脊柱术后新斯的明对治疗老年患者卧床期腹胀的疗效观察.docVIP

精品论文 参考文献 脊柱术后新斯的明对治疗老年患者卧床期腹胀的疗效观察 李青梅 郑光峰 　　(中国人民解放军第88医院骨科中心二区 山东 泰安 271000） 　　【摘要】 目的：观察新斯的明治疗脊柱术后老年患者卧床期出现腹胀及其它三种临床常用治疗腹胀方法的疗效比较。方法：将我科从2013年4月至2014年4月收治的160例老年患者，术后分别进行新斯的明、应用增加胃肠动力药多潘立酮、2%肥皂水灌肠、开塞露塞肛加肛管排气四种方法治疗脊柱术后老年患者卧床期腹胀。结果：经治疗2h后观察疗效。新斯的明治疗组很快排气、排便，且能正常进食后无腹胀感，效果明显优于其他三组（Plt;0.05）。结论：新斯的明治疗脊柱术后老年患者卧床期出现的腹胀，见效快，操作简单、安全，减轻了患者因反复腹胀引起的痛苦。 　　【关键词】新斯的明；脊柱术后；卧床期；腹胀 　　【中图分类号】R453 【文献标识码】A 【文章编号】2095-1752（2015）11-0051-02 　　 　　 Neostigmine for treatment of spinal postoperative elderly patients lie in bed period curative effect observation of abdominal distension LI Qingmei Zheng Guangfeng .The Chinese Peoples Liberation Army 88th Hospital ,Shandong Province,Tai`an,271000,China 　　【Abstract】Objective To observe the neostigmine treatment of spinal postoperative elderly patients lie in bed period abdominal distension abdominal distension and other three kinds of commonly used clinical treatment method curative effect comparison. Method To our department from January 2012 to December 2012 treated 160 cases of elderly patients, postoperative for neostigmine, application, increased gastrointestinal medicine Pan Li methadone, 2% more soapy water enema, open plug plug anal and anal exhaust four ways to treat spinal abdominal distension postoperative elderly patients lie in bed. Result After treatment for 2 h. Neostigmine treatment group soon exhaust and defecate, and can normal sense no abdominal distention after eating, the effect is better than the other three groups (Plt; 0.05). Neostigmine. Conclusion Treatment of spinal postoperative elderly patients lie in bed period abdominal distension, quick effect, operation is simple, safe, and reduce the patients pain caused by recurrent abdominal distension.. 　　【Key words】Neostigmine; Spinal surgery; In bed; Abdominal distension 　　腹胀是脊柱疾患患者术后卧床期常见的并发症反应，轻度腹胀可引起患者不适，重度腹胀可使膈肌上升，从而影响患者呼吸肌循环功能[1]，因此如何预防和治疗术后卧床期腹胀，减轻痛苦，是临床工作者必须处理的。尤其对于老年人这一特殊群体，术后恢复胃肠功能更应引起重视。我科在2013年4月至2014年4月临床实践中应用新斯的明