The Role Of Early Postoperative Feeding On Gastrointestinal Function Of Patients Undergoing Lumbar Fusion Surgery

Objective:To investigate the effect of earlypostoperative on gastrointestinal function of patients undergoing lumbar fusion surgery.Methods:167 patients undergoing lumbar fusion were enrolled in thedepartment of orthopedics in the first hospital of lanzhou university from December1,2017 to November 31,2018.The patients weredivided into both groups asexperimentalgroup(82 cases)and control group(85cases).After transferring experimental groupindividuals to theorthopedic ward,the nurse adopted the Steward scale for evaluating patients awake.The patients,steady vital indexes,without discomfort(nausea and vomiting,etc),had the need for food.Obtainingunderstanding and cooperation of the patients and their families,the bed was raisd30 ~ 40°,lateral position or the head to side.The nurse use a spoon to slowlyfeed about 50 ~ 100 ml warm water,and observe whether cough,nausea,vomiting,abdominal discomfort within 15~30min.If no aformentioned symptoms,the patients can be recommended to intake liquid diet.After 6 hours the operation,the control group individuals began to intake liquid diet.The first exhaust time,the first defecation time,constipation incidence,the incidence of nausea,vomiting and abdominal distension at different time points postoperative,the thirst and hunger score at different time points postoperative,the nutritional status evaluationand after operation were the main outcome indicators.the secondary outcome indicators were the pain numerical score at different time points,the time of getting out of bed and the time of hospitalizationpostoperative.Results:1.The general data was no statistically significant difference between the e-xperimental group and the control group(P>0.05).2.The gastrointestinal function of the experimental group was significantly improved after early postoperative feeding.The first exhaust time,first defecation time,constipation incidence,postoperative nutritional status evaluation,bedtime,postope-rative hospital stay and thirst score were statistically significant(P<0.05).3.Nostatistically significant difference were presented in the incidence of nausea and vomiting between two group(P>0.05).4.There was significant difference in the incidence of abdominal distension between the experimental group and the control group at 12~24h postoperatio-n(P<0.05),and no significant difference at 0 ~ 6hand 6h ~ 12 h postoperation(P>0.05).3.The(VAS)starvation score of the experimental group was significantly different at 6h postoperation(P<0.05),and no statistical difference immediately postoperation(P>0.05).5.The NRS pain scores were no statistically significant different between two group at the 2h,6h,8h,12 h and 24hpostoperation(P>0.05).Conclusion:Early postoperative eating could shorten the first exhaust time and the first time defecation time of patients undergoing the lumbar fusion surgery,and could reduce the incidence of postoperative constipation,improve postoperativenutrition,reducepostoperative bed time and postoperative hospital stay.Early postoperative eating could not increase the incidence of postoperative nausea,vomiting,abdominal distension,and could improve postoperative thirst,hunger,promote comfort.