摘要
目的：探讨胸腰椎爆裂性骨折患者早期行后路AF系统内固定治疗的围术期护理方法。方法：对34例胸腰椎爆裂性骨折患者于早期（6h以内）行后路AF系统内固定治疗，围术期给予精心护理，并充分体现医护配合。结果：34例患者顺利出院，无并发症发生，随访1～12个月，均恢复不同程度的日常工作，影像学检查无断钉及固定物松动现象。结论：对胸腰椎爆裂性骨折患者早期行后路AF系统内固定治疗，加强围术期护理及监测，并给予恰当的心理护理和康复指导，可有效提高治愈率并改善预后。
Objective： To explore nursing methods in perioperative period in the treatment of thoracolumbar burst fracture with AF internal fixation. Methods： AF internal fixation was applied to those 34 patients who had thoracolumbar burst fracture within 6 hours and meticulous nursing care was given in perioperative period. Results： All patients restored and were able to do simple job by following up 1 to 12 months after they were discharged from hospital and no complication occurred. No screw was broken and fixation loosed by x - ray or CT exam. Conclusion ： The successful rate of operation can be increased through strengthening perioperative nursing care, psycho nursing care and instruction on rehabilitation and curative rate can also be increased in the treatment of thoracolumbar burst fracture with AF internal fixation.
关键词
胸腰椎爆裂性骨折
内固定
围术期护理
Thoracolumbar burst fracture
Internal fixation
Perioperative nursing
