Table of Content

10 July 2022, Volume 3 Issue 4 Previous Issue    Next Issue

Research Paper

Select

Construction and application of a checklist for aspiration prevention strategies in painless gastrointestinal endoscopy diagnosis and treatment CHEN Laijuan, YU Xiujing, WU Pan, CAO Helong 2022, 3 (4):  293-299.  doi: 10.3761/j.issn.2096-7446.2022.04.001 Abstract ( )   PDF (1056KB) ( )   Save Objective To construct and evaluate a checklist for aspiration prevention strategies for painless gastrointestinal endoscopy diagnosis and treatment. Methods Based on the evidence from the literature and the clinical data analysis,we constructed aspiration prevention strategies checklist for painless gastrointestinal endoscopy diagnosis and treatment. The checklist was used to clinically observe patients who underwent painless gastrointestinal endoscopy in our center from July to December 2021. The incidence and duration of hypoxemia in patients with painless gastrointestinal endoscopy,the proportion of patients requiring emergency airway management,the incidence of adverse events,patient satisfaction and medical team satisfaction were compared before and after the application of the checklist. Results There were two rounds of expert consultation in this study. The checklist for aspiration prevention strategy of painless gastrointestinal endoscopy diagnosis and treatment included 9 items,and the W coordination coefficients of the two rounds of expert opinion were 0.715 and 0.730 respectively. After using the checklist,the incidence of hypoxemia was significantly reduced in patients undergoing painless gastrointestinal endoscopy,the duration of hypoxemia was reduced. The ratio of patients requiring emergency airway management was significantly reduced. The incidence of aspiration or severe laryngospasm requiring drug adjuvant therapy decreased,and the differences were statistically significant（P<0.05）. Conclusion The application of the checklist can improve the implementation of aspiration prevention measures in the diagnosis and treatment of painless gastrointestinal endoscopy. It is conducive to improve the medical safety of patients with painless gastrointestinal endoscopy. References | Related Articles | Metrics

Select

The construction and practice of a“one-stop” trauma resuscitation unit integrating with 5G technology WANG Yuwei, ZHOU Shuaishuai, WANG Sa, LI Yulin, GE Fangmin, CHEN Dong, ZHOU Xiaoyu, FANG Jue, LIN Gaoxing, YAN Danping, CHEN Chen, ZHAN Fenfang, LI Qiang, ZHAO Xiaogang, FENG Xiuqin, ZHANG Mao 2022, 3 (4):  300-304.  doi: 10.3761/j.issn.2096-7446.2022.04.002 Abstract ( )   PDF (2713KB) ( )   Save Objective To explore the construction of a “one-stop” trauma resuscitation unit based on 5G technology,providing a new example for further improving the rescue level of severe trauma patients. Methods The Second Affiliated Hospital of Zhejiang University School of Medicine built a “one-stop” emergency trauma resuscitation unit integrating 5G technology based on a multidisciplinary team including medical,nursing,5G technology,artificial intelligence,and etc. The number of trauma patients treated,average retention time of trauma patients and patient satisfaction were compared before and after the establishment of trauma resuscitation unit integrated with 5G technology. Results A “one-stop” trauma resuscitation unit integrated with 5G technology has been successfully built,including a pre-hospital - intra-hospital closed-loop information linkage platform,centralized and optimized allocation of equipment and resources for trauma resuscitation units,multi-port remote information efficient interaction,to achieve remote monitoring,remote consultation,remote command,family remote visit,remote emergency trauma teaching sharing and training. After the trauma resuscitation unit was constructed, the number of rescued patients increased by 27% compared with the previous period, the patient satisfaction increased to 96.87%, and the median duration of the length of stay in emergency room of trauma patients was shortened to 95（60,160） minutes. Conclusion The one-stop trauma resuscitation unit integrated with 5G technology provides a good hardware condition for accomplishing high-quality emergency treatment of severe trauma,and improves trauma care efficiency and patient satisfaction. References | Related Articles | Metrics

Special Planning—Early Rehabilitation Nursing

Select

Construction of early rehabilitation program for patients with veno-venous extracorporeal membrane oxygenation XIN Chen, WEI Lili, GAI Yubiao, GUO Xiaojing, ZHANG Yan, ZHANG Yuchen 2022, 3 (4):  305-311.  doi: 10.3761/j.issn.2096-7446.2022.04.003 Abstract ( )   PDF (1089KB) ( )   Save Objective An early rehabilitation program for patients with veno-venous extracorporeal membrane oxygenation was established based on evidence-based theory. Methods A preliminary program for early rehabilitation of patients with veno-venous extracorporeal membrane oxygenation was constructed by literature review. From January to February 2022,the Delphi method was used to conduct two rounds of 15 experts' consultation,and the final plan was revised based on expert opinions to form the final program. Results The response rates of the two rounds of expert letter questionnaires were both 100%. The expert authority coefficient was 0.840. The coefficients of variation of each item in the two rounds of expert consultation were 0 to 0.353 and 0 to 0.237,and the Kendall's coefficients of concordance were 0.137（χ2=164.538,P< 0.001） and 0.123（χ2=147.066,P< 0.001）. The final early rehabilitation program for patients with veno-venous extracorporeal membrane oxygenation included 4 first-level indicators,16 second-level indicators,and 45 third-level indicators. Conclusion The early rehabilitation plan for patients with veno-venous extracorporeal membrane oxygenation has certain scientificity and feasibility,and can provide theoretical guidance for clinical practice in the early rehabilitation of patients with veno-venous extracorporeal membrane oxygenation. References | Related Articles | Metrics

Select

The construction of an early mobilization program for patients undergoing continuous renal replacement therapy in intensive care units WANG Haiou, LI Guohong 2022, 3 (4):  312-319.  doi: 10.3761/j.issn.2096-7446.2022.04.004 Abstract ( )   PDF (1423KB) ( )   Save Objective To construct an early mobilization program for patients undergoing continuous renal replacement therapy（CRRT） in intensive care units. Methods A preliminary draft of early mobilization program for CRRT patients in intensive care units was prepared by searching domestic and foreign literatures. From August to October 2021,the Delphi method was applied to conduct two rounds of letter consultation with 25 experts and form the final draft of early mobilization program for CRRT patients in intensive care units. Results The effective questionnaire recovery rate was 100%,the authority coefficient was 0.884,and Kendall's Coordination Coefficient was 0.069 and 0.085（P< 0.01）. The early mobilization program for CRRT patients in intensive care unit was finally formed,including 4 primary indicators,17 secondary indicators and 42 tertiary indicators,including mobilization assessment,planning,implementation and evaluation. Conclusion The early mobilization program for patients with continuous renal replacement therapy in intensive care units developed in this study is scientific and feasible,providing reference for the development of early mobilization for patients with CRRT in the future. References | Related Articles | Metrics

Select

Summary of the best evidence on early excercise for ICU-acquired weakness JI Yunlan, XU Xujuan, ZHOU Shuixin, XUE Huipin, WANG Lingli, ZHANG Jimei, ZHU Qin 2022, 3 (4):  319-325.  doi: 10.3761/j.issn.2096-7446.2022.04.005 Abstract ( )   PDF (1108KB) ( )   Save Objective To summarize the best evidence of early exercise intervention for ICU acquired weakness （ICU-AW）. Methods A computer search was performed on UpToDate,Joanna Briggs Institution（JBI） Database of Evidence-Based Health Care Centre,BMJ Best Practice,US Guidelines Network,National Institute for Health and Clinical Excellence（NICE）,Scottish Inter-hospital Guidelines Network,Ontario Registered Nurses Association,Coch-rane Library,Embase,PubMed,OVID,CINAHL,Chinese Biomedical Literature Database,CNKI,Wanfang Database and VIP Database on early ICU-AW exercise intervention,including guidelines,systematic reviews,best practice information volume,evidence summary,expert consensus. The retrieval period was from the database establishment to October 2021,and the quality of the included literature were evaluated. Results A total of 10 related literature were included,including 4 guidelines,3 expert consensus,1 best practice recommendation,and 2 systematic reviews. Finally,25 best evidences were formed,including evaluation,multidisciplinary cooperation,indications,contraindications,pre-intervention preparation,intervention plan,safety monitoring and post-intervention evaluation. Conclusion This study provides an evidence for early ICU-AW exercise intervention. In clinical application,reasonable application of evidence should be combined with patient situation and professional judgment,so as to effectively prevent ICU-AW and improve the prognosis of patients. References | Related Articles | Metrics

Select

The early rehabilitation of ICU acquired weakness in sepsis patients：a review CHEN Huiyao, LI Xingsong, ZHANG Li 2022, 3 (4):  326-330.  doi: 10.3761/j.issn.2096-7446.2022.04.006 Abstract ( )   PDF (1007KB) ( )   Save The incidence of intensive care unit acquired weakness（ICU-AW） in sepsis patients is as high as 50%~100%,which is an important factor affecting the prognosis of sepsis. Early rehabilitation is an important means to prevention and treatment of ICU-AW in sepsis patients. This paper reviews the significance,assessment,practice and evaluation indexes of early rehabilitation in ICU-AW prevention and treatment among sepsis patients,aiming at improving the awareness of physicians and nurses to prevent ICU-AW in sepsis patients,promoting the implementation of early rehabilitation practice,so as to improve the outcomes of sepsis patients and help them live with quality. References | Related Articles | Metrics

Emergency Care Research

Select

Application of allopatry emergency rescue management plan in a batch of patients with octafluorocyclobutane gas poisoning WANG Lizhu, LAN Meijuan, XU Jianfeng, GUO Jingjing, WU Jinjing, YU Xiang, ZHANG Rui 2022, 3 (4):  331-334.  doi: 10.3761/j.issn.2096-7446.2022.04.007 Abstract ( )   PDF (663KB) ( )   Save Objective To summarize the practical experience of allopatry emergency rescue management scheme in a batch of patients with octafluorocyclobutane gas poisoning,and to provide reference for nursing managers to deal with public emergencies scientifically. Methods Emergency rescue nursing management plan was constructed based on the concept of combining peacetime and wartime,which included three steps：taking precautions before emergency rescue and overall planning; rapid response and efficient treatment during emergency rescue; summarizing and feedback,optimizing and improving after emergency rescue. After implementation of rescue management,we continuously monitored nursing quality and patient safety. Results The allopatry emergency rescue management scheme was applied in treatment of 76 patients with octafluorocyclobutane gas poisoning. After 30 days of treatment with efficient cooperation of multiple departments,75 patients were cured and discharged,and 1 case entered the rehabilitation stage. Conclusion The allopatry emergency rescue management can effectively deal with the emer-gency treatment of public health emergencies in different places,and can ensure the smooth implementation of rescue. References | Related Articles | Metrics

Select

Identification and emergency care of sudden loss of consciousness in patients with multiple myeloma complicated with myocardial amyloidosis ZHOU Yan, QIAN Liya, CHEN Rui, HAN Fan 2022, 3 (4):  335-337.  doi: 10.3761/j.issn.2096-7446.2022.04.008 Abstract ( )   PDF (557KB) ( )   Save To summarize the effective identification of high risk factors and emergency care experience for sudden loss of consciousness in 7 patients with multiple myeloma with myocardial amyloidosis. For the onset concealment,clinical specificity,rapid changes,high fatality characteristics of these patients,early identification of high risk factors,rapid identification of malignant arrhythmia,effective rescue cooperation,correct implementation of percutaneous in vitro pacing were implemented. Six patients were successful rescued and discharged after chemotherapy,and recovery were good during follow-up. References | Related Articles | Metrics

Select

Nursing of a patient with sepsis secondary to Listeria monocytogenes infection during late pregnancy WANG Yueqin, FENG Suwen, XU Lingyan, LIU Ningning, HU Xiaoli 2022, 3 (4):  338-340.  doi: 10.3761/j.issn.2096-7446.2022.04.009 Abstract ( )   PDF (563KB) ( )   Save To summarize nursing experience of sepsis secondary to Listeria monocytogenes infection in a pregnant woman during late pregnancy. The key points of care included early recognition of sepsis in pregnancy,prevention of complications,multidisciplinary treatment,labour induction nursing and psychological support. After 10 days of careful treatment and care,the patient recovered and was discharged. References | Related Articles | Metrics

Critical Care Research

Select

Application of modified radial artery catheterization in ICU patients ZHANG Yongqiang, ZOU Dengxiu, DENG Juan, XIONG Jie, HUANG Sufang, TU Lina 2022, 3 (4):  341-344.  doi: 10.3761/j.issn.2096-7446.2022.04.010 Abstract ( )   PDF (625KB) ( )   Save Objective To explore the application effect of indwelling arterial catheter 4~5 cm near the cardiac end of radial styloid process under ultrasound guidance in ICU patients. Methods 82 critically ill patients in ICU of a tertiary class A hospital in Hubei Province from August 2020 to July 2021 were selected as the research objects by convenient sampling method. They were divided into two groups with 41 in each group according to the sequence of enrollment. In the experimental group,41 patients were punctured at 4~5 cm near the cardiac end of the styloid process of the radius under the guidance of ultrasound. In the control group,41 patients underwent blind puncture and catheterization at the place with the strongest pulsation of the medial styloid artery of the radius by touch. The success rate of first puncture,the time of indwelling the catheter and the incidence of complications such as bleeding,swelling,catheter bending,catheter blockage and extubation at the puncture point were compared between the two groups. Results The success rate of first puncture in the experimental group was 95.12%,and the average catheter retention time was（151.49± 14.41） h. Compared with the control group,the differences were statistically significant（P< 0.05）. At the same time,the incidence of complications in the indwelling catheter puncture point（4.87%）,catheter bending（4.87%） and catheter blockage（0） were lower than those in the control group（P< 0.05）. Conclusion Ultrasound guided arterial catheterization at 4~5 cm near the cardiac end of radial styloid process can effectively improve the success rate of first puncture,prolong the indwelling time of arterial catheter,and improve the incidence of complications such as bleeding. References | Related Articles | Metrics

Select

Postoperative nursing care of a recipient of small bowel transplantation underwent second liver-intestine transplantation HE Panpan, LU Fangyan 2022, 3 (4):  345-347.  doi: 10.3761/j.issn.2096-7446.2022.04.011 Abstract ( )   PDF (578KB) ( )   Save To summarize the nursing points of intestinal transplantation recipient who underwent combined liver-intestinal transplantation. According to the lack of rejection clinical specificity,acute and chronic renal failure and high incidence of infection in patients after operation,rejection was closely monitored,all kinds of monitoring were performed during plasma exchange to prevent antibody mediated rejection; implement precise fluid management to maintain kidney function; protective isolation measures were developed to actively prevent infection during the whole process; individualized rehabilitation and nutrition support were given to promote recovery. After 114 days of active treatment and nursing,the patient was transferred to the general ward for rehabilitation,and recovered 3 months later. 11-months follow-up after discharge showed that the patient was in good condition. References | Related Articles | Metrics

Select

Nursing of 4 children with Glanzmann thrombasthenia CHEN Xiuping, ZHOU Hongqin, XIE Wangfang, ZHU Jihua 2022, 3 (4):  348-350.  doi: 10.3761/j.issn.2096-7446.2022.04.012 Abstract ( )   PDF (562KB) ( )   Save To summarize the nursing experience of 4 children with hereditary Glanzmann thrombasthenia. In view of the characteristics of congenital genetic defects of these children leading to low platelet function and difficulty in stop bleeding,combined skin and mucous membrane injury easily leading to severe blood loss,nursing measures were provided for emergency care and targeted treatment for children with severe blood loss. Perioperative risk assessment and intervention of gastroscopy for gastrointestinal bleeding,psychological nursing,guidance on emergency treatment of spontaneous bleeding for children and their parents before discharge were provided. All the 4 children had improved symptoms and were discharged stably. One child underwent successfully unrelated allogeneic hematopoietic stem cell transplantation 9 months later. The transplantation process was smooth without graft versus host disease after careful nursing care. References | Related Articles | Metrics

Select

Postoperative nursing care of a child with congenital biliary atresia and short bowel syndrome undergoing liver transplantation WANG Yan, LU Fangyan, WANG Fang, JIANG Shuying, ZHU Li 2022, 3 (4):  351-353.  doi: 10.3761/j.issn.2096-7446.2022.04.013 Abstract ( )   PDF (587KB) ( )   Save To summarize the postoperative nursing experience of liver transplantation in a child with congenital biliary atresia and short bowel syndrome. In view of the child's critical condition,complex surgery,inadequate compensation of the remaining bowel,low immune function and etc,important organ function monitoring was taken to report abnormal conditions timely; nutrition management program was dynamically adjusted to promote intestinal compensation; infection prevention and control measures were strictly implemented to prevent the occurrence of infection; rejection reactions were early wared and immunosuppressant was accurately used; of the drainage tubes nursing was strengthened in operative area to prevent accidental extubation; skin management was strengthened and diaper dermatitis was actively intervened; individualized family management plan was formulated to improve the quality of life of children. After 129 days of active treatment and meticulous care,the child recovered and was discharged from the hospital and followed up for 2 months,and the child was in good condition. References | Related Articles | Metrics

Quality and Safety

Select

Optimization and effect evaluation of emergency procedures for patients with acute stroke HONG Hui, YAN Danping, WANG Yuwei, ZHANG Rui 2022, 3 (4):  354-359.  doi: 10.3761/j.issn.2096-7446.2022.04.014 Abstract ( )   PDF (835KB) ( )   Save Objective To explore the optimization method and application effect of thrombolytic process in patients with acute ischemic stroke. Methods According to the emergency treatment process,optimize the thrombolysis process for patients with acute ischemic stroke. The relevant departments applied the optimized stroke process to clinical work. Patients with acute ischemic stroke who were admitted to the emergency department of a tertiary general hospital in Zhejiang Province for intravenous thrombolysis from October 2020 to March 2021 were selected as the observation group. Patients with acute ischemic stroke treated with thrombolysis from April 2020 to September 2020 were the control group. The observation group adopted an optimized stroke process,including rapid identification and efficient pre-examination and triage,special area and team management,item-surrounding "three determinations" management,the highest field level,and the forward movement of thrombolysis space. The time-consuming of each treatment link and the National Institutes of Health Stroke Scale（NIHSS） scores before and after intravenous thrombolysis were collected and compared between the two groups. Results A total of 137 patients with acute ischemic stroke were included in this study,65 in the observation group and 69 in the control group. The observation group took 6.0（5.0,8.0） minutes from emergency admission to the completion of blood specimen submission,which was lower than that of the control group by 6.0（5.5,10.5） minutes;the observation group's emergency room stay time was 8.0（6.0,9.0） minutes,lower than the control group which was 11.0（9.0,14.0） minutes;the observation group took 41.0（29.5,50.0） minutes from admission to the start of thrombolysis,lower than the control group which was 55.0（41.5,70.5） minutes. The differences were all statistically significant（P< 0.05）. There was no significant difference in NIHSS scores between the two groups before and after intravenous thrombolysis（P> 0.05）. Conclusion The use of an optimized acute ischemic stroke process can help reduce the time from hospital admission to thrombolytic therapy,as well as the time spent in the emergency department. References | Related Articles | Metrics

Select

Data mining and preventive countermeasure analysis of unplanned extubation of gastric tube in hospitalized patients WU Mizhi, YU Hongmei, PAN Hongying, LÜ Tingting, WANG Jingping, LI Diqiong, ZHUANG Yuxin 2022, 3 (4):  360-364.  doi: 10.3761/j.issn.2096-7446.2022.04.015 Abstract ( )   PDF (750KB) ( )   Save Objective To find out the valuable association rules in the data of inpatients with unplanned gastric tube extubation,and provide reference for the prevention of unplanned gastric tube extubation. Methods Collected information about 746 cases of unplanned extubation of gastric tube in 2 districts of Grade Ⅲ,Grade A hospitals in Zhejiang Province from January 2018 to December 2020,and used Apriori algorithm for data mining,then used the chi-square test to evaluate the validity of the obtained association rules respectively. Results A total of 637 association rules were found,and then 225 rules were screened out by the chi-square test,and 10 strong association rules with clinical practical guiding significance were finally screened out. Rules included patient awareness,age≥ 60 years old,catheter placement for 1~7 days,no restraint bands,discomfort caused by catheter placement,etc. Conclusion It is necessary to refine the key risk assessment points of unplanned extubation of gastric tube,focus on the predictive factors of reinsertion and discomfort symptoms of patients,encourage patients to talk about their true feelings,conduct effective night patrols,implement time-based humanized protective restraint to reduce the occurrence of unplanned extubation of the gastric tube. References | Related Articles | Metrics

Evidence Synthesis and Practice

Select

Summary of the best evidence for acute pain management in patients with traumatic limb fractures FAN Xinxin, SHEN Xiaoling, HUANG Ganying, ZHANG Xiaoqing, YAO Huan, FU Rong, CHEN Fanghui, QIAN Lihua 2022, 3 (4):  365-371.  doi: 10.3761/j.issn.2096-7446.2022.04.016 Abstract ( )   PDF (864KB) ( )   Save Objective To search and evaluate the evidence of acute pain management in patients with traumatic fracture of limbs,and to provide reference for clinical practice. Methods By using evidence-based nursing method,the authors formulated questions on the management of acute pain in patients with traumatic fracture of limbs,and searched relevant literature,used the literature evaluation standard and evidence grading system of Australian Joanna Briggs Institute（JBI） Evidence-based Health Care Center to evaluates the literature quality and evidence grade of all kinds of research. Results A total of 30 articles were included,including 18 clinical decisions,6 guidelines,4 best practices,and 2 evidence summaries,31 pieces of evidence were summarized from 6 aspects including education and training,pain assessment,fixation,non-pharmacological pain relief,pharmacological pain relief,health education. Conclusion This study summarized the best evidence of acute pain management in patients with traumatic fractures of the extremities,and provides evidence for nursing staff to manage acute pain in patients with traumatic fractures of the extremities. References | Related Articles | Metrics

Review

Select

Research progress on safety management of interhospital transfer of critically ill children ZHOU Hongqin, XIA Shanshan, ZHU Jihua, CHEN Xiuping, LOU Xiaofang 2022, 3 (4):  372-376.  doi: 10.3761/j.issn.2096-7446.2022.04.017 Abstract ( )   PDF (857KB) ( )   Save Interhospital transfer was transfer between hospitals for a higher level of treatment and care. Although there were domestic and foreign guidelines or expert consensus to guide the interhospital transfer of critically ill children,safety issues still existed. This paper reviewed the current situation,influencing factors,risk assessment tools and strategies for improving the safety of interhospital transfer of critically ill children,in order to provide a reference for optimizing the interhospital transfer system in the field of pediatrics in China and improving the quality of transfer. References | Related Articles | Metrics

Select

Advances in application of postoperative pain assessment tools in neonates LIN Siya, LI Li, REN Xuyan 2022, 3 (4):  376-380.  doi: 10.3761/j.issn.2096-7446.2022.04.018 Abstract ( )   PDF (608KB) ( )   Save Effective pain assessment is a prerequisite for pain management. As neonates are unable to express their pain,the assessment tools for postoperative pain of them are inadequate,and the use of these tools is rare or inappropriate,postoperative pain assessment in neonates is challenging. This article reviews the selection of postoperative pain assessment tools in neonates,introduces and compares eight tools which are suitable for neonatal postoperative pain assessment,to provide a reference for accurate neonatal postoperative pain assessment. References | Related Articles | Metrics

Technology Innovation

Select

Modified thenardite hot pack and the application in patients with severe acute pancreatitis LIU Jingli, YAO Yanrong, XUE Hongmei, HA Simin, WANG Qianqian, ZHU Xiaoting, MI Guangli 2022, 3 (4):  381-384.  doi: 10.3761/j.issn.2096-7446.2022.04.019 Abstract ( )   PDF (792KB) ( )   Save Objective To modify thenardite hot pack and explore the effect of the application in patients with severe acute pancreatitis. Methods The modified thenardite hot pack was made of skin layer,thenardite outer coating layer,waterproof heating layer and fixing belt. By convenient sampling,the patients who were diagnosed with severe acute pancreatitis and required thenardite external application for treatment were selected in the Department of Hepatobiliary Surgery,General Hospital of Ningxia Medical University. 30 patients who used thenardite external compress bags from June to December 2020 were selected as the control group,and the 30 patients who used the modified thenardite hot pack from January to June 2021 were selected as the experimental group. The duration of abdominal distension and postoperative oral feeding time,compliance of movement and occurrence of related adverse events（abdominal skin condition,bed quilt cover and hospital clothing contamination） during treatment were compared between the two groups. Results The basic data of the two groups were homogeneous（P> 0.05）. The duration of abdominal distension was（4.10± 0.57） d in the experimental group and（7.63± 1.07） d in the control group,and the difference was statistically significant（P< 0.05）. The postoperative time of oral feeding in the experimental group was （2.07± 0.19） d,while that in the control group was （3.63± 0.47） d,and the difference between the two groups was statistically significant（P< 0.05）. 6 cases（20.0%） occurred contamination of clothing and 3 cases（10.0%） had abdo-minal skin redness in experimental group,24 cases（80.0%） occurred hospital clothing contamination and 7 cases （23.3%） had contact dermatitis on abdominal skin in control group,the difference between the two groups was statistically significant（χ2=13.125,P< 0.05）. Conclusion The modified thenardite hot pack can shorten the duration of abdominal distension,promote the recovery of intestinal function,and improve the treatment comfort and compliance. References | Related Articles | Metrics