姚建媛 周岚 吴治琳 俞伟忠

【摘要】 目的：探讨中西医结合护理对胸腰椎骨折术后患者胃肠道的影响。方法：将笔者所在医院2017年1-12月收诊的45例胸腰椎骨折患者作为对照组，将笔者所在医院2018年1-12月收诊的45例胸腰椎骨折患者作为研究组。对照组实施传统护理模式，研究组在对照组基础上实施中西医结合护理模式。比较两组患者胃肠道改善情况、护理满意度、腹胀及便秘发生率。结果：研究组首次排便时间早于对照组，肠鸣音频率多于对照组，差异均有统计学意义（P<0.05）。研究组腹胀及便秘发生率均低于对照组，差异有统计学意义（P<0.05）。研究组护理总满意度较对照组高，差异有统计学意义（P<0.05）。结论：胸腰椎骨折患者实施中西医结合护理，能改善术后胃肠道蠕动，且能减少便秘和腹胀的发生，可提高护理满意度。

【关键词】 胸腰椎骨折 中西医结合护理 腹胀 便秘

doi：10.14033/j.cnki.cfmr.2019.29.037 文献标识码 B 文章编号 1674-6805（2019）29-00-03

[Abstract] Objective： To explore the effect of integrated traditional chinese and western medicine nursing on gastrointestinal tract of patients with thoracolumbar fracture after operation. Method： A total of 45 cases of thoracolumbar fracture patients admitted in our hospital from January to December 2017 were taken as the control group. A total of 45 cases of thoracolumbar fracture patients admitted in our hospital from January to December 2018 were selected as the study group. The control group carried out the traditional nursing mode， and the study group carried out the integrated traditional chinese and western medicine nursing mode on the basis of the control group. The improvement of gastrointestinal tract， nursing satisfaction， incidence of abdominal distension and constipation between the two groups were compared. Result： The time of first defecation in the study group was earlier than that in the control group， and the frequency of bowel sounds was higher than that in the control group， the differences were statistically significant （P<0.05）. The incidence of abdominal distension and constipation in the study group were lower than those in the control group， and the differences were statistically significant （P<0.05）. The total satisfaction of nursing in the study group was higher than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion： Integrated traditional chinese and western medicine nursing can improve gastrointestinal peristalsis， reduce the occurrence of constipation and abdominal distension and improve nursing satisfaction in patients with thoracolumbar fracture.

[Key words] Thoracolumbar fracture Integrated traditional chinese and western medicine nursing Abdominal distension Constipation

First-authors address： Changzhou Wujin Traditional Chinese Medicine Hospital， Changzhou 213161， China

胸腰椎骨折是臨床上较为危重的一类疾病，由于胸腰椎处分布着大量的脊髓神经，一旦骨折断端对脊髓造成影响，将诱发躯体偏瘫事件的发生[1-2]。目前，手术治疗是胸腰椎骨折最为有效的治疗手段。但手术操作会对脊髓造成一定损伤，导致术后极易发生腹部胀痛、便秘等情况，造成腹内压升高，引起下腔静脉血液回流受阻，不利于病情整体预后转归[4]。因此，患者在术后腹胀和便秘是护理照护中十分重要的医疗难题，需引起医务人员的极大关注。笔者在本调研中旨在引入中西医结合护理模式，通过现代护理理念与祖国医学相结合的方式，进一步促进患者病情的整体转归[5]。笔者拟设计随机调研，以进一步分析中西医结合护理模式对胸腰椎骨折患者所产生的临床效果，现报道如下。

1 资料与方法

1.1 一般资料