强直性脊柱炎胸腰椎骨折合并后凸畸形患者行截骨矫形内固定术的护理

Experience of nursing AS patients with fractures of thoracolumbar vertebra combined with kyphotic deformity treated with osteotomy and internal fixation

目的探讨强直性脊柱炎胸腰椎骨折合并后凸畸形患者行截骨矫形内固定术的护理方法。方法回顾性分析8例强直性脊柱炎胸腰椎骨折并后凸畸形患者的临行截骨矫形内固定术的护理经验。结果 8例患者均顺利度过围手术期,术后患者脊柱后凸均得到矫正,无1例出现肺部感染、泌尿系感染等并发症。结论针对性的护理措施及良好的专科指导能有效提高矫形内固定术治疗强直性脊柱炎胸腰椎骨折合并后凸畸形患者的临床治愈率,减少并发症,促进术后患者机体康复。

Objective To explore the strategies for nursing the ankylosing spondylitis （AS） patients with fractures of thoracolumbar vertebra combined with kyphotic deformity treated with osteotomy and internal fixation. Method The nursing histories of 8 AS patients with fractures of thoracolumbar vertebra combined with kyphotic deformity treated with osteotomy and internal fixation were retrospectively analyzed to summarize the nursing strategies. Result All the 8 patients lived through the perioperative periods, with kyphotic derformity corrected and no complications like pulmonary or urinary system infections. Conclusion Pertinent care and effective special instructions to the patients may be clinically effective in improvement of heal rates of fractures of thoracolumbar vertebra combined with kyphotic deformity, reduction of complications and facilitation of their rehabilitation.