舒适护理对老年骨质疏松伴胸腰椎骨折患者生活质量的影响

Effect of comfortable nursing on the life quality in senile osteoporosis patients with thoracolumbar fracture

目的：探讨舒适护理对老年骨质疏松伴胸腰椎骨折患者生活质量的影响。方法选择2011年2月-2013年2月80例老年骨质疏松伴胸腰椎骨折患者，随机分为对照组和观察组，每组40例。对照组采取常规护理，采取观察组舒适护理，比较两组患者治疗前后VAS疼痛评分、椎体前后壁比值、后凸Cobbs角和并发症发生率。结果治疗后观察组VAS评分为（1．5±177;0．3）分、后凸Cobbs角为（9．0±177;4．0）±176;，均低于对照组；椎体前后壁比值为（81．0±177;3．0），高于对照组；两组比较差异均有统计学意义（t值分别为2．29，2．38，2．82；P＜0．05）；与治疗前相比，治疗后两组VAS评分、椎体前后壁比值、后凸Cobbs角均有改善，差异有统计学意义（ P＜0．05）。并发症发生率观察组为5．0％，对照组为20．0％，差异有统计学意义（χ2＝4．11，P＜0．05）。结论围术期给予舒适护理，能够提高老年骨质疏松伴胸腰椎骨折患者的临床疗效，值得临床推广。

Objective To explore the effect of comfortable nursing on the life quality in senile osteoporosis patients with thoracolumbar fracture .Methods Eighty senile osteoporosis patients with thoracolumbar fracture from February 2011 to February 2013 were chosen and randomly divided into the control group and the observation group , each with 40 cases.The control group received the routine nursing , and the observation group received the comfortable nursing .The score of visual analogue scale （ VAS ） , the ratio of vertebral anterior and posterior wall , the kyphotic Cobbs angle and the incidence rate of the complication were compared between two groups before and after the treatment .Results The score of VAS, the kyphotic Cobbs angle were respectively （1.5 ±177;0.3）, （9.0 ±177;4.0）±176;in the observation group after the treatment , and were lower than （4.0 ±177;2.0）, （12.5 ±177;4.5）±176;in the control group; the ratio of vertebral anterior and posterior wall was （81.0 ±177;3.0）, and was higher than （70.0 ±177;3.5） in the control group, and the differences were statistically significant （t=2.29, 2.38, 2.82, respectively; P＆lt;0.05）.Compared with those before the treatment , the score of VAS, the ratio of vertebral anterior and posterior wall , the kyphotic Cobbs angle were improved in two groups after the treatment, and the differences were statistically significant （P＆lt;0.05）.The incidence rate of the complication was 5.0%in the observation group , and was 20.0% in the control group , and the difference was statistically significant （χ2 =4.11, P ＆lt;0.05）.Conclusions The perioperative comfort nursing can significantly increase the clinical effect in senile osteoporosis patients with thoracolumbar fracture , and is worthy of clinical promotion .