Abstract

In order to evaluate the effect of perioperative gastrointestinal care on adolescent idiopathic scoliosis (AIS) patients after correction of scoliosis surgery, 13 cases of AIS patients from January 2015 to February 2018 were treated with perioperative gastrointestinal management. The effect was compared to those 11 routine nursing surgical AIS patients from January 2008 to December 2014. Data analysis regarding the age and scoliosis degree showed no statistically significant difference between two groups (P>0.05). However, abdominal distension degree, bowel sound recovery time and anal exhaust time of the perioperative gastrointestinal care patients were better than those of normal nursing patients (P<0.05). Furthermore, evaluation of the intestinal function including fixed independent evaluation and evacuation time also was high as compared to those of normal nursing patients. In conclusion, perioperative gastrointestinal care is beneficial to surgical AIS patients.

Highlights

  • Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis and typically affects children

  • Surgery for adolescent idiopathic scoliosis is usually necessary for patients whose curve is larger than 40° to 45 degrees [1]

  • All patients were divided into gastrointestinal care group (Treatment group) and normal nursing group (Control group) according to this study

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Summary

Introduction

Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis and typically affects children. Idiopathic scoliosis affects 2-3% of children aged 10-18 years old and is more common among females than males. The specific cause is unknown; it is largely thought to be a genetic disorder. Most patients with adolescent idiopathic scoliosis have small curves (10◦ to 20◦) that do not require formal treatment. Surgery for adolescent idiopathic scoliosis is usually necessary for patients whose curve is larger than 40° to 45 degrees [1]. In these cases, surgery is the best option to prevent further progression of the curvature. In the Scoliosis Research Society Morbidity and Mortality Reports, 57 of all patients with spinal fusion (0.2%) died mainly due to cardiac causes, 59 of the scoliosis patients (0.8%) had neurological deficits, infections between 0.9%

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