지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1,627 - 1,631 (5page)
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Purpose: To investigate the prevalence of paralytic ileus after spinal operation in the supine or prone operative position and to determine the efficacy of prophylactic gastrointestinal motility medications in preventing symptomatic paralytic ileus after a spinaloperation.
Materials and Methods: All patients received spinal surgery in the supine or prone operative position. The study period was dividedinto two phases: first, to analyze the prevalence of radiographic and symptomatic paralytic ileus after a spinal operation, and second, to determine the therapeutic effects of prophylactic gastrointestinal motility medications (postoperative intravenous injectionof scopolamine butylbromide and metoclopramide hydrochloride) on symptomatic paralytic ileus after a spinal operation.
Results: Basic demographic data were not different. In the first phase of this study, 27 patients (32.9%) with radiographic paralytic ileus and 11 patients (13.4%) with symptomatic paralytic ileus were observed. Radiographic paralytic ileus was more often noted in patients who underwent an operation in the prone position (p=0.044); whereas the occurrence of symptomatic paralytic ileus was not different between the supine and prone positioned patients (p=0.385). In the second phase, prophylactic medications were shown to be ineffective in preventing symptomatic paralytic ileus after spinal surgery [symptomatic paralytic ileus was observedin 11.1% (4/36) with prophylactic medication and 16.7% (5/30) with a placebo, p=0.513].
Conclusion: Spinal surgery in the prone position was shown to increase the likelihood of radiographic paralytic ileus occurrence, but not symptomatic paralytic ileus. Unfortunately, the prophylactic medications to prevent symptomatic paralytic ileus after spine surgery were shown to be ineffective.
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Althausen PL / 2001 / The use of neostigmine to treat postoperative ileus in orthopedic spinal patients / J Spinal Disord 14 : 541 ~ 545
Altman DF / 2001 / Basic & clinical pharmacology / Lange Medical Books/McGraw-Hill : 1064 ~ 1076
Bell DF / 1989 / Unit rod segmental spinal instrumentation in the management of patients with progressive neuromuscular spinal deformity / Spine (Phila Pa 1976) 14 : 1301 ~ 1
Benacker SA / 1993 / Managing quality on an orthopedic service: ileus in the lumbar spinal fusion patient / J Healthc Qual 15 : 17 ~ 20
Breusch SJ / 1997 / Acute pseudo-obstruction of the colon following left-sided total hip replacement: an analysis of five patients / Int J Clin Pract 51 : 327 ~ 329
Altman DF / 2001 / Basic & clinical pharmacology / Lange Medical Books/McGraw-Hill : 1064 ~ 1076
Bell DF / 1989 / Unit rod segmental spinal instrumentation in the management of patients with progressive neuromuscular spinal deformity / Spine (Phila Pa 1976) 14 : 1301 ~ 1
Benacker SA / 1993 / Managing quality on an orthopedic service: ileus in the lumbar spinal fusion patient / J Healthc Qual 15 : 17 ~ 20
Breusch SJ / 1997 / Acute pseudo-obstruction of the colon following left-sided total hip replacement: an analysis of five patients / Int J Clin Pract 51 : 327 ~ 329
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