急性脊柱骨折患者术后腹胀影响因素及疼痛管理效果分析

Influencing Factors and Effect of Pain Management of Patients with Acute Spinal Fracture after Operation

目的:探讨创伤性脊柱骨折行经皮螺钉内固定术后腹胀的影响因素,分析术后疼痛管理对腹胀的影响。方法:选择80名急性创伤性脊柱骨折患者,其中34例患者作为对照组给予常规护理干预,另外46例作为观察组给予疼痛管理干预;分析术后腹胀的相关影响因素,比较2组患者的术后腹胀发生率。结果:术后36h腹胀发生率和程度达最高峰;Logistic回归结果表明术后进食时间(OR=0.474)、术后疼痛管理(OR=0.327),为术后腹胀的保护因素。观察组术后腹胀发生率为15.2%,明显低于对照组的67.6%(P<0.05)。结论:创伤性脊柱骨折行经皮螺钉内固定术患者术后进行规范疼痛管理,可降低术后腹胀发生率,改善胃肠功能紊乱,促进患者早日康复。

[Objective]To explore the influencing factors of abdominal distention of percutaneous screw fixation of acute spine fracture patients,and analyze the effect of abdominal distention affected by pain management after the operation.[Method]80 cases of acute spine fracture patients were divided into control group（34 cases）and observation group（46 cases）.The control group was given conventional nursing intervention,and the observation group was carried out pain management intervention.The correlated influencing factors of abdominal distension were analyzed,and the incidence rate of abdominal distension was compared between the two groups after operation.[Result]36 hours after operation,the incidence rate and degree of abdominal distension reach peaking.The influencing factors of abdominal distension after operation included in postoperative eating time（OR=0.474）,pain management after operation（OR=0.237）,and both of the two factors were the protective factors of abdominal distension.The incidence rate of abdominal distension in the observation group was only 15.2%,obviously lower than the control group67.6%（P〈0.05）.[Conclusion]Acute spine fracture patients after percutaneous screw fixation carrying out standard pain management,it could cut down the incidence rate of abdominal distension,improve gastrointestinal neurosis,and promote early rehabilitation of patients.