摘要
目的:探讨早期系统化护理在伤锥置钉治疗胸腰椎骨折中的应用效果。方法:将58例行伤锥置钉治疗的胸腰椎骨折患者随机分为观察组和对照组各29例,对照组术后行常规骨科护理,观察组术后在对照组基础上行早期系统化护理。比较两组患者护理前后VAS评分、伤椎后凸Cobb角、功能障碍指数评分(ODI)、并发症发生率、住院时间及满意度评分等。结果:与护理前相比,两组护理后VAS、ODI评分均明显下降,观察组护理后VAS、ODI评分明显低于对照组护理后(P<0.05);观察组术后并发症发生率明显低于对照组(P<0.05);观察组卧床时间、住院时间明显短于对照组,满意度评分明显高于对照组(P<0.05)。结论:对胸腰椎骨折行伤锥置钉治疗的患者应用早期系统化护理干预能有效改善患者胸腰椎功能,缩短了患者住院时间,有利于患者康复。
Objective ： To investigate the effect of early systematic nursing care in the treatment of thoracolumbar spinal fracture by transpedicular fixation via injured vertebra. Methods ：58 thoracolumbar spinal fracture patients who were treated with transpedicular fixation via injured vertebra were randomly divided into the observation group and the control group （29 cases in each group）. The conventional postoperative nursing care for fracture patients was given to the patients in the control group;the early systematic nursing care was addtionally provided for the patients in the observation group. The VAS score, the Cobb angle of the injured vertebra, ODI score, the incidence of complicatios,hospitalization days and the score of satisfaction rate were compared between the two groups before and after nursing care. Results ： Compared with those before nursing care, the scores of VAS and ODI significantly decreased after nursing care in the two groups and the scores of VAS and ODI were significantly lower in the observation group than the control group after nursing care （P 〈 0.05 ） ; the incidence of postoperative complications was significantly lower in the observation group than the control group （P 〈 0.05） ; the time in bed and the time of hospitalization was significantly shorter and the score of satisfaction rate was significantly higher in the observation group than the control group （ P 〈 0.05 ）. Conclusion ： The early systematic nursing intervention can effectively improve thoracic and lumbar function of the patients and shorten the hospitalization time in the treatment of thoracolumbar spinal fracture by transpedicular fixation via injured vertebra.
出处
《齐鲁护理杂志》
2014年第10期7-9,共3页
Journal of Qilu Nursing
基金
广东省河源市科技局立项项目(2012-059)
关键词
早期系统化护理
胸腰椎骨折
伤锥置钉
Early systematic nursing care
Thoracolumbar fracture
Transpedicular fixation via injured vertebra
