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目的探讨肠蠕医用胶贴对开胸手术硬膜外镇痛患者肠蠕动恢复的作用。方法将2011年1月至2012年9月山东省青州市人民医院120例行开胸手术、术后应用硬膜外镇痛泵患者分为两组,每组各60例。常规组:男33例,女27例;年龄42~77岁,中位年龄62.6岁;术后给予常规护理。肠蠕医用胶贴组:男31例,女29例;年龄32~78岁,中位年龄64.9岁;术后使用肠蠕医用胶贴。术后观察两组患者的肠蠕动恢复时间、肛门排气时间和腹胀情况。结果肠蠕医用胶贴组患者术后肠蠕动恢复时间[(12.3±4.6)h vs.(17.6±5.3)h,P<0.05]和肛门排气时间[(25.6±6.3)h vs.(28.7±5.5)h,P<0.05]均较常规组缩短,差异有统计学意义(P<0.05),腹胀发生率较常规组低,差异有统计学意义(P<0.05)。结论肠蠕医用胶贴可有效促进开胸硬膜外镇痛手术患者术后肠蠕动的恢复。
Objective To investigate the effect of intestinal adhesive plaster on the recovery of peristalsis after thoracotomy in patients with epidural analgesia. Methods From January 2011 to September 2012, 120 cases of Qingzhou People’s Hospital of Shandong Province underwent thoracotomy and the patients were divided into two groups (n = 60 in each group). Conventional group: 33 males and 27 females; aged 42 to 77 years old, the median age of 62.6 years old; postoperative routine care. Intestine medical adhesive tape group: 31 males and 29 females; aged 32 to 78 years old, the median age of 64.9 years; postoperative use of intestinal peristalsis adhesive tape. Postoperative bowel recovery time, anal exhaust time and bloating were observed in both groups. Results The recovery time of intestinal peristalsis in patients with intestinal adhesive plaster was (12.3 ± 4.6) h vs. (17.6 ± 5.3) h, P <0.05, and the time of anal excretion was (25.6 ± 6.3) h vs. (28.7 ± 5.5) h, P <0.05] compared with the conventional group, the difference was statistically significant (P <0.05), the incidence of abdominal distension was lower than that of the conventional group (P <0.05). Conclusion Gut paste can effectively promote the recovery of postoperative intestinal motility in patients undergoing thoracic epidural analgesia.