扶正祛邪推拿护理对胸腰椎压缩性骨折患者预后的影响

Influence of Massage Nursing on the Prognosis of the Patients Suffering Thoracolumbar Vertebral Compression Fracture

目的:探讨扶正祛邪推拿护理对胸腰椎压缩性骨折患者预后的影响。方法:采用回顾性分析的研究方法,将95例患者按护理方法的不同分为观察组50例与对照组45例,所有患者都给予椎弓根螺钉内固定治疗,对照组在术后给予常规护理,观察组在对照组护理的基础上给予扶正祛邪推拿护理,持续14天。比较2组围手术期相关指标、术前1天与术后14天胸腰椎功能障碍(ODI)评分、术后并发症的发生情况、血清白细胞介素6(IL-6)和肿瘤坏死因子α(TNF-α)水平。结果:所有患者都顺利完成治疗,2组手术时间、术中出血量、单椎体骨水泥量比较,差异无统计学意义(P>0.05)。ODI评分干预前后2组组内比较,差异有统计学意义(P<0.05);干预后2组组间比较差异也有统计学意义(P<0.05)。并发症发生率观察组为6.0%,对照组为26.7%,2组比较差异有统计学意义(P<0.05)。血清IL-6和TNF-α水平干预前后2组组内比较,差异有统计学意义(P<0.05);干预后2组组间比较差异也有统计学意义(P<0.05)。结论:扶正祛邪推拿护理可改善胸腰椎压缩性骨折患者胸腰椎功能,缩短住院时间,减少并发症的发生,其作用机制可能与抑制炎症因子释放有关。

Objective: To explore the effects of strengthening body resistance and eliminating evil massage nursing on the prognosis of the patients with thoracolumbar vertebral compression fracture. Methods: Using retrospective study method, 95 patients were separated into 50 cases of the observation group and 45 cases of the control group according to nursing methods, all the patients were treated with internal fixation of pedicle screw, the control group was given conventional nursing after the surgery, the observation group strengthening body resistance and eliminating evil massage nursing on the foundation of conventional nursing, for 14 days continuously. To compare perioperative related indexes, ODI scores one day before the surgery and 14 days after the surgery, the incidence of postoperative complications and the levels of IL-6 and TNF-α. Results: All the patients finished the treatment smoothly, the difference showed no statistical meaning in surgical time, intraoperative bleeding volume and single centrum bone cement content between both groups(P>0.05). The difference was statistically significant in ODI scoes within two groups before and after the intervention(P <0.05);the difference showed statistical meaning between both groups after the intervention(P<0.05). The incidence of the complications in the observation group was 6.0%, lower than 26.7% of the control group, and the difference could be found(P<0.05). The difference had statistical meaning in the levels of IL-6 and TNF-α within two groups before and after the intervention(P<0.05);the difference was statistically significant between both grops after the intervention(P <0.05). Conclusion:Strengthening body resistance and eliminating evil massage nursing could improve thoracolumbar function, shorten hospitalization time, reduce the incidence of the complications, and its mechanism might be related to inhibiting the release of inflammatory factors.