目的 探究中医多途径特色护理方案对宫颈癌根治术后患者胃肠功能、膀胱功能恢复的影响.方法 选取2016年1月~2017年3月湖北中医药大学黄家湖医院86例宫颈癌根治术后患者,采用随机数字表法分为观察组与对照组,每组各43例.对照组采用常规基础护理,观察组给予中医多途径特色护理方案.术后第1 天开始观察并记录两组患者的胃肠功能,记录并比较两组患者术后膀胱功能恢复情况.结果 观察组患者术后首次排便时间、肛门排气时间、肠鸣音恢复时间等均较对照组明显缩短(P < 0.05).观察组术后膀胱功能恢复情况明显优于对照组,其尿潴留、再置管的发生率较对照组明显降低,自解小便率较对照组升高,拔管后残余尿量明显减少(P < 0.05).结论 中医多途径特色护理方案可明显改善宫颈癌患者术后胃肠功能紊乱状态,促进术后膀胱功能的恢复,值得临床推广应用.
Objective To explore the effect of multi -channel characteristic nursing program of traditional Chinese medicine on the recovery of gastrointestinal function and bladder function in patients with cervical cancer after radical operation. Methods From January 2016 to March 2017, 86 patients with cervical cancer who underwent radical resection in Huangjiahu Hospital, Hubei University of Traditional Chinese Medicine were selected and they were divided into observation group and control group by random number table method with 43 cases in each group. The patients in the control group were given conventional basic nursing, while the observation group was given traditional Chinese medicine multi-channel nursing plan. The gastrointestinal function was observed and recorded at the first day after operation, and the bladder function recovery was compared between the two groups. Results The first defecation time, anal exhaust time and bowel sounds recovery time in the observation group were significantly shorter than those in the control group (P < 0.05). The recovery of bladder function in the observation group was significantly better than that in the control group, the incidence of urinary retention and catheterization was significantly lower than that of the control group, and the rate of self-relieving urination was relatively higher in the observation group; residual urine volume decreased significantly after extubation in the observation group (P < 0.05). Conclusion The multi-channel characteristic nursing scheme of TCM can obviously improve the gastrointestinal dysfunction and promote the recovery of bladder function in patients with cervical cancer after operation, which is worthy of clinical promotion and application.