摘要
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。
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.
出处
《国际护理学杂志》
2014年第10期2594-2596,共3页
international journal of nursing
关键词
胸腰椎骨折
腹胀
负面情绪
胃泌素
胃动素
Thoracolumbar fractures
Abdominal distension
Negative emotion
Motilin
Gastrin
