后路椎弓根螺钉内固定治疗腰椎骨折患者的手术室护理配合分析

Analysis of Nursing Cooperation in Operating Room for Patients with Lumbar Fracture Treated by Posterior Pedicle Screw Internal Fixation

目目的:探讨后路椎弓根螺钉内固定治疗腰椎骨折患者的手术室护理配合效果。方法:选取我院2020年1月-2020年12月就诊的腰椎骨折患者86例,按随机数字表法分为2组,各43例。2组患者在入院后均接受后路椎弓根螺钉内固定治疗,对照组采用常规护理,观察组实施综合性的手术室护理干预。对比2组患者康复进程、并发症发生率、康复情况、腰椎功能及生存质量。结果:观察组康复进程包括固定治疗时间、骨折愈合时间、引流管留置时间、导尿管留置时间、开始锻炼时间以及住院时间分别为(72.56±8.35)分钟、(15.04±3.45)周、(3.41±0.63)天、(15.35±3.40)小时、(5.74±0.85)天、(4.85±0.56)天,短于对照组的(85.23±8.52)分钟、(19.41±2.05)周、(4.67±1.15)天、(26.59±3.72)小时、(6.52±0.21)天、(6.57±0.98)天,差异有统计学意义(P<0.05);并发症发生率为4.65%,低于对照组的13.95%,差异有统计学意义(P<0.05);椎体前缘、椎体后缘、Cobb角分别为(1.95±0.12)cm、(1.36±0.21)cm、14.23°±2.36°,优于对照组的(1.57±0.22)cm、(0.85±0.36)cm、25.52°±3.38°,有统计学差异(P<0.05);术前,2组下腰痛JOA评分系统、生活质量综合评定问卷(GQOL-74)评分比较,无统计学差异(P>0.05);术后1个月,观察组JOA评分系统中主观症状、直腿抬高、感觉障碍、肌力下降、日常活动、膀胱功能评分及CQOL-74量表中心理、躯体、社会功能及物质生活评分均高于对照组,有统计学差异(P<0.05)。结论:后路椎弓根螺钉内固定治疗腰椎骨折患者的手术室护理可有效促进患者术后愈合,减少并发症发生,缩短住院时间,改善腰椎功能及生存质量,值得应用。

Objective:To explore the effect of nursing cooperation in the operating room in the treatment of lumbar fractures with pos-terior pedicle screw internal fixation.Methods:86 patients with lumbar spine fracture who were treated in our hospital from January 2020 to December 2020 were randomly divided into two groups with 43 cases in each group.Both groups received posterior pedicle screw fixa-tion after admission.The control group received routine nursing,and the observation group received comprehensive operating room nurs-ing intervention.The rehabilitation process,complication rate,rehabilitation status,lumbar function and quality of life were compared between the two groups.Results:The rehabilitation progress of the observation group was(72.56±8.35)min,(15.04±3.45)W,(3.41±0.63)d,(15.35±3.40)h,(5.74±0.85)d,(4.85±0.56)d,which was shorter than that of the control group(85.23±8.52)min,(19.41±2.05)W,(4.67±1.15)d,(26.59±3.72)h,(6.52±0.21)d,(6.57±0.98)d,and the difference was statistically significant(P<0.05);The incidence of complications was 4.65%,lower than 13.95% in the control group;The anterior edge,posterior edge and Cobb angle of the vertebral body were(1.95±0.12)cm,(1.36±0.21)cm and(14.23±2.36)°respectively,which were better than those of the control group(1.57±0.22)cm,(0.85±0.36)cm and(25.52±3.38)°with statistical difference(P<0.05);Before operation,there was no significant difference in JOA scoring system and gqol-74 scores between the two groups(P>0.05);One month after operation,the subjective symptoms,straight leg elevation,sen-sory disturbance,muscle strength decline,daily activities,bladder function scores and psychological,physical,social and material life scores in gqol-74 scale in the observation group were higher than those in the control group(P<0.05).Conclusion:The operating room nursing of patients with lumbar fracture treated by posterior pedicle screw internal fixation can effectively promote postoperative heal-ing,reduce complications,shorten hospital stay,improve lumbar function and quality of life,which is worthy of application.