3D打印个体化保护支具在颅骨缺损患者中的应用效果

Application effect of 3D printing individualized protective support in patients with skull defect

目的探讨3D打印个体化保护支具在颅骨缺损患者中的应用效果。方法选取2019年1月~2020年9月宜春市人民医院收治的30例颅内血肿清除术后颅骨缺损患者,采用随机数字表法分为对照组和观察组,每组各15例。对照组采用常规护理,观察组在常规护理基础上加用3D打印个体化保护支具进行护理,持续观察至术后1个月。比较两组并发症总发生率、自理能力、运动能力、生活质量及患者满意度。结果两组并发症总发生率比较,差异无统计学意义(P>0.05);术后1个月,观察组Barthel指数(BI)、Fugl-Meyer运动功能评定量表(FMA)评分高于对照组,差异有统计学意义(P<0.05);术后1个月,观察组生命质量测定量表(QLQ-C30)与纽卡斯尔护理满意度量表(NSNS)评分高于对照组,差异有统计学意义(P<0.05)。结论3D打印个体化保护支具设计能够提升颅骨缺损区保护效果,减少局部并发症的发生,促进患者自理能力、运动能力恢复,改善患者生活质量,提升护理满意度。

Objective To explore the application effect of 3D printing individualized protective support in patients with skull defect.Methods A total of 30 patients with skull defect after intracranial hematoma removal admitted to Yichun People′s Hospital from January 2019 to September 2020 were selected and divided into the control group and the observation group according to random number table method,with 15 cases in each group.The control group used conventional nursing care,and the observation group used 3D printed individualized protective braces related nursing care on the basis of the control group,and continued observation until 1 month after surgery.The total incidence of complications,self-care ability,exercise ability,quality of life and patient satisfaction were compared between the two groups.Results There was no statistically significant between the two groups in the total incidence of complications(P>0.05).One month after surgery,the Barthel index(BI),Fugl-Meyer assessment(FMA)score of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).One month after surgery,the scores of quality of life questionnare-core 30(QLQ-C30)and Newcastle Satisfaction with nursing scales(NSNS)of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion The design of the 3D printing individualized protective brace can improve the protective effect of the skull defect area,reduce the occurrence of local complications,promote the recovery of patients′self-care ability and exercise ability,improve their quality of life,and increase nursing satisfaction.