目的 探讨老年病人开腹胆囊切除术后加快胃肠功能恢复的干预措施.方法 将130例开腹胆囊切除术的老年病人随机分为观察组和对照组各65例,对照组采用常规护理,观察组进行术后干预措施,术后5天比较效果.结果 两组术后肛门排气时间、肠鸣音恢复时间、排便时间比较均具有统计学意义(P＜0.05),两组术后不适症状(腹痛、腹胀)发生情况比较,差异具有统计学意义(P＜0.05).结论 老年病人开腹胆囊切除术后对患者实施干预措施可加快胃肠功能的恢复和减少并发症的发生.%Objective To study interventional care to accelerate recovery of gastrointe4stinal function after open cholecystectomy forgeriatric patients. Methods 130 geriatric patients with open cholecystectomy were randomly divided into study group and control group, 65 in each group. The patients in the study group were treated with interventional care while those in the control group with usual care. The outcomes between groups were compared 5 days later. Results There were significant differences between groups in postoperative intervals to recover flatus, bowel tones and defecate (P＜0.05), and also obvious differences in incidence rates of postoperative indisposition such as abdominal pain and distention (P＜0. 05). Conclusion Interventional care after open cholecystectomy for geriatric patients may accelerate the recovery of gastrointestinal function.
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