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1、护理干预在防治腰椎压缩性骨折腹胀的效果分析何明君四川省邛崃市医疗中心医院611530目的:研宄腰椎压缩性骨折运用护理干预来预防腹胀的临床效果。方法:我院选择2013年5月~2015年5月间诊治的356例腰椎压缩性骨折患者,将其均分为两组,对照组的178例患者实施常规的治疗方法,观察组的178例患者在上述治疗的基础上进行腹部按摩、饮食指导、腹式呼吸、腹部热敷、排便训练、运动锻炼等等全面的护理操作,经过10d的治疗及护理操作后,比较两组患者出现腹胀的几率、腹胀缓解的几率等等指标。结果:通过对两组患者进行比较,两组患者出现腹胀的几率未见明显差异,无
2、统计学意义(P>0.05);对照组患者经过治疗后,112例腹胀得到缓解,68例缓解不良,腹胀缓解率为62.9%。观察组患者经过治疗后,158例腹胀得到缓解,20例缓解不良,腹胀缓解率88.8%;两组患者差异显著,有统计学意义(P<0.05)。结论:腰椎压缩性骨折患者通过实施有效的治疗及全面的护理措施,能够明显缓解腹胀的症状,提升患者的生活质量,值得在患者中推广应用。关键词:护理干预;腰椎压缩性骨折;腹胀;临床效果Objective:Tostudytheuseofvertebralcompressionfracturesnursin
3、ginterventionstopreventbloatingclinicalresults.Methods:ThehospitalinMay2013〜ChoosebetweenMay2015356casesofvertebralcompressionfracturediagnosisandtreatmentofpatients,whichweredividedintotwogroups,178patientsinthecontrolgroupoftheimplementationoftheconventionalmethodsoftreat
4、mentof178casesoftheobservationgrouppatientswithabdominalmassage,dietaryguidance,abdominalbreathing,abdominalheat,toilettraining,exerciseandsooncomprehensivecareoperatingonthebasisoftheabovetreatment,aftertreatmentandcareoperationslOd,comparetwogroupsofpatientsthechanceofblo
5、ating,andsothechancetoeasebloatingindicators.Results:Thetwogroupsofpatientswerecomparedtwogroupsofpatientsthechanceofbloatingnosignificantdifferencewasnotstatisticallysignificant(P>0.05);thecontrolgrouppatientsaftertreatment,112casesofeasedbloating,bad68casesofremission,
6、bloatingremissionratewas62.9%.Observationofpatientsaftertreatment,158casesofeasedbloating,bad20casesofremission,bloatingremissionrate88.8%;thetwogroupsweresignificantlydifferentstatisticallysignificant(P<0.05).Conclusion:Thelumbarcompressionfracturepatientsthrougheffecti
7、vetreatmentandcomprehensivecaremeasurescouldsignificantlyalleviatethesymptomsofbloating,improvethequalityoflifeofpatients,shouldbepromotedinapatientapplications.Keywords:nursinginterventions;vertebralcompressionfractures;bloating;clinicaleffect腹胀是一种常见的腰椎压缩性骨折后引起的并发症,一般多出现在骨
8、折后的12h,患者临床上主要表现为腹痛、腹胀、呕吐、恶心以及肠蠕动功能下降、严重时会导致呼吸困难、气促、腹内压增高以及下肢深静脉血栓出现,会对患者的康复及治疗产生严