CAJ | 학술논문

目的探讨脊髓术后早进食对机体恢复及肠功能恢复的影响.方法将120例患者随机分为两组,实验组(60例)手术完毕拔除气管插管后4 h即进食水;对照组(60例)术后24 h开始进食水,对两组患者术后进食时间及饮食恢复术前水平时间、肛门排气时间、便秘发率进行比较.结果实验组患者术后进食时间及饮食恢复术前水平时间、肛门排气时间明显提前、便秘的发生率明显降低,与对照组比较,差异有统计学意义(P<0.05).结论脊髓术后早进食可促进胃肠功能的恢复,减轻腹胀,增进食欲增加机体抵抗力,防止便秘的发生.
목적 탐토척수술후조진식대궤체회복급장공능회복적영향.방법 장120례환자수궤분위량조,실험조(60례)수술완필발제기관삽관후4 h즉진식수;대조조(60례)술후24 h개시진식수,대량조환자술후진식시간급음식회복술전수평시간、항문배기시간、편비발솔진행비교.결과 실험조환자술후진식시간급음식회복술전수평시간、항문배기시간명현제전、편비적발생솔명현강저,여대조조비교,차이유통계학의의(P<0.05).결론 척수술후조진식가촉진위장공능적회복,감경복창,증진식욕증가궤체저항력,방지편비적발생.
Objective To investigate the influence of early diet on recovery of physical and gastrointestinal function in patients after spinal operation.Methods 120 patients were randomly divided two groups:experimental group(n=60)and control group(n=60).The experimental group began to eat 4 hoursafter the tracheal cannula being extracted post operation,while the control group did it after 24 hours.The time for eating,normal diet recovery,passage of gas by allus,and incidence of constipation in two groups after the operation were compared.Results Compared with the control group,the time for eating,normal diet recovery and passage of gas by anus were remarkably advanced and incidence of constipation was obviously decreased in the experimental group.There was significant difference between the two groups in terms of the time for eating,normal diet recovery and passage of gas by anus and incidence of constipation(P<0.05).Conclusions Early diet after spinal operation could promote recovery of gastrointestinal function,relieve abdominal distention,increase appetite and resistance,and prevent occurrence of constipation.