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围手术期综合护理对胸腰椎骨折患者术后肠道功能的影响 被引量:26

The clinical effects of perioperative comprehensive nursing on intestinal function of patients with thoracolumbar fracture
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摘要 目的研究围手术期的综合护理对胸腰椎骨折患者肠道功能情况的临床疗效。方法纳入92例胸腰椎骨折围手术期患者,随机分为治疗组(n=43)和对照组(n=49),对照组采用常规护理和围手术期宣教,治疗组在对照组治疗基础上同时给予围手术期综合护理,评价2组患者肠道功能指标的变化。结果治疗组腹胀发生率均低于对照组(P<0.05)。治疗组在腹胀持续时间、首次排气时间、首次排便时间等方面均少于对照组,差异有统计学意义(P<0.05)。结论围手术期的综合护理能够有效提高胸腰椎骨折患者围手术期内的肠道功能,进而加快了术后患者的恢复进程,提高了患者的满意度,值得临床推广。 Objective To investigate the clinical effects of perioperative comprehensive nursing on intestinal function of patients with thoracolumbar fracture.Methods A total of 92 patients with thoracolumbar fracture at perioperative period were enrolled in the study,who were randomly divided into observation group(n=43)and control group(n=49).The patients in control group were given routine nursing and perioperative education,however,the patients in observation group,on the basis of control group,were given perioperative comprehensive nursing.The changes of intestinal function indexes were observed and compared between the two groups.Results The incidence rate of abdominal distention in observation group was significantly lower than that in control group(P<0.05).The duration of abdominal distention,the time of first exhaust and the time of first defecation in observation group were significantly less than those in control group(P<0.05).Conclusion The perioperative comprehensive nursing can effectively improve the intestinal function of patients with thoracolumbar fracture at perioperative period,so as to accelerate the recovery process of patients after operation,improve the satisfaction degree of patients,therefor,which is worthy of clinical promotion.
作者 王童 范金艳 王晓佳 魏小巍 WANG Tong;FAN Jinyan;WANG Xiaojia(Department of Bone Surger,Shunyi District Hospital, Beijing 101300,China)
出处 《河北医药》 CAS 2020年第22期3518-3520,共3页 Hebei Medical Journal
关键词 胸腰椎骨折 围手术期 综合护理 肠道功能 thoracolumbar fracture perioperative period comprehensive nursing care intestinal function
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