脊髓全麻手术早进食对预防便秘的效果  

Effect of early diet on prophylaxis of constipation after spinal operation under general anaesthesia

作　　者：张阿兰[1] 葛爱莉[1] 王兰英[1] 周皎娟[1] 

机构地区：[1]解放军总医院神经外科,北京100853

出　　处：《中华现代护理杂志》2011年第7期796-797,共2页Chinese Journal of Modern Nursing

摘　　要：止的探讨脊髓术后早进食对机体恢复及肠功能恢复的影响。方法将120例患者随机分为两组，实验组（60例）手术完毕拔除气管插管后4h即进食水；对照组（60例）术后24h开始进食水，对两组患者术后进食时间及饮食恢复术前水平时间、肛门排气时间、便秘发率进行比较。结果实验组患者术后进食时间及饮食恢复术前水平时间、肛门排气时间明显提前、便秘的发生率明显降低，与对照组比较，差异有统计学意义（P〈0．05）。结论脊髓术后早进食可促进胃肠功能的恢复，减轻腹胀，增进食欲增加机体抵抗力，防止便秘的发生。Objective To investigate the influence of early diet on recovery of physical and gastrointestinal function in patients after spinal operation. Methods 120 patients were randomly divided two groups ： experimental group （ n = 60） and control group （ n = 60）. The experimental group began to eat 4 hours after the tracheal cannula being extracted post operation, while the control group did it after 24 hours. The time for eating, normal diet recovery, passage of gas by anus, and incidence of constipation in two groups after ihe operation were compared. Results Compared with the control group, the time for eating, normal diet recovery and passage of gas by anus were remarkably advanced and incidence of constipation was obviously decreased in the experimental group. There was significant difference between the two groups in terms of the time for eating, normal diet recovery and passage of gas by anus and incidence of constipation （P 〈 0. 05 ）. Conclusions Early diet after spinal operation could promote recovery of gastrointestinal function, relieve abdominal distention, increase appetite and resistance, and prevent occurrence of constipation.

关 键 词：脊髓术后 早期进食 便秘 

分 类 号：R473.6[医药卫生—护理学]