胸腰椎骨折手术的中西医结合护理

Investigation of integrated traditional and western medicine nurse on the thoracolumbar fracture surgery

目的观察经皮椎弓根螺钉内固定术治疗的胸腰椎骨折患者的中西医结合护理疗效。方法将60例胸腰椎骨折患者随机分为2组,均行经皮椎弓根螺钉内固定手术。中西医结合护理组30例予中西医结合护理,常规护理组30例予常规护理。观察2组术后10 d腹胀变化情况、术后并发症情况、术后首次排便时间及术后Frankel脊髓损伤分级变化。结果 2组术后10 d腹胀变化情况比较差异有统计学意义(P<0.05),中西医结合护理组腹胀改善较好。中西医结合护理组术后并发症较常规护理组少。中西医结合护理组术后首次排便时间较常规护理组提前(P<0.05)。2组术后Frankel脊髓损伤分级比较差异有统计学意义(P<0.05),中西医结合护理组脊髓损伤恢复较好。结论经皮椎弓根螺钉内固定术治疗胸腰椎骨折,应用中西医结合护理,并发症少,功能恢复较好。

Objective To explore the effectiveness of integrated traditional and Western medicine nurse on minimally invasive percutaneous pedicle screws osteosynthesis .Methods 60 patients with thoracolumbar fracture were randomly divided into two groups .60 cases suffered minimally invasive percutaneous pedicle screws osteosynthe-sis.30 cases in integrated traditional and western medicine nurse group received integrated traditional and western medicine nurse .30 cases in routine nurse group received routine nurse .The indicators of surgical trauma postoperative half a year were monitored .Furthermore,a comparative analysis between them was finished .Results There was sig-nificant difference between two groups on abdominal distension changes after 10 days of surgery （ P 〈0.05）.Abdom-inal distension improvement in integrated traditional and western medicine nurse group was better .Postoperative infec-tion＆#39;s incidence in integrated traditional and western medicine nurse group was less than that in routine nurse group . The first time defecation time were earlier in integrated traditional and western medicine nurse group （ P 〈0.05）. There was significant difference between two groups on postoperative Frankel classification of spinal cord injury （ P 〈0.05）.Conclusion There is fewer complications and better functional recoveries for minimally invasive percutane -ous pedicle screws osteosynthesis combined with integrative care in the treatment of thoracolumbar fractures .