摘要
目的探讨颈椎骨折脱位合并脊髓损伤患者行手术治疗后的护理方法。方法选取46例因颈椎骨折脱位合并脊髓损伤手术治疗后进行康复治疗的患者为实验研究对象,患者随机分为观察组(n=23)和对照组(n=23),对照组行传统常规护理,观察组在对照组的基础上再行疼痛、并发症预防以及功能锻炼护理。术后随访1年,记录比较2组患者脊椎日本骨科学会(JOA)评分、Asia分级以及并发症情况。结果术后1年,2组患者脊椎JOA评分与术前比较,脊髓损伤均有不同程度恢复,且观察组脊椎JOA评分明显大于对照组,差异有统计学意义(P<0.05);2组患者术后改善率差异有统计学意义(P<0.05);术后1年,2组患者Asia分级均较术前有所提高,且观察组明显优于对照组(P<0.05);观察组患者并发症发生率显著小于对照组(P<0.05)。结论全面的康复期护理可以减少颈椎骨折脱位合并脊髓损伤患者并发症的发生,加快脊髓损伤患者功能的恢复,值得临床借鉴。
Objective To explore the nursing of 46 cervical fracture dislocation patients combined with spinal cord injuries. Methods A total of 46 cervical fracture dislocation patients combined with spinal cord injuries treated by rehabilitation were randomly divided into experimental group （ n = 23 ） and control group （n = 23 ）. The patients in control group were treated with ordinary nursing intervention, while the patients in experimental group were treated with other cares including ache nursing, rehabilitation training and preventing complication on the basis of the control group. After one year, the mean Japanese orthopaedic association score （JOA）, Asia classification, complication were observed and recorded. Results After one year of operation, JOA score of the two groups were both improved, and JOA score in experimental group was higher than the control group （ P 〈 0.05 ）. After one year, the Asia classifications in the two group were improved than operation before, and it was better in experimental group than that in the control group （P 〈 0.05 ）. The complication rate in experimental group was lower than that in the control group （P 〈 0.05）. Conclusion Comprehensive rehabilitation care can decrease complication, accelerate the recovery of spinal function, so it is worthy of promotion in clinic.
出处
《实用临床医药杂志》
CAS
2017年第14期81-84,共4页
Journal of Clinical Medicine in Practice
基金
陕西省科技计划项目(2012ks-05)
