胸腰椎压缩性骨折患者围术期综合护理路径研究

A STUDY OF COMPREHENSIVE NURSING PATH ON PERIOPERATION IN PATIENTS WITH THORACOLUMBAR COMPRESSION FRACTURES

目的分析脊柱压缩性骨折患者临床治疗路径及围术期护理方法。方法选取该院2014年1—12月收治的72例脊柱压缩性骨折患者作为临床研究对象,根据患者病情实施病椎单侧或双侧球囊后凸成形术。并于围术期给予二组患者临床综合护理举措,强化患者手术治疗效果。结果二组患者经临床手术治疗后,临床症状均有效缓解,随访1年,均未见不良反应情况。二组患者术后VAS评分同Oswestry功能障碍指数、活动能力评分对比差异无统计学意义(P>0.05)。结论脊柱压缩性骨折患者临床治疗中,根据患者具体病情实施单侧及双侧PKP术治疗,可获得相对满意的临床疗效,同时治疗过程中,通过定向辅以临床综合护理举措,能够显著强化患者预后生活质量,值得临床进一步应用推广。

Objective To analyze clinical treatment path of patients with spinal compression fractures and perioperative nursing method.Methods Totally 72 patients with spinal compression fractures were selected as clinical research subjects who admitted in the hospital from January 2014 to December 2014,and vertebral unilateral or bilateral protruding were implemented according to patient condition of disease after balloon angioplasty.Then the clinical comprehensive perioperative nursing measures were given to two groups of patients to strengthen the result of surgical treatment.Results Two groups of patients,after treatment for clinical surgery,were effective in relieving clinical symptoms and even followed up for 1 year,adverse reaction was not found.Two groups of patients with postoperative VAS score,Oswestry disability index,activity ability score comparison had no statistically significance difference,P〉0.05.Conclusion Clinical treatment of patients with spinal compression fractures,according to the specific patient implementation for the treatment of unilateral and bilateral PKP holds,can obtain relatively satisfactory clinical effect.In the course of treatment,by directional supplemented of clinical comprehensive nursing measures,the prognosis of patients can significantly strengthen the quality of life.It is worth further clinical application.