摘要
目的:探讨对于腰椎择期手术患者,术前采用清洁灌肠对术后首次排便时间以及术后腹胀、便秘发生率的影响。方法:将2021年1―12月在甘肃省中医院脊柱骨三科住院的60例腰椎择期手术患者,分为治疗组30例和对照组30例,两组患者性别、年龄等基本资料具有可比性(P> 0.05),对照组术前给予常规护理(饮食干预、心理干预、术前准备),治疗组在对照组患者常规护理基础上,于手术前一天晚上给予清洁灌肠,两组患者术后均予以常规治疗,包括禁食6 h、纠正水电解质紊乱及酸碱平衡失调、抗感染等对症治疗,记录两组患者术后首次排便时间及术后腹胀、便秘的发生情况,采用统计学软件对研究结果进行比较分析。结果:对照组术后首次排便时间平均为(66.81±8.72)h,而治疗组术后首次排便时间平均为(61.56±9.19)h,治疗组术后首次排便时间明显短于对照组,且差异有统计学意义(P <0.05);两组患者术后出现腹胀、便秘情况相比治疗组明显少于对照组,且差异具有统计学意义(P <0.05)。结论:对于腰椎择期手术的患者,术前清洁灌肠能够有效地缩短术后首次排便时间,减少术后腹胀、便秘等并发症的发生,提高患者满意度,值得临床推广应用,以更好地服务于患者。
Objective:To investigate the effect of preoperative cleansing enema on the first postoperative defecation time and postoperative abdominal distension and constipation in patient undergoing elective lumbar spine surgery.Methods:A total of 60 patients with elective lumbar spine surgery hospitalized in the Department of Spine and Bone of Gansu Provincial Hospital of Traditional Chinese Medicine from January 2021 to December 2021 were divided into the treatment group(30 cases) and the control group(30 cases).The basic data of patients in the two groups,such as gender and age,was comparable(P<0.05).The control group was given routine care(diet intervention,psychological intervention,preoperative preparation) before surgery.The treatment group was given cleansing enema the night before the operation on the basis of the routine care in the control group,and the patients in both groups were given routine treatment after the operation,including fasting for 6 hours,correcting water and electrolyte disturbance and acid-base imbalance,anti-infection and other symptomatic treatments.The time of the first postoperative defecation and the occurrence of postoperative abdominal distension and constipation of the patients in both groups were recorded.The results were compared and analyzed by statistical software.Results:The average time of first defecation in the control group was(66.81±8.72) h,while that in the treatment group was(61.56±9.19) h.Compared with the treatment group,the average time of first defecation in the treatment group was significantly shorter than that in the control group,and the difference was statistically significant(P<0.05).Postoperative abdominal distension and constipation in the treatment group were significantly less than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:For patients undergoing elective lumbar spine surgery,preoperative cleansing enema can effectively shorten the first postoperative defecation time and reduce postoperative complications such as abdominal distension and constipation,improve patient satisfaction.and is worthy of clinical promotion and application,to better serve patients.
作者
马小愉
李玮
MA Xiaoyu;LI Wei
出处
《中医临床研究》
2024年第3期66-68,共3页
Clinical Journal Of Chinese Medicine
关键词
术前清洁灌肠
腰椎手术
腹胀
便秘
护理
Preoperative cleansing enema
Lumbar spine surgery
Abdominal distension
Constipation
Nursing
