[摘要] 目的 探讨胸腰椎病人术后腹胀的原因及护理对策。方法 通过100例胸腰椎骨折及腰椎疾患患者的临床病例分析，对术前、术中、术后、麻醉及部位等影响腹胀因素的综合评价，探讨减轻或消除影响腹胀因素的护理对策。结果 胸腰椎骨折及手术、包括术前精神心理，麻醉、术中对脊髓马尾神经的干扰及骨折的部位都有影响，对各种因素有针对性采取护理方法。结论 胸腰椎手术后腹胀的原因是综合因素影响的结果，应根据各种因素采取相应的护理对策。

    [关键词] 胸腰椎术后； 腹胀； 原因分析； 护理对策

    [中图分类号] R473 [文献标识码] B [文章编号] 1005-0515(2012)-01-038-01

    [Abstract] Objective To explore the reasons and nursing countermeasures of abdominal distension after thoracolumbar spinal surgery. Methods Through the 100 cases of thoracolumbar fractures and lumbar disease patients for clinical case analysis, to make comprehensive evaluation, of the influence factors such as preoperative, intraoperative, postoperative, anesthesia, and fracture parts and etc, to investigate nursing countermeasures to reduce or eliminate influence factors of abdominal distension. Results Thoracolumbar fractures and surgery, including preoperative spiritual mentality, anesthesia, intraoperative interference of spinal cord horsetail nerve and fracture parts all have influence on abdominal distension, corresponding countermeasures should be taken according to various factors. Conclusion Abdominal distension after thoracolumbar spinal surgery is the result of comprehensive factors, according to various factors we should take corresponding nursing countermeasures. ......