预防护理对腰椎结核及腰椎爆裂骨折手术后腹胀的影响  

Effect of Preventive Nursing on the Tympanites After the Operation for Lumbar Vertebrae Tuberculosis and Bursting Fracture of Lumbar Vertebrae

作　　者：陈琳[1] 廖彬[1] 郭声敏[1] 

机构地区：[1]泸州医学院附属医院骨科,四川泸州646000

出　　处：《护理学杂志》2005年第4期28-30,共3页

摘　　要：目的降低腰椎结核(TB)及腰椎爆裂骨折择期手术患者术后腹胀发生率。方法将124例患者随机分为对照 组和观察组各62例,对照组按骨科手术常规护理,观察组在常规护理的基础上采取饮食指导、术后平卧、上腰围等 预防术后腹胀的措施。结果观察组腹胀率明显低于对照组(P<0.01),且不同手术入路及麻醉方式腹胀发生率差 异有显著性意义(P<0.05,P<0.01)。结论腰椎TB及腰椎爆裂骨折术后腹胀发生与麻醉及手术入路相关,术前 术后采取相应的预防措施,可有效降低术后腹胀发生率。Objective To reduce the tympanites after the operation for lumbar vertebrae tuberculosis and bursting fracture of lumbar vertebrae. Methods One hundred and twenty-four patients were randomly divided into an experimental group and a control group, with each group having 62 patients. The patients in the control group received routine treatment. The patients in the experimental group were given tympanites-preventing measures, such as diet guidance, lying in supine position after the operation and wearing girdle etc. Results The incidence of tympanites in the experimental group was significantly lower than that of the control group (P<0.01). There were significant differences in the incidence of tympanites among different surgical approaches and anesthesia techniques (P<0.05 and P<0.01).Conclusion The development of the tympanites after the operation for lumbar vertebrae tuberculosis and bursting fracture of lumbar vertebrae is associated with the surgical approaches and anesthesia techniques and preventive measures before the operations can effectively reduce the tympanites after the operations.

关 键 词：腰椎结核 腰椎骨折 外科手术 腹胀 相关因素 护理 

分 类 号：R473.6[医药卫生—护理学]