CAJ | 학술논문

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％(x2=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.
목적 분석노년환자행요추내고정수술후발생복창적원인,병침대주요문제제출상대응적호리조시.방법 대2011년74례요추관협착행요추내고정술적노년환자진행회고성분석,통계급분석술후발생복창적원인,재2012년대87례동류환자실시종합성호리조시,총결실시효과.결과 2011년유15례환자발생술후복창(점20.27％),기중유생리인소소치7례(점46.67％),심리인소소치4례(점26.67％),배편습관개변소치2례(점13.33％),음식인소소치1례(점6.67％),수술인소소치1례(점6.67％).2012년실시종합성호리조시후,술후복창발생솔강위8.05％(x2=7.16,P＜0.01).결론 술후복창여다충인소유관,단지요합리이전면지실시유효호리조시,가이사지득도유효예방여공제.
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.