中西医结合治疗外伤性脊髓损伤并截瘫的疗效及护理

Effect and nursing of integrative treatment of traumatic spinal cord injury and paraplegia

目的 探讨中西医结合治疗外伤性脊髓损伤并截瘫的疗效及护理措施.方法 对98例外伤性脊髓损伤并截瘫的患者进行椎管减压内固定术及术后使用降纤酶、中药治疗,加强体位护理、情志护理、并发症的预防及护理、系统性康复训练等干预措施,治疗前后采用Barthel指数法对患者的日常生活活动（ADL）能力进行评定.结果 治疗后98例患者的Barthel指数评分均明显高于治疗前（P＜0.05）,无并发症的发生.结论 对外伤性脊髓损伤并截瘫患者采用椎管减压内固定术及术后使用降纤酶、中药治疗的同时,给予及时、正确的护理干预措施,可提高治愈率,减少并发症的发生,提高生活质量.

Objective To explore the effect amd nursing of integrative treatment of traumatic spinal cord injury and paraplegia. Methods Traumatic spinal cord injury and paraplegia in 98 cases of patients with spinal canal decompression and internal fixation and postoperative defibrase, patients were treated with traditional Chinese medicine to strengthen the position care, psychological care, complications prevention and care interventions such as early exercise, before and after treatment of patients with Barthel index activities of daily living （ADL） ability assessment. Results 98 cases after treatment of patients with Barthel index scores were significantly higher than before treatment （ P ＜ 0. 05）. Conclusions Traumatic spinal cord injury and paraplegia were treated with spinal decompression and internal fixation and postoperative defibrase, traditional Chinese medicine at the same time, give timely and correct nursing interventions can improve the cure rate and reduce complications and improve life quality.