中医专科护理改善腰椎间盘突出症全身麻醉术后胃肠功能  

Effect of traditional Chinese medicine special nursing on gastrointestinal disturbance after general anesthesia for lumbar disc herniation

作　　者：冯卫华[1] 施思[1] FENG Weihua;SHI Si(Department of Spine,Wuxi Traditional Chinese Medicine Hospital,Wuxi Jiangsu 214071,China)

机构地区：[1]无锡市中医医院脊柱科,无锡江苏214071

出　　处：《临床与病理杂志》2020年第11期2971-2974,共4页Journal of Clinical and Pathological Research

基　　金：无锡市卫生计生委青年项目(Q201841)。

摘　　要：目的:探讨腰椎间盘突出患者接受全身麻醉(以下简称全麻)手术治疗过程中辅以中医专科护理的措施对改善患者胃肠功能紊乱的效果。方法:此次研究时间开始于2019年1月,终止于2020年6月,研究对象为100例在此期间于无锡市中医医院接受全麻手术治疗的腰椎间盘突出病患,采取随机分组。对照组术后予以常规护理干预,观察组术后予以中医专科护理,分别记录两组患者术后胃肠功能紊乱情况,计算各组患者出现并发症的总概率,比对差异性。结果:观察组患者术后腹胀时长(21.14±3.05)h、排气时长(23.18±4.18)h、排便时长(21.01±2.97)h均相较对照组更短(P<0.05)。同时,观察组患者术后出现并发症的总发生概率明显低于对照组(P<0.05)。结论:腰椎间盘突出症患者接受全麻手术治疗后辅以中医专科护理干预能够帮助其改善胃肠功能紊乱问题,预防并发症,值得临床运用推广。Objective:To describe the measures of patients with lumbar intervertebral disc herniation undergoing general anesthesia combined with traditional Chinese medical nursing,and to analyze the effect of improving gastrointestinal dysfunction in patients.Methods:The study was started in January 2019 and ended in June 2020.The study subjects were randomly divided into 100 patients with lumbar disc herniation who underwent general anesthesia surgery in Wuxi Traditional Chinese Medicine Hospital during the period.The control group was routinely treated after surgery.Nursing intervention.Observation group was treated with traditional Chinese medicine specialists after surgery.The postoperative gastrointestinal dysfunction of the two groups of patients was recorded.The total probability of complications in each group of patients was calculated and the differences were compared.Results:The duration of abdominal distension(21.14±3.05)h,the duration of exhaustion(23.18±4.18)h,and the duration of defecation(21.01±2.97)h in the observation group were shorter than those in the control group(P<0.05).At the same time,the total incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Patients with lumbar disc herniation undergoing general anesthesia surgery combined with traditional Chinese medicine specialist nursing intervention can help them to improve gastrointestinal dysfunction and prevent complications,which is worthy of clinical application.

关 键 词：中医专科护理 腰椎间盘突出 胃肠功能紊乱 

分 类 号：R248.2[医药卫生—中医临床基础]