急性化脓性腹膜炎患者的临床护理分析

高红云1，2

（1.陕西省宝鸡市中医医院，陕西 宝鸡，721001；2.陕西省宝鸡市骨科医院，陕西 宝鸡，721001）

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摘要：

目的 探讨急性化脓性腹膜炎患者的临床护理措施，旨在总结临床经验，提高护理质量。方法 将我院自2014年8月至2016年8月收治的急性化脓性腹膜炎患者68例作为研究对象，按照随机数字表法将其分为研究组和对照组，每组34例，对照组患者给予常规护理措施，研究组患者给予心理护理、术前护理、术后护理及出院指导等全面护理措施，对比两组患者临床效果及不良反应发生情况。结果 研究组患者的手术时间为（42.36±12.52）min、术后下床活动时间为（18.42±3.48）h、胃肠道功能恢复时间为（35.89 ±5.81）h、住院时间为（15.44±2.69）d，均明显短于对照组的（58.67±13.61）min、（24.25±3.82）h、（41.84±4.89）h、（19.74±2.93）d，差异均有统计学意义（P<0.05）；研究组不良反应发生率为8.82% ，明显低于对照组的23.53%，差异有统计学意义（P<0.05）。结论 全面护理可提高急性化脓性腹膜炎患者的临床治疗效果，减少术后并发症的发生，可在临床范围内进一步推广应用。

关键词：急性化脓性腹膜炎；护理措施；全面护理

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2017)18-0157-02

Clinical nursing analysis of patients with acute suppurative peritonitis
GAO Hong-yun 1, 2
(1. Baoji Traditional Chinese Medicine Hospital, Baoji 721001; 2. Baoji Orthopedic Hospital, Baoji 721001, China)

ABSTRACT: Objective To investigate the clinical nursing measures of patients with acute suppurative peritonitis, to sum up the clinical experience and improve the quality of nursing. Methods From August 2014 to August 2016, 68 patients with acute suppurative peritonitis in our hospital were selected as the research objects. All the patients were divided into study group and control group according to the random number table method, with 34 cases in each group. Patients in the control group were given routine nursing measures, while patients in the study group were given psychological nursing, preoperative care, postoperative care and discharge guidance and other comprehensive nursing measures. The clinical effects and incidence of adverse reactions of the two groups were compared. Results The operation time, postoperative bed time, recovery time of gastrointestinal function and length of stay in the study group were (42.36±12.52) min, (18.42±3.48) h, (35.89±5.81) h, (15.44±2.69) d respectively, which were significantly shorter than (58.67±13.61) min, (24.25±3.82) h, (41.84±4.89) h, (19.74±2.93) d of the control group, the differences between the two groups were statistically significant (P<0.05). The incidence rate of adverse reactions was 8.82% of the study group, which was lower than 23.53% of the control group, the difference between the two groups was statistically significan t (P<0.05). Conclusion Comprehensive nursing can improve the clinical treatment effect for patients with acute suppurative peritonitis, which is beneficial to reduce the incidence of postoperative complications and can be further extended and applied in the clinic.
KEYWORDS: acute suppurative peritonitis; nursing measures; comprehensive nursing

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