目的研究护理干预在肠道手术患者胃肠功能恢复中的作用。方法将我院收治的292例肠道手术患者作为观察对象,随机均分为观察组和对照组,分别给予综合护理干预和常规护理干预进行护理,统计护理数据,评价不同干预性护理方法在恢复肠道手术患者胃肠功能中的效果。结果给予综合护理干预的观察组146例患者中,无腹胀的有56例,占比38.8%,轻度腹胀的有51例,占比35.1%,中度腹胀的有29例,占比20.3%,重度腹胀的有10例,占比6.8%,总有效率为93.2%;给予常规护理的对照组患者中,无腹胀的有18例,占比12.9%,轻度腹胀的有29例,占比20.3%,中度腹胀的有51例,占比35.1%,重度腹胀的有48例,占比32.8%,总有效率为67.6%,两组患者的护理质量也存在显著差异,P〈0.05。结论综合护理干预能显著缓解肠道手术患者的腹胀情况,帮助其胃肠功能恢复,值得推广借鉴。

Objective To discuss the application evaluation of nursing intervention in the treatment of intestinal surgery patients in the recovery of gastrointestinal functions.Methods 292 intestinal surgery patients with adhesive intestinal obstruction in the recov-ery of gastrointestinal functions were included in this study. Based on the sequence of enrollment ,they were randomly divided into two groups: the therapy group (146 patients) receiving comprehensive nursing intervention and the control group (146 patients) re-ceiving usual care besides the same basic operative treatment in the two groups. The liver function parameters were observed and compared statistically.Results The experiential group of 146patients,56 cases were cured,in the rate of 38.8%,51 cases were ex-cellent ,in the rate of 35.1%,29 cases appewered valid,in the rate of 20.3%,10 cases were invalid ,in the rate of 6.8%. In anoth-er group of 146patients,18 cases were cured,in the rate of 12.9%,29 cases were excellen

目的：探讨临床路径在预防腹部手术后腹胀患者健康教育中的实施效果。方法：选择在2012年4月-2013年3月进行腹部手术的患者108例,随机分成实验组56例和对照组52例。比较两组患者术后肛门排气时间及腹胀情况,进行χ2以及t检验。结果：实验组的数据显示采用临床路径可以显著缩短排气时间,减少腹胀情况（P〈0.05）。结论：临床路径在预防腹部手术后腹胀健康教育中的应用有很高的临床价值,可以促进患者尽快通气,很大程度减少腹胀的发生。

Objective:This paper is to study the effect of implementing Clinica Pathway in the healthcare af-ter abdominal surgery. Method:108 cases were are chosen between April 2012 and March 2013, 56 cases into the experimental group and 52 cases into the control group were arerandomly assigned. The average times of restart of anal exhaust and the case numbers of abdominal distension were recorded and compared between the two groups, with x2-test and t-test. Results: A significant shorter average time of restart of anal exhaust and fewer cases of ab-dominal distension (P<0.05) were are founded in the experiment group. Conclusion: Clinical Pathway can acceler-ate the restart of anal exhaust, reduce the apparent of abdominal distension, so it has a high clinical value in the healthcare after abdominal surgery and we should continuously apply and improve it.

目的探讨综合护理干预应用在ICU危重患者发生腹胀的效果及应用价值。方法选择我院ICU收治的危重患者并发腹胀94例作为研究对象,随机分为观察组和对照组,对照组给予ICU常规护理,观察组给予综合护理干预,观察2组护理效果。结果观察组腹胀持续时间、肠鸣音次数、焦虑自评量表评分和抑郁自评量表评分均优于对照组,差异有统计学意义(P0.05)。观察组腹胀相关并发症发生率低于对照组,差异有统计学意义(P0.05)。结论综合护理干预应用在ICU病房发生腹胀的危重患者中能够缩短腹胀持续时间,提高肠鸣音活跃程度,减少并发症发生,减轻患者负性情绪,值得在临床上大力推广使用。

Objective To investigate the curative effects of comprehensive nursing intervention on the negative emotion and condition of severe patients with abdominal distension in ICU.Methods 94 severe patients with abdominal distension in ICU in our hospital were randomly divided into the observation group (treated with comprehensive nursing intervention ) and the con-trol group (treated with common nursing intervention ) ,and then the nursing effects of two groups were evaluated .Results The abdominal distension duration ,frequency of bowel sounds ,anxiety self -assessment scale scores and depression self rating scale score in the observation group were more than these in the control group. The incidence of abdominal distension related complications in the observation group was lower than that in the control group.Conclusion Comprehensive nursing interven-tion can effectively shorten the abdominal distension time ,increase the degree of active bowel sounds ,reduce the patients''nega-

探讨妇产科患者术后腹胀常见原因及中医护理对策。方法:选取我院2012年6月-2013年2月妇产科术后发生腹胀的患者82例,对其进行活动、饮食、针灸、按摩、心理等一系列中医护理并观察临床效果。结果:经过我院中医对症治疗及护理后,所有患者均康复出院,并无并发症。结论:通过剖析妇产科患者术后腹胀原因,有针对性地进行中医护理干预,可有效解决患者腹胀,促进患者的康复,具有临床推广价值。

Objective: To explore mainly reasons and TCM nursing for abdominal distention following surgery. Methods: 82 patients were nursed in TCM, such as activity, acupuncture, massage. Results: All patients were cured and leaving hospital without complication. Conclusion:By analyzing the reasons of abdominal distention, TCM nursing was applied , had good effects and was worthy of promotion.

观察耳穴埋豆对术后胃肠功能腹胀恢复的效果。方法:将80例患者分为对照组和试验组,对照组给予常规护理,试验组在常规护理基础上采用耳穴埋豆治疗。结果:试验组的腹胀发生率低于对照组,肠蠕动恢复及肛门排气时间均早于对照组。结论:耳穴埋豆法能有效降低腹胀的发生率。

Objective:To observe the effect of auricular beans on the recovery of gastrointestinal function in postoperative abdominal distension. Method:80 patients were divided into control group and experimental group.The control group was given routine nursing,the experimental group was given auricular beans on the basis of conventional care buried treatment.Result:In the experimental group,the incidence of abdominal distension was lower than the control group,the intestinal peristalsis and anus exhaust time were earlier than that of the control group.Conclusion:Auricular bean method can effectively reduce the incidence of abdominal distension.