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腹部手術後胃腸活動障礙

Gastrointestinal Dysmotility after Abdominal Surgery

摘要


胃腸活動障礙是腹部手術後病人常經歷的生理功能變化。病人常因此腹脹、噁心、嘔吐無法進食,不利其營養攝取及復原,進而延長住院天數,對醫療體系及病人生活品質影響甚鉅。本文將依目前實證進展說明造成腹部手術後胃腸活動障礙的機轉及相關介入措施研究,期提升臨床醫護人員對此議題的認識,進而發展及應用相關介入措施,以促進腹部手術後病人胃腸道活動恢復。

並列摘要


Gastrointestinal dysmotility is common among patients undergoing abdominal surgery and patients often experienced bloating, nausea, vomiting, and inability to tolerate food. All these symptoms not only compromise patients' nutrient intake, delay functional recovery, and prolong length of stay, but also place heavy tolls on the healthcare system and quality of patients' life. This article aims to review the mechanism of gastrointestinal dysmotility after abdominal surgery as well as the relevant strategies to manage the postoperative gastrointestinal dysmotility to some extent. By increasing the understandings of medical professionals prompt screening and effective care strategies and intervention program could be developed and disseminate to the clinical settings to benefit the patients.

參考文獻


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蔡麗紅、陳全美、蔡青青(2021)。腹部手術患者之手術後腸阻塞的照護長庚護理32(3),40-49。https://doi.org/10.6386/CGN.202109_32(3).0004
陳筱玲(2019)。策略性鎮靜治療措施在降低高齡胰十二指腸切除術患者之疼痛、焦慮與術後合併症之成效探討〔博士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201902512
蔡麗紅、陳全美、林麗美(2022)。穴位按壓促進腹部手術後之胃腸道功能台灣醫學26(2),237-244。https://doi.org/10.6320/FJM.202203_26(2).0013
羅心怡、柯汝昕、李筠婷、康世晴(2021)。降低剖腹探查手術病人平均住院天數之策略台灣醫學25(3),424-432。https://doi.org/10.6320/FJM.202105_25(3).0016

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