强直性脊柱炎后凸畸形患者矫形术后腹胀的观察与分析

Clinical observation of abdominal distention in AS patients underwent thoracolumbar kyphosis correction surgery

目的 总结强直性脊柱炎后凸畸形患者矫形术后腹胀的发生率、腹胀程度,对以后护理工作提供参考.方法 2011年3月至2013年3月于我院行强直性脊柱炎后凸畸形截骨矫形治疗的患者共53例,责任护士观察患者术后腹胀情况,对腹胀出现时间、发生率及视觉模拟评分（VAS评分）进行统计分析.结果 强直性脊柱炎后凸畸形截骨矫形术后患者腹胀发生率为58.5％,多于术后16～24 h出现,患者腹胀VAS评分0～6.8分,平均2.37分,经合理干预后症状可明显缓解.结论 强直性脊柱炎后凸畸形截骨矫形术后患者腹胀发生率高、持续时间长、程度重,术后应积极给予预防及治疗,避免影响患者预后.

Objective To analyze the incidence and severity of the postoperative abdominal distention of ankylosing spondylitis （AS） patients undwent osteotomy correction for thoraeolumbar kyphosis.Methods Fifty-three AS patients underwent osteotomy correction for thoracolumbar kyphosis were involved into this study.The time,incidence and VAS score of the abdominal distention were recorded by the primary nurse every 8 h.Results The incidence of postoperative abdominal distention was 58.5％.The symptoms occurred mainly between 16～24 h after the surgery.The average VAS score of the patients was 2.37 （0～6.8）.The symptoms could be relieved after adequate therapy.Conclusion The incidence of postoperative abdominal distention is high in AS patients underwent osteotomy correction surgery.Meanwhile,the symptoms are always severe and the duration is long.Adequate treatment and care should be given to avoid a bad influence on recovery.