）。 结论 针对性护理能够有效降低术后胃肠不良情况发生率，促进胃肠蠕动功能恢复，提高护理服务质量，值得临床推荐。

[关键词] 腹腔镜手术；针对性护理；胃肠蠕动功能；护理满意度

[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2017）26-0138-03

Effect of targeted care in promoting the recovery of gastrointestinal peristalsis function after laparoscopic surgery

PENG Yan

Operating Room，Yichun City People 's Hospital of Jiangxi Province，Yichun 336000，China

[Abstract] Objective To investigate the effect of targeted nursing in promoting the recovery of gastrointestinal peristalsis function after laparoscopic surgery. Methods 62 patients undergoing elective laparoscopic cholecystectomy from February 2015 to February 2017 were included in this study. 62 patients were divided into observation group（n=31）and control group（n=31） according to the random number table method. The control group was treated with routine care. The patients in the observation group were treated with targeted care. The postoperative gastrointestinal adverse situation， postoperative recovery and nursing satisfaction were compared between the two groups. Results The incidence of postoperative gastrointestinal adverse situation in the observation group was significantly lower than that in the control group， and the difference was statistically significant（P<0.05）. The average time of anorectal exhaust， the average recovery time of bowel sounds， the average time for the first defecation， the average recovery time of normal diet， and average hospital stay in the observation group were significantly lower than those in the control group， and the differences were statistically significant（P<0.05）. The overall satisfaction rate of the patientsin the observation group was significantly higher than that in the control group，and the difference was statistically significant（P<0.05）. Conclusion Targeted care can effectively reduce the incidence of postoperative gastrointestinal adverse situation， promote gastrointestinal peristalsis function recovery and improvethe quality of nursing care， which is worthy of clinical ecommendation.

[Key words] Laparoscopic surgery； Targeted care； Gastrointestinal peristalsis function； Nursing satisfactionendprint

腹腔镜技术以其微创、准确、术后恢复快等优点在各类手术中均有良好的应用前景。但临床实践表明，腹腔镜术中需建立气腹，加之手术对腹腔脏器的刺激，导致术后胃肠蠕动功能受到明显影响[1]。研究有效的护理干预措施促进术后胃肠蠕动恢复有利于改善患者预后。我院针对上述情况结合多年经验总结了一套可行的针对性护理干预措施，应用效果较为满意，现将其临床优势进行分析，以期为提高腹腔镜预后效果提供参考，现报道如下。

1 资料与方法

1.1 一般资料

将2015年2月～2017年2月在我院择期行腹腔镜胆囊手术的62例患者纳入本研究。所有患者均符合腹腔镜手术适应证；无腹部手术史。排除合并严重感染或有凝血功能障碍者；有其他重要脏器功能障碍者；有交流沟通障碍者。按照随机数字表法分为观察组和对照组各31例，观察组男15例，女16例，年龄32～65岁，平均（45.65±6.71）岁；……