目的 分析胃癌术后胃瘫综合征发生的危险因素与循证护理干预效果.方法 选取胃癌根治术术后发生胃瘫综合征的患者80例作为观察组, 并根据护理措施不同分为A组与B组, 每组40例.另选取同期在我院实施胃癌根治术未发生术后胃瘫综合征患者120例作为对照组, 分析引发胃瘫综合征的相关危险因素, 并观察实施循证护理干预的应用效果.结果 手术时间、术中出血量、术后补液量、不良进食过程、基础性疾病及术前幽门梗阻是胃癌根治术后胃瘫综合征发生的独立危险因素;观察组住院时间、胃动力恢复时间及胃肠功能恢复时间均短于对照组, 差异有统计学意义.结论 胃癌术后胃瘫综合征发生的相关因素较多, 对于手术时间、基础性疾病及术前幽门梗阻等因素需高度重视, 同时给予恰当的护理方法, 可有效缓解患者的临床症状, 改善预后.%Objective To explore the risk factors and evidence-based nursing intervention for postoperative gastroparesis syndrome in patients with gastric cancer. Methods Eighty patients with gastroparesis syndrome after radical gastrectomy in our hospital from August 2016 to June 2017 were selected as observation group and were divided into group A and group B according to different nursing measures, 40 cases in each group. At the same time 120 patients with gastroparesis syndrome after radical gastrectomy in our hospital were selected as the control group. The risk factors associated with gastroparesis syndrome were analyzed and the application effect of evidence-based nursing intervention was observed. Results Surgical time, intraoperative blood loss, postoperative fluid volume, adverse feeding process, underlying disease and preoperative pyloric obstruction are independent risk factors for gastroparesis syndrome after radical gastrectomy. The hospital duration, gastric motility recovery time and gastrointestinal function recovery time of observation group were shorter than those in the control group, P<0.05. Conclusion There are many related factors in gastroparesis syndrome after radical gastrectomy. It is necessary to pay more attention to the operation time, underlying diseases and preoperative pyloric obstruction. At the same time, proper nursing methods can effectively alleviate the clinical symptoms and improve the prognosis.
展开▼
