关键词: 胃肠动力, 围手术期, 评价规范

Abstract: Objective To establish a scientific evaluation standard for gastrointestinal motility in perioperative period. Methods This approach was to through the application of literature search and research, Delphi method, clinical evaluation method to establish a scientific and standardized evaluation standard of postoperative gastrointestinal motility. First, literature research： search Chinese and English literature databases, determine retrieval strategies, form literature databases, sort out and analyze literature. Second, Delphi method expert consultation： on the basis of literature research, Delphi method was used to conduct peer expert research, select items, and form the first draft of the standard for postoperative gastrointestinal motility evaluation in the perioperative period. The expert group focused on discussing the controversial issues which through five times of expert consultation and research, the final draft of the standard for postoperative gastrointestinal motility evaluation in the perioperative period was formed. Third, clinical evaluation study： evaluate the applicability of the above evaluation criteria in clinical research. Fourth, standard release： it was approved and issued by Guangdong Provincial Bureau of Quality Supervision. Results First, literature research results： the main symptoms of gastrointestinal function recovery in perioperative period were nausea, vomiting, abdominal distention, abdominal pain, diarrhea, exhaust, defecation, etc. Second, the results of Delphi method： after five rounds of national expert questionnaire consultation, the final draft of the standard for postoperative gastrointestinal motility evaluation was formed, and the Objective indicators included exhaust, defecation and bowel sounds; the subjective indicators included abdominal distention, nausea and vomiting; the total score of the standard weighted evaluation was 100 points, good 80~100 points; general 60~79 points; difference 0~59 points. Third, standard release： issued in July 2015 by Guangdong Provincial Bureau of Quality supervision （http：//www.gdqts.gov.cn/zmhd/yjzj/201503/t20150310_ 103772.html. Conclusion In this project, by using literature research, Delphi method and clinical research, a scientific evaluation standard of postoperative gastrointestinal motility in the industry has been established for the first time, which provides a scientific evaluation tool for clinical and research work related to postoperative gastrointestinal function.

Key words: perioperative period, evaluation criteria, gastrointestinal motility