CAJ | 학술논문

目的：研究护理干预措施对胸腰椎骨折患者腹胀的影响。方法将2011年7月至2013年10月期间我院收治的胸腰椎骨折患者120例纳入研究对象，根据术后护理方法不同分为给予常规护理的对照组和给予常规护理联合综合干预措施的观察组，比较两组患者的术后腹胀情况、胃泌素和胃动素含量、负面情绪情况。结果观察组肠鸣音（5．1±0．32）次/min、胃动素和胃泌素含量（209．5±33．8、63．8±8．2）pg/ml均明显高于对照组（P＜0．05、0．01）；腹胀发生率（6．7％）、腹胀持续时间（2．3±0．5）d、排便时间（20．5±6．4）h、HAMA评分、HAMD评分、SAS评分、SDS评分（18．4±2．5、17．9±2．1、44．7±6．2、42．5±5．8）均明显低于对照组（ P＜0．05）。结论术后综合干预措施有助于改善腹胀情况、缓解负面情绪、增加胃动素和胃泌素含量，是胸腰椎骨折术后的理想护理方式。
목적：연구호리간예조시대흉요추골절환자복창적영향。방법장2011년7월지2013년10월기간아원수치적흉요추골절환자120례납입연구대상，근거술후호리방법불동분위급여상규호리적대조조화급여상규호리연합종합간예조시적관찰조，비교량조환자적술후복창정황、위비소화위동소함량、부면정서정황。결과관찰조장명음（5．1±0．32）차/min、위동소화위비소함량（209．5±33．8、63．8±8．2）pg/ml균명현고우대조조（P＜0．05、0．01）；복창발생솔（6．7％）、복창지속시간（2．3±0．5）d、배편시간（20．5±6．4）h、HAMA평분、HAMD평분、SAS평분、SDS평분（18．4±2．5、17．9±2．1、44．7±6．2、42．5±5．8）균명현저우대조조（ P＜0．05）。결론술후종합간예조시유조우개선복창정황、완해부면정서、증가위동소화위비소함량，시흉요추골절술후적이상호리방식。
Objective To study the effect of nursing intervention on abdominal distension of patients with thoracolumbar frac-tures.Methods From July 2011 to October 2013 in our hospital patients with thoracolumbar fractures totaled of 120 were selected and divid-ed into control group and observation group.The control group adopted the routine nursing and the observation group adopted the comprehen-sive nursing based on the control group.Abdominal distension condition, negative emotion, motilin and gastrin content of two groups were compared.Results Bowel sounds (5.1 ±0.32) times/min, motilin, gastrin (209.5 ±33.8, 33.8 ±8.2 pg/ml in the observation group were significantly higher than those in the control group (P<0.05, 0.01);incidence of abdominal distension (6.7%), abdominal disten-sion duration (2.3 ±0.5) d, defecation time (20.5 +6.4) h, HAMA scores, HAMD scores, SAS scores and SDS score (18.4 ±2.5, 17.9 ±2.1, 44.7 ±6.2, 42.5 ±5.8) were significantly lower than those of control group (P<0.05) .Conclusions Comprehensive inter-vention can improve abdominal distension, alleviate negative emotion, increase the content of motilin and gastrin.