摘要
目的分析老年患者行腰椎内固定手术后发生腹胀的原因，并针对主要问题提出相对应的护理措施。方法对2011年74例腰椎管狭窄行腰椎内固定术的老年患者进行回顾性分析，统计及分析术后发生腹胀的原因，在2012年对87例同类患者实施综合性护理措施，总结实施效果。结果2011年有15例患者发生术后腹胀（占20．27％），其中由生理因素所致7例（占46．67％），心理因素所致4例（占26．67％），排便习惯改变所致2例（占13．33％），饮食因素所致1例（占6．67％），手术因素所致1例（占6．67％）。2012年实施综合性护理措施后，术后腹胀发生率降为8．05％（X^2=7．16，P〈0．01）。结论术后腹胀与多种因素有关，但只要合理而全面地实施有效护理措施，可以使之得到有效预防与控制。
Objective To analyze the cause and draw up nursing measure of abdominal distention after lumbar fixation in elderly patients. Methods The clinical data of 15 cases of abdominal distention after lumbar fixation in elderly patients were analyzed retrospectively from January 2011 to December 2012 in our department. The implementation effect was summarized after comprehensive care implemented to the similar patients in 2012. Results Postoperative abdominal distention was caused by various factors, such as physiological factors （7 cases, 46.67%）, psychological factors （4 cases, 26.67%）, bowel evacuation habits （2 cases, 13.33%））, dietary factors （1 case, 6.67%） and analgesic drugs （1 case, 6.67%）. The incidence of postoperative abdominal distention was significantly reduced after comprehensive care implemented in 2012 （X^2=7-16, P〈0.01）. Conclusions Postoperative abdominal distention can be effectively prevented and controlled by full implementation of the reasonable and effective nursing measure.
出处
《国际医药卫生导报》
2013年第12期1860-1863,共4页
International Medicine and Health Guidance News
关键词
腰椎
内固定术
腹胀
护理
Lumbar spine
Internal fixation
Abdominal distention
Nursing care
