简介：　　【摘 要】目的：探討胃癌根治术后早期活动护理干预对患者胃肠功能指标影响。方法：本次研究的 200例入组患者均为笔者所在医院 2017年 1月 -2018年 1月治疗的胃癌根治术患者，使用数字随机法将两组患者分为对照组与观察组，观察组患者实施早期活动护理，对照组则实施常规护理，探究两组患者在不同护理干预方式下的胃肠功能指标、护理满意度评分及胃乏力发生率。结果：观察组患者开始进食时间、肠鸣音恢复时间、肛门排气时间、排便时间均低于对照组患者，差异均有统计学意义（ P<0.05） ;观察组患者护理满意度评分、胃乏发生率、住院时间均优于对照组，差异均有统计学意义（ P<0.05）。结论：通过将早期活动护理干预措施运用于胃癌根治术患者的临床护理工作中，能有效改善患者的胃肠功能指标，患者恢复进食、肠鸣音恢复、肛门排气与排便的恢复速度明显加快，胃乏力发生率明显降低，患者对于护理人员的满意度评分提升，该护理方法可在相关科室进行推广。  　　【关键词】胃癌根治术 ;早期活动 ;护理干预 ;胃肠功能指标  　　 [Abstract] Objective: To explore the effect of early activity nursing intervention on gastrointestinal function after radical gastrectomy. Methods: the 200 patients in this study were all patients with radical gastrectomy treated in our hospital from January 2017 to January 2018. The two groups were divided into control group and observation group by using the digital random method. The patients in the observation group were given early activity nursing, while the patients in the control group were given routine nursing, to explore the gastrointestinal function indexes and nursing satisfaction of the two groups under different nursing interventions Degree score and incidence of gastric asthenia. Results: the patients in the observation group began to eat, the recovery time of bowel sounds, the time of anal exhaust, the time of defecation were all lower than those in the control group, the difference was statistically significant (P < 0.05); the patients in the observation group were better than those in the control group in terms of nursing satisfaction score, the incidence of gastric asthenia and the time of hospitalization, the difference was statistically significant (P < 0.05). Conclusion: by applying early activity nursing intervention measures to the clinical nursing work of patients with gastric cancer radical operation, it can effectively improve the gastrointestinal function index of patients. The recovery speed of patients' eating, bowel sounds, anal exhaust and defecation is significantly accelerated, the incidence of gastric asthenia is significantly reduced, and the satisfaction score of patients for nursing staff is improved. This nursing method can be used in the following aspects Relevant departments shall carry out promotion.

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简介：[摘要 ]目的：为了提高胃癌根治术后康复效果，探讨肠内与肠外营养的术后应用价值。方法：在本院 2018年 1月至 2018年 12月行胃癌根治术治疗的患者中选取 80例作为研究对象并按照随机、双盲、对照原则将其平均分组，其中予以肠外营养支持治疗的 40例患者设为对照组，予以肠内营养联合支持治疗的 40例患者设为观察组，比较两组患者手术后各营养指标（ 血红蛋白、白蛋白、血清前蛋白 ） 水平 以及 免疫功能差异 。结果：研究结果表明，观察组患者各营养指标（ 血红蛋白、白蛋白、血清前蛋白 ） 水平与 对照组相比明显增加（ P<0.05） ;手术前观察组和对照组患者的体液免疫指标（ IgA、 IgG和 IgM）水平比较差异不具有统计学意义（ P>0.05） ;术后 1周，和术前相比两组患者的 IgA、 IgG和 IgM水平均有增加且观察组增加更显著（ P<0.05）。结论：胃肠癌根治术后予以肠内营养支持治疗，不仅能够改善患者营养水平，还能够提高体液免疫功能，促进病情康复，值得临床应用。

简介：　　【摘 要】目的：探討胃癌根治术后早期活动护理干预对患者胃肠功能指标影响。方法：本次研究的 200例入组患者均为笔者所在医院 2018年 1月 -2020年 1月治疗的胃癌根治术患者，使用数字随机法将两组患者分为对照组与观察组，观察组患者实施早期活动护理，对照组则实施常规护理，探究两组患者在不同护理干预方式下的胃肠功能指标、护理满意度评分及胃乏力发生率。结果：观察组患者开始进食时间、肠鸣音恢复时间、肛门排气时间、排便时间均低于对照组患者，差异均有统计学意义（ P<0.05） ;观察组患者护理满意度评分、胃乏发生率、住院时间均优于对照组，差异均有统计学意义（ P<0.05）。结论：通过将早期活动护理干预措施运用于胃癌根治术患者的临床护理工作中，能有效改善患者的胃肠功能指标，患者恢复进食、肠鸣音恢复、肛门排气与排便的恢复速度明显加快，胃乏力发生率明显降低，患者对于护理人员的满意度评分提升，该护理方法可在相关科室进行推广。  　　【关键词】胃癌根治术 ;早期活动 ;护理干预 ;胃肠功能指标  　 [Abstract] Objective: To explore the effect of early activity nursing intervention on gastrointestinal function after radical gastrectomy. Methods: the 200 patients in this study were all patients with radical gastrectomy treated in our hospital from January 2018 to January 2020. The two groups were divided into control group and observation group by using the digital random method. The patients in the observation group were given early activity nursing, while the patients in the control group were given routine nursing to explore the gastrointestinal function indexes and nursing satisfaction of the two groups under different nursing interventions Degree score and incidence of gastric asthenia. Results: the patients in the observation group began to eat, the recovery time of bowel sounds, the time of anal exhaust, the time of defecation were all lower than those in the control group, the difference was statistically significant (P < 0.05); the patients in the observation group were better than those in the control group in terms of nursing satisfaction score, the incidence of gastric asthenia and the time of hospitalization, the difference was statistically significant (P < 0.05). Conclusion: by applying early activity nursing intervention measures to the clinical nursing work of patients with gastric cancer radical operation, it can effectively improve the gastrointestinal function index of patients. The recovery speed of patients' eating, bowel sounds, anal exhaust and defecation is significantly accelerated, the incidence of gastric asthenia is significantly reduced, and the satisfaction score of patients for nursing staff is improved. This nursing method can be used in the following aspects Relevant departments shall carry out promotion.

简介：　　【摘 要】目的：探讨优质护理在腹腔镜胃癌根治术中的应用价值。方法： 90例胃癌患者，按照入院顺序奇偶法分为观察组和对照组，各 45例。两组患者均行腹腔镜胃癌根治术治疗，对照组应用常规护理，观察组应用优质护理，比较两组术后恢复情况及护理满意度。结果：观察组护理满意度为 97.78%，显著高于对照组的 86.67%（ P<0.05） ;观察组术后下床活动时间、肛门排气时间及住院时间均明显短于对照组（ P<0.05）。结论：优质护理有助于加快腹腔镜胃癌根治术患者康复进程，提高患者满意度。

简介：　　摘要 目的：腹腔镜胃癌根治术患者应用丙泊酚靶控输注与七氟烷吸入麻醉对其术后疼痛的影响分析。方法：选取我院收治的 70例行腹腔鏡胃癌根治术患者，平均随机分为两组。丙泊酚静脉靶控输注维持全身麻醉组命名为并泊组，给予七氟烷吸入维持全身麻醉命名为七氟烷组。结果：丙泊酚组患者拔管后和术后 2h、 4h、 8h、 12h、 24h静息状态和咳嗽情况下的 NRS评分均明显低于七氟烷组，术后 2 h、 4 h的芬太尼累积消耗量明显少于七氟烷组（ P<0.05）。结论：与七氟烷麻醉相比，腹腔镜胃癌根治术患者应用丙泊酚麻醉术后疼痛明显减轻，术后镇痛药物的使用量减少。  

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