腹部手術患者之手術後腸阻塞的照護

約有10%～30%腹部手術患者會出現手術後腸阻塞（postoperative ileus, POI），是一種暫時性胃腸道活動功能障礙，POI會延遲術後恢復、延長住院天數及增加醫療費用的支出。因此，針對腹部手術的患者，促進手術後胃腸道功能恢復，是重要課題。本文就腹部手術患者POI之定義、診斷標準、生理病理機轉、預防及治療做介紹。提升臨床醫護人員對於腹部手術患者之POI的相關概念及照護進一步的認識，提供患者更優質的健康照護。

關鍵字

腹部手術；手術後腸阻塞

並列摘要

About 10%-30% of patients who underwent abdominal surgery suffer from postoperative ileus (POI), which is a transient dysfunction of gastrointestinal. POI can delay postoperative recovery, prolong hospital stay, and increase medical expenses. Therefore, improving the recovery of gastrointestinal function in patients after abdominal surgery is an important topic. This paper introduces the definition, diagnostic criteria, pathophysiology mechanism, prevention and treatment of POI to enhance the understanding of clinical nursing staff regarding POI-related concepts and nursing care for patients undergoing abdominal surgery so they can provide high quality health care.

並列關鍵字

abdominal surgery ； postoperative ileus

參考文獻

郭素真、沈華詩、石琮瑛、柯莉珊、洪雯玲、周幸生 (2013) ·比較嚼口香糖與早期飲水對婦科良性腫瘤術後病人之排氣成效·榮總護理， 30(2)，181-190。[Kuo, S. C., Shen, H. S., Shih, T. Y., Ke, L. S., Hung, W. L., & Chou, S. S. (2013). To explore the impact of different methods on gastrointestinal function of women who had benign gynecological surgery: A quasi-experimental study. VGH Nursing, 30(2), 181-190.] https://doi.org/10.6142/vghn. 30.2.181

楊怡婷、梁金銅、賴逸儒、陳佳慧 (2014)·腹部手術後胃腸活動障礙·台灣醫學，18(2)，244-250。doi:10.6320/fjm.2014.18(2).15。[Yang , Y. T., Liang, J. T., Lai, I. R., & Chen, C. H. (2014). Gastro-intestinal dysmotility after abdominal surgery. Formosan Journal of Medicine, 18(2), 244-250.]

Mohammadi, M. M., Raygani, A. A. V., Ghobadi, A., Samadzadeh, S., & Salari, N. (2018). Effect of near-infrared light therapy based on acupoints on the severity of restless legs syndrome in patients undergoing hemodialysis: A single-blind randomized controlled trial. Clinical Medicine and Research. https://doi.org/10.3121/cmr.2018.1389

Park, S.H., & Choi, M. S. (2018). Meta-analysis of the effect of gum chewing after gynecologic surgery. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 47(3), 362-370. https://doi.org/10.1016/j.jogn.2018.01.011

Song, G.M., Deng, Y.H., Jin, Y.H., Zhou, J.G., & Tian, X. (2016). Meta-analysis comparing chewing gum versus standard postoperative care after colorectal resection. Oncotarget, 7(43), 70066-70079. https://doi.org/10.18632/oncotarget.11735

延伸閱讀

涂美蘭、林佳蓉、陳美秀（2008）。腹部重大手術後初期腸道營養照護改善專案。澄清醫護管理雜誌，4(2)，75-80。https://doi.org/10.30156/CCMJ.200804.0008
楊怡婷、梁金銅、賴逸儒、陳佳慧（2014）。腹部手術後胃腸活動障礙。台灣醫學，18(2)，244-250。https://doi.org/10.6320/FJM.2014.18(2).15
江秋萍（2022）。卵巢癌併發結腸與膀胱間瘻管病人接受腸造口手術之護理經驗。新臺北護理期刊，24(1)，129-137。https://doi.org/10.6540/NTJN.202203_24(1).0011
Tsai, K. Y., Tsai, W. S., Huang, S. H., Lai, I. L., Sun, C. Y., Cheng, C. C., Liao, C. K., Lin, Y. C., Chern, Y. J., Hsu, Y. J., Lin, G. P., Lai, C. C., Chiang, S. F., You, J. F., Hung, H. Y., Yeh, C. Y., Hsieh, P. S., Chiang, J. M., Tang, R. P., & Chen, J. S. (2021). 發炎性腸道疾病手術中腸造口關閉之預後. 中華民國大腸直腸外科醫學會雜誌, 32(3), 105-113. https://doi.org/10.6312/SCRSTW.202109_32(3).11006
陳碧蓮、林麗嬋（2004）。Nursing Care for the Patient with Percutaneous Endoscopic Gastrostomy。榮總護理，21(2)，153-159。https://doi.org/10.6142/VGHN.21.2.153

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腹部手術患者之手術後腸阻塞的照護

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