序贯护理结合核心肌群锻炼缓解腰椎骨质疏松性骨折PKP术后疼痛的疗效观察

目的观察序贯护理结合核心肌群锻炼在腰椎骨质疏松性骨折PKP术后疼痛的疗效。方法选取2017年1月至2019年6月单节段腰椎骨质疏松性骨折行PKP手术且术后疼痛患者42例,按照随机数字表法分为对照组和观察组,每组各21例。对照组行常规术后护理和指导核心肌群锻炼,观察组在术后护理和指导核心肌群锻炼的基础上给予中药热熨、超声药物透入治疗及火龙灸序贯护理,比较患者术后第1、7、14天残余痛的NRS评分和JOA评分情况。结果两组患者在相应护理措施后残余痛的NRS评分和JOA评分均有改善,观察组NRS评分和JOA评分明显优于对照组(P<0.05)。结论序贯护理结合核心肌群锻炼对腰椎骨质疏松性骨折PKP术后残余疼痛的疗效更佳,患者易于接受,值得临床推广。

Objective To observe clinical efficacy of sequential nursing measures combined with core muscle group exercises to relieve residual pain after PKP for osteoporotic lumbar vertebral fractures.Methods From January 2017 to June 2019,a total of 42 patients with single segment of osteoporotic lumbar vertebral fractures were subjected to PKP procedures.They were randomly divided into a control group and an observation group(n=21).There was no significant difference in age,surgical method,and postoperative pain score of patients between groups.The control group was performed routine postoperative care and guided core muscle group exercises,while the observation group was given Chinese medicine hot ironing,ultrasound drug penetration treatment and fire dragon moxibustion based on postoperative care and guided core muscle group exercises.The residual pain(NRS score and JOA score)of the two groups were compared on the 1st,7th and 14th days after surgery.Results The NRS score and JOA score of residual pain of all patients improved after corresponding nursing measures,while the scores of the observation group were significantly better than the control group(P<0.05).Conclusions Sequential nursing measures combined with core muscle group exercise is more effective in releasing residual pain after PKP for osteoporotic lumbar vertebral fractures,which is easy for patients to understand and accept,and it is worthy of widespread clinical application.