出口梗阻型便秘STARR术围手术期的护理
|
摘要
目的分析出口梗阻型便秘(OOC)STARR术(吻合器经肛门直肠切除术)围手术期的护理。方法以2015年8月—2018年8月间入该院治疗的102例OOC行STARR术治疗患者为研究主体。分成A组和B组,均是51例。A组给予围术期护理,B组给予常规护理。对比护理效果。结果 A组的直肠感知阈值(46.24±0.75)mL低于B组(51.34±0.95)mL(t=30.091;P=0.000);A组的肛管静息压(54.31±2.68)mmHg低于B组(60.22±2.78)mmHg(t=10.930;P=0.000);A组的排便阈值(111.62±12.24)mL低于B组(134.25±13.62)mL(t=8.825;P=0.000);A组的最大耐受量(201.34±10.27)mL低于B组(220.26±10.75)mL(t=9.088;P=0.000)。A组的并发症发生率为7.84%,B组为23.53%,对比差异有统计学意义(P<0.05)(χ~2=4.744,P=0.029)。结论为OOC行STARR术治疗患者行围术期护理可改善其临床指标,增强其肠道功能,且并发症较少,具有较佳的护理价值。
Objective To analyze the nursing of outlet obstructive constipation STARR surgery during the perioperative period. Methods 102 cases of OOC patients with STARR surgery in our hospital from August 2015 to August 2018 were selected as the research objects and divided into two groups with 51 cases in each, the group A used the nursing during the perioperative period, while the group B used the routine nursing, and the nursing effect was compared between the two groups. Results The rectal sensation threshold in the group A was lower than that in the group B[(46.24±0.75)mL vs(51.34±0.95)mL(t=30.091; P=0.000) ], the anal canal resting pressure in the group A was lower than that in the group B [(54.31±2.68) mmHg vs(60.22±2.78) mmHg( t=10.930; P=0.000)], and the defecation threshold in the group A was lower than that in the group B [( 111.62±12.24) mL vs( 134.25±13.62) mL( t=8.825; P=0.000)], and the maximal tolerance dose in the group A was lower than that in the group B,[(201.34±10.27) mL vs(220.26±10.75)mL(t=9.088; P=0.000) ], and the incidence rate of complications in the group A and in the group B was respectively 7.84%and 23.53%, and the difference was statistically significant(χ~2=4.744, P=0.029). Conclusion The nursing of outlet obstructive constipation STARR surgery during the perioperative period can improve the clinical indicators, enhance the intestinal function with few complications, and it is of good nursing value.
Objective To analyze the nursing of outlet obstructive constipation STARR surgery during the perioperative period. Methods 102 cases of OOC patients with STARR surgery in our hospital from August 2015 to August 2018 were selected as the research objects and divided into two groups with 51 cases in each, the group A used the nursing during the perioperative period, while the group B used the routine nursing, and the nursing effect was compared between the two groups. Results The rectal sensation threshold in the group A was lower than that in the group B[(46.24±0.75)mL vs(51.34±0.95)mL(t=30.091; P=0.000) ], the anal canal resting pressure in the group A was lower than that in the group B [(54.31±2.68) mmHg vs(60.22±2.78) mmHg( t=10.930; P=0.000)], and the defecation threshold in the group A was lower than that in the group B [( 111.62±12.24) mL vs( 134.25±13.62) mL( t=8.825; P=0.000)], and the maximal tolerance dose in the group A was lower than that in the group B,[(201.34±10.27) mL vs(220.26±10.75)mL(t=9.088; P=0.000) ], and the incidence rate of complications in the group A and in the group B was respectively 7.84%and 23.53%, and the difference was statistically significant(χ~2=4.744, P=0.029). Conclusion The nursing of outlet obstructive constipation STARR surgery during the perioperative period can improve the clinical indicators, enhance the intestinal function with few complications, and it is of good nursing value.
引文
[1]朱微微.排便训练方法改善老年脑卒中恢复期出口梗阻型便秘患者疗效观察[J].中国实用医药,2017(22):161-162.
[2]李惠.骶神经刺激对功能性出口梗阻型便秘的影响及疗效观察[J].临床医药文献电子杂志,2017(76):14944-14945.
[3]房玉霞.直肠粘膜悬挂术加消痔灵注射治疗出口梗阻型便秘10例围手术期护理体会[J].医学信息,2015(13):108.
[4]刘懿,刘韬,冯静刚.改良STARR术式对直肠前突合并内套叠ODS患者围手术期的影响[J].中国临床研究,2018(1):77-80.
[5]张正国,杨光,杨勇,等.TST STARR+术治疗出口梗阻型便秘的临床研究[J].中华胃肠外科杂志,2016(1):88-90.
[6]任相海,江从庆,张廷涛,等.TST STARR+:治疗出口梗阻型便秘的一项新术式[J].中华胃肠外科杂志,2015(1):72-73.
[7]于永红,张斌,丁健华,等.经肛吻合器直肠切除术治疗出口梗阻型便秘的远期疗效[J].中华胃肠外科杂志,2017(12):1360-1364.
[8]唐清珠,陈鸣旺,罗宏标,等.STARR联合补中益气汤加减治疗出口梗阻型便秘盆底松弛型50例临床观察[J].湖南中医杂志,2017(11):8-11.
[9] S. M. Yaseen,任相海,曹永磊,等.TST STARR垣治疗出口梗阻型便秘术后并发症及分析[J].医学新知杂志,2016(2):104-105.
[10]赵长胜,魏永辉,吕立群,等.益气养阴法联合STARR手术治疗直肠前突的临床疗效观察[J].世界中西医结合杂志,2018(1):112-115.
[11]刘宇,杜雪峰,张海磊,等.改良直肠下端黏膜切除术治疗重度直肠前突出口梗阻型便秘的效果分析[J].中国综合临床,2018(4):330-334.
[12]李相臣,李荣先,张波,等.STARR手术治疗出口梗阻型便秘临床效果及安全性分析[J].中外医疗,2016(3):62-63,66.
[2]李惠.骶神经刺激对功能性出口梗阻型便秘的影响及疗效观察[J].临床医药文献电子杂志,2017(76):14944-14945.
[3]房玉霞.直肠粘膜悬挂术加消痔灵注射治疗出口梗阻型便秘10例围手术期护理体会[J].医学信息,2015(13):108.
[4]刘懿,刘韬,冯静刚.改良STARR术式对直肠前突合并内套叠ODS患者围手术期的影响[J].中国临床研究,2018(1):77-80.
[5]张正国,杨光,杨勇,等.TST STARR+术治疗出口梗阻型便秘的临床研究[J].中华胃肠外科杂志,2016(1):88-90.
[6]任相海,江从庆,张廷涛,等.TST STARR+:治疗出口梗阻型便秘的一项新术式[J].中华胃肠外科杂志,2015(1):72-73.
[7]于永红,张斌,丁健华,等.经肛吻合器直肠切除术治疗出口梗阻型便秘的远期疗效[J].中华胃肠外科杂志,2017(12):1360-1364.
[8]唐清珠,陈鸣旺,罗宏标,等.STARR联合补中益气汤加减治疗出口梗阻型便秘盆底松弛型50例临床观察[J].湖南中医杂志,2017(11):8-11.
[9] S. M. Yaseen,任相海,曹永磊,等.TST STARR垣治疗出口梗阻型便秘术后并发症及分析[J].医学新知杂志,2016(2):104-105.
[10]赵长胜,魏永辉,吕立群,等.益气养阴法联合STARR手术治疗直肠前突的临床疗效观察[J].世界中西医结合杂志,2018(1):112-115.
[11]刘宇,杜雪峰,张海磊,等.改良直肠下端黏膜切除术治疗重度直肠前突出口梗阻型便秘的效果分析[J].中国综合临床,2018(4):330-334.
[12]李相臣,李荣先,张波,等.STARR手术治疗出口梗阻型便秘临床效果及安全性分析[J].中外医疗,2016(3):62-63,66.