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目的：研究早期系统的护理模式对减少腰椎骨折患者腹胀发生的临床效果。方法：将2009 年1 月至2011 年6 月期间在我院骨科进行住院治疗的腰椎骨折患者62 例，分为两组，对照组按照骨科护理常规进行护理，实验组在骨科护理常规的基础上增加系统化护理，并观察两组患者腹胀及腹胀引起的相关症状的发生情况。结果：入院时两组患者腹胀比例差异无明显的统计学意义（X2=0.08，P＞0.05），而入院5 天后实验组腹胀患者明显下降（X2=9.18，P＜0.01），入院到10 天发生腹胀引起的相关症状恶性呕吐（X2=7.12，P＜0.01）、胸闷（X2=4.31，P＜0.01）、胃灼热（X2=4.31，P＜0.01）实验组明显少于对照组差异有显著的统计学意义；呼吸困难（X2=2.82，P＞0.05）两组差异无统计学意义。结论：早期的系统化的护理模式可以有效的减少和缓解腰椎骨折患者腹胀的发生，并且进一步避免了因腹胀导致的腹痛，恶心，呕吐，胸闷，胃灼热，呼吸困难的临床症状，值得临床广泛推广应用。

英文摘要:

Objective: To investigate the clinical effects of systematic care for prevention of abdominal distension in patients with vertebral fracture. Methods: 62 patients with vertebral fractures in our hospital from January 2009 to June 2011 were divided into two groups.The control group were given routine care. The experimental group were given systematic care on the basis of routine Orthopedic care, and abdominal distension and the occurrence of related symptoms abdominal distension were observed. Results: The proportion of abdominal distension in two groups patients on admission showed no statistically significant (X2 = 0.08, P> 0.05), and patients with abdominal distension in the experimental group 5 days after admission decreased than control group (X2 = 9.18, P <0.01). Malignancy vomiting (X2 = 7.12, P <0.01), chest tightness (X2 = 4.31, P<0.01), heartburn (X2 = 4.31, P<0.01) caused by abdominal distention in the experimental group 10 days after admission was significantly less than the control group, there was significant difference statistically significant,but the difference of difficulty breathing (X2 = 2.82, P> 0.05) was not statistically significant. Conclusion: Early systematic models care can effectively reduce and mitigate the incidence of abdominal distension in patients with vertebral fractures, and further to avoid clinical symptoms including abdominal pain ,nausea, vomiting, chest tightness, heartburn, breathing difficulties caused by abdominal distension , it is worth wide range of clinical application.

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