髋部骨折老年患者术后2周排便模式的影响因素  

Influencing Factors of Defecation Patten in Elderly Patients with Hip Fractures 2 Weeks after Surgery

作　　者：金丽[1] 杨兰芬[1] 

机构地区：[1]四川省遂宁市中医院骨科,四川遂宁629000

出　　处：《医学临床研究》2017年第1期26-28,共3页Journal of Clinical Research

摘　　要：【目的】探讨老年髋部骨折术后2周排便模式改变及其影响因素。【方法】选取医院接受手术治疗的髋部骨折患者98例，统计术后2周排便模式改变，以术后2周出现便秘患者作为便秘组，以未出现便秘患者作为对照组，分析便秘影响因素。【结果】入院至术前15．31％（15／98）老年患者（I〉60岁）主诉存在大便1—2型，47．96％（47／98）主诉存在不同程度的排便困难，16．33％（16／98）存在便秘，术后2周大便为1～2型上升至36．73％（36／98），排便困难上升至68．37％（67／98），便秘发生率上升至30．61％（30／98）；22．45％（22／98）术后2周排便模式仍未恢复正常。发现便秘组活动时间≤60min、合并抑郁焦虑、使用阿片类药物、排便习惯不良、饮食不正确、进食果蔬种类≤2种、液体摄入量≤1．5L的比例高于对照组（P〈0．05）；Logistic回归分析发现使用阿片类药物是髋部手术患者便秘的独立危险因素，活动时间、进食果蔬、液体摄入量为保护因素。【结论】髋部骨折老年患者术后2周排便模式改变的发生率较高，与使用阿片类药物、活动时间、进食果蔬、液体摄入量密切相关。[ Objective] To investigate the changes and influencing factors of defecation pattern and its influencing factors in elderly patients with hip fracture 2 weeks after operation. [ Methods ] Ninety-eight patients with hip fractures treated by surgery were studied. The changes and the influencing factors of defecation pattern were analyzed 2 weeks after surgery. Patients with constipation 2 weeks after operation were set as constipation group, those without constipation as control group, analysis of the influencing factors of constipation was conducted. [ Results ] From admission to the preoperation, 15.31% （15/98） in elderly patients （over 60 years old） reflected the presence of defeca- tion 1 ~2, 47.96% （47/98） reflected the existence of varying degrees of defecation difficulties, 16.33% （16/98） had constipation; 2 weeks postoperation , defecation 1 - 2 increased to 36.73% （36/98）. Defecation difficulty in- creased to 68.37% （67/98） , and constipation incidence increased to 30.61% （30/98） ; 22.45% （22/98） defecation pattern did not return to normal 2 weeks after operation. Items like activity time≤ 60 min, combined depres- sion and anxiety, the use of opioids, incorrect defecation habits, incorrect diet , fruit and vegetable ≤ 2 species and the liquid intake ~〈 1.5 L of the constipation group were higher than those of the control group （ P 〈 0.05 ） ; Logistic regression analysis showed that the use of opioids was an independent risk factor for constipation in hip surgery patients. Activity time, eating fruits and vegetables, liquid intake were protective factors. [ Conclusion ] The incidence of change of defecation pattern in patients with hip fracture 2 weeks after operation is relatively higher, which is closely related to the use of opioids, time of exercises and intake volume of fruits and vegetables.

关 键 词：髋骨折/外科学 排便 便秘 危险因素 老年人 

分 类 号：R683.3[医药卫生—骨科学]