骨水泥椎体成形术治疗骨质疏松性椎体压缩骨折患者的围术期护理方法及效果被引量：4

下载PDF

导出

摘要目的:探讨骨质疏松性椎体压缩骨折患者经骨水泥椎体成形术(PVP)治疗围术期的护理方法及效果。方法:选取2019-05~2021-04我院收治的骨质疏松性椎体压缩骨折患者76例,按照随机数字表法分成观察组与对照组,每组38例,对照组采用常规护理干预,观察组采用针对性围术期护理,对两组疼痛程度、日常生活能力进行比较。结果:在VAS评分上,经对比干预前无明显差异(P>0.05),干预后评分较干预前明显降低(P<0.05),观察组评分更低(P<0.05)。在ADL评分上,两组干预前比较无明显差异(P>0.05),干预后较干预前明显提高(P<0.05),且与对照组比较,观察组评分更高(P<0.05)。观察组的并发症发生率显著低于对照组患者的发病率(χ^(2)=12.088,P<0.05)。结论:PVP治疗骨质疏松性椎体压缩骨折患者采用针对性围术期护理可有效缓解患者疼痛,提高日常生活能力。

作者孔令楠

机构地区佳木斯市肿瘤结核医院

出处《黑龙江医药科学》 2021年第6期73-74,共2页 Heilongjiang Medicine and Pharmacy

关键词骨水泥椎体成形术骨质疏松性椎体压缩骨折围术期护理效果

分类号 R473.6 [医药卫生—护理学]

引文网络
相关文献

参考文献6

1刘丽云,彭红,欧光信.侧卧位经皮椎体成形术治疗骨质疏松性椎体压缩骨折合并肺通气功能障碍的术中护理干预[J].吉林医学,2020,41(9):2270-2272. 被引量：2
2马青.骨水泥椎体成形术治疗骨质疏松性椎体压缩骨折患者的围术期护理方法及效果[J].黑龙江中医药,2020,49(6):291-292. 被引量：2
3范霞,郑燕,王雪娟.骨水泥椎体成形术治疗骨质疏松性椎体压缩骨折患者的围术期护理[J].齐鲁护理杂志,2020,26(14):78-80. 被引量：8
4周颖,毕靓,苏庆军,原威.经皮椎体后凸成形术治疗高龄骨质疏松性椎体压缩骨折的围术期护理[J].中华现代护理杂志,2016,22(18):2557-2560. 被引量：29
5陈兰,刘俐.经皮穿刺椎体成形术治疗骨质疏松性椎体压缩骨折并发症的分析与护理[J].华西医学,2016,31(1):145-147. 被引量：10
6郭迎秋,郭少彤.椎体后凸成形术治疗周壁破损的骨质疏松性椎体压缩骨折的护理[J].中国实用护理杂志,2017,33(z1). 被引量：9

二级参考文献30

1Melton LJ, Iii KS, Frye MA, et al. Epidemiology of vertebral fractures inwomen[J]. Am J Epidemiol, 1989, 129(5): 1000-1011.
2Jensen ME, Evans AJ, Mathis JM, et al. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects[J]. AJNR Am J Neuroradiol, 1998, 18(10): 1897-1904.
3Rapado A. General management of vertebral fractures[J]. Bone, 1996, 18(3 Suppl): 191S-196S.
4Shapiro S, Abel T, Purvines S. Surgical removal of epidural and intradural polymethylmethacrylate extravasation complicating percutaneous vertebroplasty for an osteoporotic lumbar compression fracture. Case report[J]. J Neurosurg, 2003, 98 (1 Suooll): 90-92.
5Uppin AA, Hirsch JA, Centenera LV, et al. Occurrence of new vertebral body fracture after percutaneous vertebroplasty in patients with osteoporosis[J]. Radiology, 2003, 226(1): 119-124.
6Vasconcelos C, Gailloud P, Martin JB, et al. Transient arterial hypotension induced by polymethylmethacrylate injection during percutaneous vertebroplasty[J]. J Vasc Interv Radiol, 2001, 12(8): 1001-1002.
7Ryu KS, Park CK, Kim MC, et al. Dose-dependent epidural leakage of polymethylmethacrylate after percutaneous vertebroplasty in patients with osteoporotic vertebral compression fractures[J]. J Neurosurg, 2002, 96(1): 56-61.
8Mirovsky Y, Anekstein Y, Shalmon E, et al. Intradiscal cement leak following percutaneous vertebroplasty[J]. Spine (Phila Pa 1976), 2006, 31(10): 1120-1124.
9Liebschner MA, Rosenberg WS, Keaveny TM. Effects of bone cement volume and distribution on vertebral stiffness after vertebroplasty[J]. Spine (Phila Pa 1976), 2001, 26(14): 1547-1554.
10Molloy S, Mathis JM, Belkoff SM. The effect of vertebral body percentage fill on mechanical behavior during percutaneous vertebroplasty[J]. Spine (Phila Pa 1976), 2003, 28(14): 1549-1554.