摘要
目的肋骨骨折患者术后腹胀的Logstic影响因素分析及疼痛管理措施的总结。方法回顾性分析2016年5月—2018年5月本院收治的78例肋骨骨折患者的临床资料,按是否出现术后腹胀分为腹胀组(n=17)与未腹胀组(n=61)两组,采用Logstic分析影响肋骨骨折患者术后腹胀的独立危险因素,并制定相应的预防处理对策以及疼痛管理措施。结果腹胀组与未腹胀组不同年龄、性别、受伤原因、术前禁食情况、手术类型、手术持续时间下患者所占比例相比,差异不具有统计学意义(P>0.05),具有可比性。腹胀组与未腹胀组不同术后进食情况、术后是否使用了PCA镇痛、下床活动时间下患者所占比例相比,差异具有统计学意义(P<0.05)。将上述因素纳入到Logistic回归分析中可见,术后>6 h开始进食、下床活动时间>24 h、术后未进行PCA镇痛可作为引起肋骨骨折患者术后腹胀的独立危险因素,差异具有统计学意义(P<0.05)。结论术后>6 h开始进食、下床活动时间>24 h、术后未进行PCA镇痛可作为引起肋骨骨折患者术后腹胀的独立危险因素,针对这些因素制定有效的预防对策以及相应的管理措施,从而达到降低肋骨骨折患者术后腹胀发生率的目的,更好的促进患者的康复。
Objective To investigate and analyze the influencing factors of postoperative abdominal distension in patients with rib fractures through logistic analysis and summarize management measures against pain.Methods The clinical data of 78 cases of rib fractures admitted to our hospital from May 2016 to May 2018 were retrospectively analyzed.According to whether there was postoperative abdominal distension,they were divided into the abdominal distension group(n=17)and the non-abdominal group(n=61).Logistic analysis was used to identify independent risk factors affecting abdominal distension after rib fracture,and corresponding preventive management measures and pain management measures were summarized.Results There was no significant difference in the proportion of patients in age,gender,causes of injury,preoperative fasting,type of surgery,and duration of surgery between the abdominal distension group and non-abdominal group(P>0.05).There were significant differences in the proportion of patients in postoperative ingress conditions,PCA analgesia use,and time to get out of bed between abdominal distension and non-bloating group after surgery(P<0.05).Logistic regression analysis revealed that restart having meal more than 6 hours after surgery,getting out of bed longer than 24 hours after surgery and the absence of pain management using PCA after operation were independent risk factors for postoperative abdominal distension of patients with rib fractures(P<0.05).Conclusions Restart having meal more than 6 hours after surgery,getting out of bed longer than 24 hours after surgery and the absence of pain management using PCA after operation were independent risk factors for postoperative abdominal distension of patients with rib fractures.Effective preventive measures and corresponding pain management measures constructed for these factors,could achieve the purpose of reducing the incidence of postoperative abdominal distension in patients with rib fractures,and promote the rehabilitation of patients.
作者
裘嘉琳
QIU Jia-lin(Department of cardiothoracic surgery,Tianjin hospital,Tianjin,300202,China)
出处
《齐齐哈尔医学院学报》
2020年第5期637-639,共3页
Journal of Qiqihar Medical University
关键词
肋骨骨折
术后腹胀
影响因素
管理措施
Rib fracture
Postoperative abdominal distension
Influencing factors
Pain management
