摘要
目的探讨老年肠梗阻患者术后并发感染的预防及护理措施。方法选取我院2012年1月-2014年6月老年肠梗阻患者40例,40例患者中25例伴有其他疾病,患慢支者10例,肺源性心脏病者4例,冠心病12例,高血压9例,糖尿病5例,并存两种以上疾病者5例。围术期给予心理护理、观察病情、切口护理、造瘘口护理及并发症护理等干预措施。结果所有患者行手术治疗,术中发现肿瘤24例（60%）,其中结肠癌18例（45%）,直肠癌6例（15%）,肠粘连8例（20%）,粪石梗阻5例（12.5%）肠扭转1例（2.5%）,嵌顿疝2例（5%）。术后切口甲级愈合38例,乙级愈合2例,未发生泌尿系统、呼吸系统、口腔等感染,所有患者均康复出院。结论对老年肠梗阻患者实施感染的预防护理效果显著,可减少术后感染的发生率。
Objective To investigate the prevention and nursing measures of concurrent infection of elderly patients with intestinal obstruction after operation. Methods Selected 40 cases of elderly patients with intestinal obstruction from 2012 January to 2014 June in our hospital.Among them, 25 casess with other diseases, 10 cases of patients suffering from chronic bronchitis, 4 cases of cot pulmonale, 12 cases of coronary heart disease （ CHD ）, 9 cases of hypertension,5 cases of diabetes, and 5 cases with two or more diseases. Adopted perioperative psychological nursing, observation of disease, care of the incision, stoma nursing and complications nursing intervention measures such as. Results All patients with surgical treatment, 24 cases were found tumor during the operation （ 60% ）, including 18 cases （ 45% ） of colon cancer and 6 cases （ 15% ） of rectal cancer, 8 cases of intestinal adhesion （ 20% ）, 5 cases ofbezoar obstruction （ 12.5% ）, 1 cases ofvolvulus （ 2.5% ） and 2 cases of incarcerated hernia （ 5% ） . 38 cases of incision healing after operation, B healing in 2 cases, without the occurrence of urinary system, respiratory system, such as oral cavity infection, all patients were recovered. Conclusion Prevention and nursing of concurrent infection of elderly patients with intestinal obstruction can reduce the incidence of postoperative infection, with obvious effect.
出处
《中国卫生标准管理》
2015年第12期196-197,共2页
China Health Standard Management
关键词
老年肠梗阻
感染
护理
The elderly ileus, Infection, Nnrsing
