| Objective:To explore the abdominal distension and constipation happens and recovering after pedicle screw fixation techniques in the treatment of thoracolumbar fractures. Intervention by pressing ear acupoints, to observe and evaluate the method can speed up the postoperative patients'gastrointestinal function whether or not, in order to expand the ear acupuncture point of treatment. According to research results, conclusion a set of simple and effective method of ear acupuncture point for prevention and treatment of postoperative abdominal distension of thoracolumbar fractures of constipation.Methods:Collected from January 2015 to January 2016 for thoracolumbar fractures has been treated in Spinal branch in Sichuan Orthopeadic Hospital by pedicle screw fixation of a total of 80 patients. Using the statistical software SPSS20.0 random sequence, all patients were divided into two groups A and B, each group of 40 people. Group B as control group, adopts the conventional nursing care. Record patients'anal exhaust for the first time, defecation time respectively, preoperative and postoperative time points (2d,3d,5d,7d,2weeks,1 month) abdominal distension and constipation integral situation. By using the statistical software SPSS20.0 to sorting, analysis, draw the conclusion.Results:The postoperative exhaust first time in Group A (treatment group) average is 27.4±4.8 h, for the first time defecation time average is 2.7±0.7 days; The postoperative exhaust first time in Group B (control group) average is 37.8±4.6 h, for the first time defecation time average is 3.7±0.8 days. Two groups of comparisons, treatment group were significantly earlier than the control group(P<0.05). Treatment group during the ear intervention (2 weeks) postoperative abdominal distension and constipation score significantly lower than the control group at each time point, the peak value is less than the control group, and recovered to preoperative levels faster, comparing the two groups have statistical significance (P<0.05). Group A total of 11 cases (28.9%) were cured,16 cases were markedly improved (42.1%),8 cases in effect(21.1%), invalid in 3 patients (9%), the total effective rate was 92.1%. Group B total of 5 cases (13.2%) were cured,7 cases were markedly improved (18.4%),12 cases in effect(31.6%), invalid in 14 patients (36.8%), the total effective rate was 63.2%. Total effective rate of group A is significantly higher than group B, the rank and inspection with statistical significance (P<0.05). Postoperative lmonth followed-up found that two groups of patients with abdominal distension and constipation integral is no significant difference (P>0.05). Two groups of patients with the first exhaust time, defecation time with the age increase gradually extended, the single factor analysis of variance with statistical significance (P<0.05). Postoperative observation time points of abdominal distension and constipation score increased with age, by the multivariate analysis of variance, with statistical significance (P?0.05).Conclusion:1. With the condition of basic nursing, the patients can be restored to normal levels, but the recovery period is longer than the treat group.2. Age of patients is an important factor to thoracolumbar fractures of postoperative abdominal distension and constipation occurs.3. Pressing ear acupoints can effectively reduce the occurrence of postoperative abdominal distention and constipation in patients with thoracolumbar fractures, to promote gastrointestinal function recovery to normal levels as soon as possible. |
PDF Full Text Request