Abstract:【Objective】To investigate the changes and influencing factors of defecation pattern and its influencing factors in elderly patients with hip fracture 2 weeks after operation.【Methods】Ninety-eight patients with hip fractures treated by surgery were studied. The changes and the influencing factors of defecation pattern were analyzed 2 weeks after surgery. Patients with constipation 2 weeks after operation were set as constipation group, those without constipation as control group, analysis of the influencing factors of constipation was conducted.【Results】From admission to the preoperation, 15.31% (15/98) in elderly patients (over 60 years old) reflected the presence of defecation 1~2, 47.96% (47/98) reflected the existence of varying degrees of defecation difficulties, 16.33% (16/98) had constipation; 2 weeks postoperation , defecation 1 ~ 2 increased to 36.73% (36/98). Defecation difficulty increased to 68.37% (67/98), and constipation incidence increased to 30.61% (30/98); 22.45% (22/98) defecation pattern did not return to normal 2 weeks after operation. Items like activity time ≤ 60 min, combined depression and anxiety, the use of opioids, incorrect defecation habits, incorrect diet , fruit and vegetable ≤ 2 species and the liquid intake ≤1.5 L of the constipation group were higher than those of the control group (P<0.05); Logistic regression analysis showed that the use of opioids was an independent risk factor for constipation in hip surgery patients. Activity time, eating fruits and vegetables, liquid intake were protective factors.【Conclusion】 The incidence of change of defecation pattern in patients with hip fracture 2 weeks after operation is relatively higher, which is closely related to the use of opioids, time of exercises and intake volume of fruits and vegetables.
金丽;杨兰芬. 髋部骨折老年患者术后2周排便模式的影响因素[J]. 医学临床研究, 2017, 34(1): 26-28.
JIN Li, YANG Lan-fen. Influencing Factors of Defecation Patten in Elderly Patients with Hip Fractures 2 Weeks after Surgery. JOURNAL OF CLINICAL RESEARCH, 2017, 34(1): 26-28.