微创椎弓根螺钉固定治疗胸腰椎骨折的疗效观察及护理体会

The Efficacy Observation and Nursing Experience of Minimally Invasive Pedicle Screw Fixation in the Treatment of Thoracolumbar Fractures

目的探讨微创椎弓根螺钉固定治疗胸腰椎骨折的临床疗效及护理体会。方法：2011年9月～2014年4月期间，我院诊治的42例胸腰椎骨折患者，均采用微创椎弓根螺钉固定手术治疗，根据随机数字法将其分为对照组（常规护理）和观察组（护理干预），每组各21例，对2组术前、术后疼痛评分（VAS）、并发症发生率，以及治疗依从性、护理满意度，进行观察和比较。结果：与对照组相比，观察组术后VAS评分明显降低（1．6±0．7vs2．3±0．8），P〈0．05；与对照组相比，观察组并发症发生率显著降低（4．8％vs 28．6％），P〈0．05；与对照组相比，观察组治疗依从性（95．2％VS 66．7％）和护理满意度（95．2％VS 71．4％）均明显提高，P〈0．05。结论：微创椎弓根螺钉固定治疗胸腰椎骨折期间，给予个性化的护理干预能够明显提高患者围术期舒适度，降低术后并发症的发生率，提升治疗依从性及护理满意度，值得临床广泛推广。

Objective To study the clinical efficacy and nursing experience of minimally invasive pedicle screw fixation in the treat-ment of thoracolumbar fractures. Methods： The 42 patients with thoracolumbar fractures in our hospital during the period from Sep 2011 toApril 2014 were randomized into the control group （ routine nursing） and the observation group （ nursing intervention）, 21 patients pergroup. The pain scores （VAS） on pre - and post -operation, the incidence of complications, and the treatment compliance and nursingsatisfaction degree in the two groups were observed and compared. Results： compared with the control group, the VAS scores on post -operation was significantly decreased in the observation group（ 1.6±0.7vs2.3 ±0.8 ）, P 〈 0.05 ; compared with the control group, theincidence of complications was obviously reduced in the observation group （4.8% vs 28.6% ）, P 〈 0.05; compared with the controlgroup, the treatment compliance （95.2% vs 66.7 % ）and nursing satisfaction degree （95.2% vs 71.4% ） were significantly improved inthe observation group, P 〈 0.05. Conclusion ： The individualized nursing intervention during the treatment of minimally invasive pediclescrew fixation for thoraeolumbar fractures can significantly increase the patients＂ comfort, reduce the incidence of complications, improvethe treatment compliance and nursing satisfaction degree, and is worthy of clinical promotion.