腹部手術後胃腸活動障礙

Gastrointestinal Dysmotility after Abdominal Surgery

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。

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.