目的:研究不同进食时间配合腹部按摩对腰椎全麻术后患者并发症的影响。方法:选取我院2013年5月-2015年7月收治的80例腰椎管狭窄症行椎间融合椎弓根钉内固定全麻手术治疗的患者,并随机等分为对照组和观察组,对照组在术后6 h进食配合腹部按摩;观察组术后开展腹部按摩在肛门排气后进食。比较两组患者住院时间、肛门排气时间及并发症发生情况。结果:观察组患者住院时间及肛门排气时间均短于对照组(P〈0.05),观察组患者并发症发生率低于对照组(P〈0.05)。结论:腰椎全麻手术后肛门恢复排气后进食并配合腹部按摩能够降低并发症发生率,值得推广使用。
Objective : To study the effect of different feeding time and abdominal massage on postoperative complications of patients with full lumbar anesthesia. Methods : Selected 80 patients with lumbar spinal stenosis in treatment of full lumbar anesthesia in pedicle of vertebral arch in our hospital dated from May 2013 to July 2015 and randomly divided them into control group and observation group. The control group ate food 6 hours after the operation and was treated with abdominal massage; the patients in the observation group carried out abdominal massage to exhaust from anal and then ate food. The hospitalization time, anal exhaust time and incidence of complications were compared between the two groups. Results: The observation group hospitalization time and anal exhaust time were shorter than that of the control group (P 〈0. 05). Complication rate in the observation group were lower than that of the control group (P 〈 0.05). Conclusion : After the operation of lumbar anesthesia, it is worth to promote the mode to eat after anus exhaust recover from the operation and cooperate with abdominal massage to reduce the incidence of complications.