标题：早期中频脉冲电疗干预对单纯性胸腰椎压缩性骨折患者便秘的影响

      作者：黄菊    (南通市第二人民医院骨科，江苏 南通 226006)

      卷次： 2017年28卷14期

      【摘要】 目的 探讨早期中频脉冲电疗干预对单纯性胸腰椎压缩性骨折患者便秘的影响。方法 将南通市第二人民医院于 2012年 7月至 2016年 6月收治的 80例单纯性胸腰椎压缩性骨折患者按照随机数表法分为对照组(实施早期护理干预)与观察组(在早期护理干预基础上实施中频脉冲电疗法)，每组各 40例。比较两组患者便秘发生情况和生活质量。结果 与对照组比较，观察组患者腹胀[(1.73±0.30)分 vs (2.16±0.27)分]、自发排便[(1.28±0.46)分 vs (1.93±0.31)分]、排便费力程度[(1.22±0.37)分 vs (1.77±0.39)分]以及粪便形状评分[(1.61±0.39)分 vs (1.99±0.36)分]均明显降低，排便时间[(15.3±4.5) min vs (23.2±4.1) min]明显缩短，便秘的发生率(10.0% vs 22.5%)明显降低，差异均有统计学意义(P<0.05)；观察组出院前生活质量的各项目评分均较对照组明显升高，差异均有统计学意义(P<0.05)。结论 在早期护理干预基础上及早实施中频脉冲电疗法能进一步改善胸腰椎压缩性骨折患者便秘症状，减少便秘发生率，能明显提高患者生活质量。
      【关键词】 中频脉冲电疗法；胸腰椎压缩性骨折；便秘；护理
      【中图分类号】 R473.6 【文献标识码】 A 【文章编号】 1003—6350（2017）14—2401—03

Effect of medium frequency pulse electrotherapy in early intervention of constipation after idiopathicthoracolumbar compression fractures.
HUANG Ju. Department of Orthopaedics, the Second People's Hospital ofNantong, Nantong 226006, Jiangsu, CHINA
【Abstract】 Objective To explore the influence of medium frequency pulse electrotherapy in patients with consti-pation after idiopathic thoracolumbar compression fractures. Methods From Jul. 2012 to Jun. 2016, 80 patients with idio-pathic thoracolumbar compression fractures in our hospital were divided into control group and observation group accord-ing to random number table method, with 40 patients in each group. The patients in control group were treated with earlynursing intervention, and those in observation group received medium frequency pulse electrotherapy based on early nurs-ing intervention. The constipation condition and quality of life were compared between the two groups. Results Com-pared with the control group, the scores of abdominal distention, spontaneous bowel movements, defecate difficulty and fe-ces shape were (1.73±0.30), (1.28±0.46), (1.22±0.37), (1.61±0.39) in the observation group, which were significantlylower than (2.16±0.27), (1.93±0.31), (1.77±0.39), (1.99±0.36) in the control group (P<0.05). The defecation time in theobservation group was significantly shorter, (15.3±4.5) min vs (23.2±4.1) min (P<0.05), and the incidence of constipa-tion was significantly lower (10.0% vs 22.5%, P<0.05). The scores of physiological function, body pain, physical func-tion, social function, emotional function, mental health, energy, and overall health in observation group were significant-ly higher (all P<0.05). Conclusion Implementing medium frequency pulse electrotherapy based on early nursing inter-vention can further improve constipation symptoms, reduce the incidence of constipation, and significantly improve thepatients quality of life.
      【Key words】 Medium frequency pulse electrotherapy; Thoracolumbar compression fractures; Constipation; Nursing·护 理·doi:10.3969/j.issn.1003-6350.2017.14.058基金项目：江苏省南通市科技计划项目(编号：qyz15046)