下腰椎骨折术后腹胀原因分析及治疗探讨

摘要

目的：对下腰椎骨折患者术后腹胀的临床原因进行分析,探讨预防及治疗腹胀的临床措施。方法：回顾笔者所在医院脊柱骨科546例下腰椎骨折患者的临床资料,并对脊髓损伤类型进行分类,分析脊髓损伤程度与腹胀的关系及不同下腰椎椎体节段与腹胀的关系,并对腹胀的原因及防治措施进行分析。结果：术前Frankel分级B级腹胀患者33例、C级63例、D级94例、E级197例,L3腹胀患者为190例、L4为125例、L5为72例,术后随访总患者Frankel分级,B级患者38例、C级78例、D级144例、E级286例,L3腹胀患者为245例、L4为176例、L5为125例。结论：对下腰椎骨折术后腹胀的原因及防治措施加以分析研究,有利于防止下腰椎骨折术后腹胀的发生,也利于提高腹胀发生后的处理水平,更利于患者的早日康复。%　　Objective:The lower lumbar spine fractures in patients with postoperative abdominal distention clinical analysis,to investigate the clinical measures of prevention and treatment of abdominal distension.Method:Review 546 cases of hospital Spinal Orthopedic vertebral fracture patients,387 patients with a history of abdominal distension,and type of spinal cord injury classification,analysis of spinal cord injury and bloating, and the lower lumbar vertebral segments and the belly the expansion of relations,and abdominal distension.Result:Preoperative Frankel grade B bloating in patients with 33 cases,63 cases of class C,D in 94 cases,the E-Class 197 cases,L3 abdominal distension in patients with 190 cases,L4 125 cases,L5 72 patients were followed up patients with total Frankelgrade B patients and 38 cases,78 cases of class C,D in 144 cases,286 cases of E-Class, L3 abdominal distension in patients with 245 cases,L4 176 cases,and L5 125.Conclusion:Relationship between the degree of spinal cord loss and abdominal distension,and pedicle fixation,to prevent urinary retention and infection,anal exhaust,decompression,early ambulation,acupressure, and injection is the treatment of postoperative abdominal a good method of expansion,and the correct guidance of the competent physician,and patient compliance,more conducive to the patient’s physical and mental rehabilitation.