Status and influencing factors of paralytic ileus in patients with adolescent idiopathic scoliosis
10.3760/cma.j.cn115682-20210428-01871
- VernacularTitle:青少年特发性脊柱侧凸患者术后麻痹性肠梗阻发生现状及影响因素分析
- Author:
Bingdu TONG
1
;
Gaoyang LI
;
Xue TIAN
;
Yang LI
;
Tao XU
;
Yaping CHEN
Author Information
1. 中国医学科学院北京协和医院骨科，北京 100730
- Keywords:
Adolescent;
Paralytic ileus;
Scoliosis;
Postoperative;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2022;28(1):64-70
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the occurrence and influencing factors of paralytic ileus (PI) in patients with adolescent idiopathic scoliosis (AIS), so as to provide references and basis for the formulation of clinical nursing intervention measures.Methods:Using the convenient sampling method, a total of 93 AIS patients who were hospitalized in Spine Center of Peking Union Medical College Hospital from January 2019 to June 2020 were selected as the research objects. The general information, disease and operation related information of patients were collected, and the incidence of PI was recorded. Binomial Logistic regression was used to analyze the influencing factors of PI occurrence in AIS patients after surgery.Results:PI occurred in 41.9% (39/93) patients, and the incidence of anorexia, abdominal distention, nausea, vomiting and abdominal pain were 66.7% (26/39), 61.5% (24/39), 59.0% (23/39), 30.8% (12/39) and 20.5% (8/39), respectively. Binomial Logistic regression analysis showed that straight leg elevation exercise ( OR=3.582, P=0.023), postoperative first feeding time ( OR=1.209, P=0.027), proton pump inhibitors ( OR=6.820, P=0.002) and osteotomy ( OR=5.516, P=0.007) were the influencing factors of PI occurrence after AIS. Conclusions:The incidence of PI is higher in AIS patients after surgery and the accompanying symptoms are mainly anorexia, abdominal distension and nausea. Straight leg elevation exercise, time of first postoperative feeding, proton pump inhibitors and osteotomy are the influencing factors of postoperative PI in AIS patients.
