胸腰椎骨折患者胃肠道功能紊乱的原因分析及护理对策

Cause analysis and nursing countermeasures of gastrointestinal dysfunction of patients with thoracolumbar fractures

目的探讨胸腰椎骨折后引起胃肠道功能紊乱的原因及护理干预措施。方法选取2013年9月~2015年3月我科收治的胸腰椎骨折患者88例,将其随机分为实验组和对照组,实验组46例,患者入院后采取综合护理措施,对照组42例采用骨科常规护理,比较两组患者腹胀、便秘的发生率以及腹胀、便秘症状消失时间。结果实验组患者腹胀、便秘的发生率明显低于对照组,差异有统计学意义（P〈0.05）,实验组腹胀、便秘症状消失时间明显短于对照组,差异有统计学意义（P〈0.05）。结论采用综合护理措施能够降低胸腰椎骨折患者胃肠道功能紊乱的发生率,对促进患者康复和改善预后等方面具有重要的临床意义。

Objective To explore the cause and nursing interventions of gastrointestinal dysfunction after thoracolumbar fractures. Methods 88 patients with thoracolumbar fracture who were admitted to our department from September 2013 to March 2015 were selected and they were randomly divided into the experimental group and the control group. After hospitalization, 46 patients in the experimental group were received comprehensive nursing while 42 patients in the control group were received routine nursing in orthopedic department. Incidences and appearing time of abdominal distension and constipation of two groups were compared. Results Incidences of abdominal distension and constipation of the experimental group were significantly lower than those of the control group. The difference was statistically significant（P〈 0.05）. Appearing time of abdominal distension and constipation of the experimental group were significantly shorterr than those of the control group. The difference was statistically significant（P〈 0.05）. Conclusion Comprehensive nursing can reduce the incidence of gastrointestinal dysfunction in patients with thoracolumbar fracture, which is of important clinical significance in promoting the rehabilitation of patients and improving prognosis.