止痛通腑饮结合护理干预对髋部骨折患者术后疼痛和排便的影响

目的探讨止痛通腑饮结合护理干预对髋部骨折患者术后疼痛和排便的影响。方法选择2009年7月-2010年7月本科室收治的62例髋部骨折患者,随机分为实验组和对照组,每组各31例。对照组采用髋部骨折常规护理,实验组采用口服止痛通腑饮结合护理干预,比较两组患者入院后第1、3、7、11、14d的疼痛、排便情况以及第14d后便秘的发生率。结果实验组患者入院后第7、11、14d的疼痛及排便情况得分低于对照组,14d后便秘发生率低于对照组(均P<0.05)。结论止痛通腑饮结合护理干预能有效减轻髋部骨折患者的疼痛程度,降低便秘的发生率,提高患者的舒适度,有利于促进骨折的早日康复。

Objective To investigate the effects of Zhitong Tongfu Yin together with nursing intervention on postoperative pain and difficulty in defecation after hip fracture patients.Methods 62 patients with hip fractures admitted in our department during July 2009 and July 2010 were evenly randomized into the experimental group and the control group：The control group was treated with conventional care and the experimental group was administered orally with Zhitong Tongfu Yin and managed with the nursing intervention.The two groups were compared in respect of pains and defecations at 1,3,7,11,and 14 days after admission,as well as the incidence rate of constipation after 14 days.Results The conditions of pains and defecations of patients in the two groups were improved,but the defecation score and the pain score in the experimental group were both lower than those in the control group（all P 0.05）.The constipation incidence in the experimental group was significantly lower than the one in the control group（P 0.05）.Conclusions The combination of nursing intervention with oral administration of Zhitong Tongfu Yin could relieve the pain,reduce the incidence of constipation and improve the comfort level of the hip fracture patients.It can promote the patients＇ rehabilitation quickly.