本文關(guān)鍵詞：行氣坦尼卡爾片對(duì)闌尾術(shù)后胃腸道功能恢復(fù)的影響　出處：《新疆醫(yī)科大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 闌尾術(shù)后 胃腸功能紊亂 行氣坦尼卡爾片

【摘要】：目的:通過(guò)觀察行氣坦尼卡爾片對(duì)闌尾切除術(shù)后腸鳴音恢復(fù)時(shí)間、首次排氣時(shí)間、排便時(shí)間及其他相關(guān)癥狀指標(biāo)的影響,探討其在促進(jìn)闌尾切除術(shù)后胃腸功能恢復(fù)方面的療效,初步評(píng)價(jià)行氣坦尼卡爾片對(duì)闌尾切除術(shù)后胃腸道功能恢復(fù)的療效及安全性。方法:收集2015年1月到2016年3月在自治區(qū)維吾爾醫(yī)醫(yī)院普外科行開(kāi)腹闌尾切除術(shù)的患者,共80例,隨機(jī)分為行氣坦尼卡爾片治療組和空白對(duì)照組,各組有40例,對(duì)照組嚴(yán)密觀察生命體征、抗炎、補(bǔ)液、糾正酸堿平衡、禁食水、鼓勵(lì)盡早下床活動(dòng)。治療組常規(guī)治療基礎(chǔ)下,術(shù)后6小時(shí)開(kāi)始口服行氣坦尼卡爾片,一日三次,每日3片口服,對(duì)照組不服用藥物,觀察并記錄各組患者胃腸道功能恢復(fù)時(shí)間:首次腸鳴音恢復(fù)時(shí)間、首次排氣時(shí)間,首次排便時(shí)間及腹脹、惡心、嘔吐的發(fā)生率和切口并發(fā)癥,采用SPSS18.0統(tǒng)計(jì)軟件包進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:兩組患者均為連續(xù)硬膜外麻醉,其術(shù)前一般情況年齡、性別、闌尾炎分類、體脂指數(shù)等具有可比性。兩組患者,平均腸鳴音恢復(fù)時(shí)間:對(duì)照組為(26.99±6.40)h、治療組為(18.58±4.48)h,術(shù)后首次肛門(mén)排氣時(shí)間中:對(duì)照組為(34.86±7.57)h、治療組為(24.73±7.38)h,術(shù)后首次排便時(shí)間中:對(duì)照組為(49.12±10.01)h、治療組為(34.04±8.64)h。經(jīng)過(guò)統(tǒng)計(jì)學(xué)分析兩組平均腸鳴音恢復(fù)時(shí)間、首次肛門(mén)排氣時(shí)間、排便時(shí)間存在統(tǒng)計(jì)學(xué)差異P0.05�？芍委熃M患者術(shù)后腸鳴音恢復(fù)時(shí)間、首次肛門(mén)排氣、首次經(jīng)肛門(mén)排便時(shí)間明顯短于對(duì)照組。兩組患者術(shù)后出現(xiàn)腹脹癥狀:對(duì)照組為21例、治療組為8例,術(shù)后出現(xiàn)惡心癥狀:對(duì)照組為19例,治療組為7例,經(jīng)過(guò)統(tǒng)計(jì)學(xué)分析可知行氣坦尼卡爾片可降低患者術(shù)后腹脹,惡心癥狀的發(fā)生,行氣坦尼卡爾片可以降低術(shù)后腹脹和惡心的發(fā)生率。術(shù)后切口愈合等級(jí)方面:甲級(jí)愈合:治療組33例,對(duì)照組:31例,乙級(jí)愈合:治療組3例,對(duì)照組3例,丙級(jí)愈合:治療組4例,對(duì)照組6例。經(jīng)統(tǒng)計(jì)學(xué)分析可以認(rèn)為行氣坦尼卡爾片在促進(jìn)腹部切口愈合方面無(wú)明顯影響。結(jié)論:1.行氣坦尼卡爾片能促進(jìn)闌尾切除術(shù)后腸鳴音恢復(fù)時(shí)間、首次排氣時(shí)間、首次排便時(shí)間。2.行氣坦尼卡爾片能降低闌尾切除術(shù)后腹脹,惡心的發(fā)生率。3.行氣坦尼卡爾片對(duì)闌尾切除術(shù)后切口愈合無(wú)明顯影響。4.闌尾切除術(shù)后服用行氣坦尼卡爾片是安全有效。
[Abstract]:Objective: To observe the Xingqi Tannikaer effects on the first time, exhaust time, defecation time and other symptoms related indicators of bowel sound recovery after appendectomy, explore the curative effect of appendectomy on gastrointestinal function recovery after resection, preliminary evaluation for gas Tanja Carle tablet on the efficacy and safety of recovery of gastrointestinal tract function after appendectomy. Methods: from January 2015 to March 2016 in the open appendectomy patients in Department of general surgery for the autonomous region of Uygur medicine hospitals, a total of 80 patients were randomly divided into Xingqi Tannikaer tablets in the treatment group and control group, each group had 40 cases of the control group, close observation of vital signs, anti-inflammatory, repair liquid, correction of acid-base balance, fasting water encourage ambulation. The treatment group routine therapy, 6 hours after the start of oral Xingqi Tannikaer tablets, three times a day, 3 tablets a day orally, the control group not taking medication, were observed and recorded in patients with gastrointestinal function recovery time: for the first time, recovery time of bowel sounds, the first exhaust time, first time and the incidence of incision complications time of defecation and abdominal distension, nausea, vomiting, package using the statistical analysis software SPSS18.0. Results: the two groups were all patients with continuous epidural anesthesia. The general age, sex, classification of appendicitis and body fat index were comparable before operation. Two groups of patients, the mean recovery time of bowel sound: the control group (26.99 + 6.40) h, the treatment group (18.58 + 4.48) h for the first time, postoperative anal exhaust time: the control group (34.86 + 7.57) h, the treatment group (24.73 + 7.38) h, after the first defecation time the control group: (49.12 + 10.01) h, the treatment group (34.04 + 8.64) H. Analysis of two groups of the average recovery time of bowel sounds, the first exhaust time, defecation time there were significant differences by statistical P0.05. The treatment group patients with postoperative recovery time of bowel sounds, the first exhaust and defecation time was significantly shorter than the control group. Abdominal symptoms in two groups of patients: 21 cases in the control group, the treatment group of 8 cases, nausea symptoms after surgery: 19 patients in the control group, the treatment group of 7 cases, through statistical analysis of Xingqi Tannikaer tablets can reduce postoperative abdominal distension, nausea symptoms, Qi Tan nikkal tablets can reduce postoperative abdominal distention and the incidence of nausea. The level of postoperative wound healing: Healing: 33 cases in the treatment group and control group: 31 cases, grade B healing: 3 cases in the treatment group, 3 cases in the control group, C healing: 4 cases in the treatment group, 6 cases in the control group. According to statistical analysis, it is considered that there is no obvious effect on promoting the healing of abdominal incision by using Qi tananica. Conclusion: 1. Xingqi Tannikaer tablets can promote appendectomy postoperative recovery time of bowel sounds, the first exhaust time, first defecation time. 2. lines of Qi tananica can reduce the abdominal distention and the incidence of nausea after appendectomy. 3. lines of Qi tanical had no obvious effect on the healing of incision after appendectomy. 4. after appendectomy, taking tananica is safe and effective.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R656.8

【相似文獻(xiàn)】

相關(guān)期刊論文 前2條

1 謝璇若;護(hù)士工作拾零[J];國(guó)外醫(yī)學(xué).護(hù)理學(xué)分冊(cè);1987年05期

2 ;[J];;年期

相關(guān)重要報(bào)紙文章 前1條

1 徐冰川;美國(guó)二戰(zhàn)老兵向日本公司討公道[N];檢察日?qǐng)?bào);2001年

相關(guān)碩士學(xué)位論文 前1條

1 阿布力米提·居馬（Abulimiti Juma）;行氣坦尼卡爾片對(duì)闌尾術(shù)后胃腸道功能恢復(fù)的影響[D];新疆醫(yī)科大學(xué);2016年

，

本文編號(hào)：1342875