快速康复在高龄骨质疏松性胸腰椎骨折围手术期护理的应用

Rapid rehabilitation in perioperative nursing for osteoporotic vertebral compression fracture treated with PKP enhances recovery

目的 探讨快速康复理念在高龄骨质疏松性胸腰椎骨折患者中的应用效果.方法 研究对象为110位年龄在75-93岁之间的患者,分成研究组和对照组,每组55例.研究组在护理中采用快速康复理念,对照组则采用常规护理方式.通过比较两组患者的术前、术后当天、术后第一天、出院时的VAS评分、住院天数、下地活动时间,以及围手术期间可能出现的并发症,如便秘、下肢静脉血栓、肺部感染、压疮、伤口感染和肺栓塞等,以评估快速康复在这一群体中的应用效果.这项研究旨在为老年骨质疏松性胸腰椎骨折患者的治疗提供更有效的方法,从而减少并发症的发生,缩短康复时间,提高生活质量.结果 研究结果显示,研究组的VAS评分在各个评分时点均比对照组低,尤其在术前、术后当天和手术后第一天差异显著(P<0.05),而出院时评分则无显著差异.研究组的住院时间明显短于对照组,差异显著(P<0.05).研究组患者的康复进程也更快,早于对照组开始下地活动,结果同样显著(P<0.05).此外,研究组中仅有5例患者出现便秘,而对照组则有18例,两组在此方面相比,也存在显著性差异(P<0.05).值得注意的是,两组患者均未出现下肢静脉血栓、肺部感染、压疮、伤口感染、肺栓塞等并发症,显示了加速康复方案的安全性和有效性.这些结果表明,加速康复护理方案在胸腰椎骨折术后的应用能够显著缩短患者住院时间,加快康复速度,减少并发症发生率,值得在临床中推广应用.结论 高龄骨质疏松性胸腰椎骨折患者在围手术期应采用快速康复理念进行护理,能有效减轻疼痛,促进早期下地活动,缩短住院时间,有助于患者更快地康复.

Objective Investigate the use of rapid rehabilitation in perioperative nursing for patients with osteoporotic vertebral compression fractures to improve outcomes.Methods A total of 110 elderly patients with osteoporotic thoracolumbar fractures,aged between 75 and 93 years old,were included in this study.These patients were randomly assigned to two groups,with 55 patients in each group.The study group received rapid rehabilitation while the control group received routine nursing care.Various parameters such as VAS scores,length of hospital stay,time of field activity,and perioperative complications were compared between the two groups at different time points.The aim of this study was to evaluate the effectiveness of rapid rehabilitation in the management of osteoporotic vertebral compression fractures in elderly patients.The findings of this study provide valuable insights into the benefits of rapid rehabilitation in improving outcomes for this population.Results The research results showed that the VAS scores of the study group were lower than those of the control group at all scoring points,especially before surgery,on the day after surgery,and on the first day after surgery(P<0.05),while there was no significant difference in the scores at discharge.In addition,the hospitalization time of the study group was significantly shorter than that of the control group,with a significant difference(P<0.05).The rehabilitation process of the study group patients was also faster,starting ground activities earlier than the control group,and the results were equally significant(P<0.05).In addition,only 5 patients in the study group experienced constipation,while there were 18 patients in the control group.There was also a significant difference between the two groups in this regard(P<0.05).It is worth noting that both groups of patients did not experience complications such as lower limb venous thrombosis,pulmonary infection,pressure ulcers,wound infection,pulmonary embolism,etc.,demonstrating the safety and effectiveness of the accelerated rehabilitation program.These results indicate that the application of accelerated rehabilitation nursing programs after thoracolumbar spine fracture surgery can significantly shorten patient hospitalization time,accelerate rehabilitation speed,and reduce the incidence of complications.It is worth promoting and applying in clinical practice.Conclusion Elderly patients with osteoporotic thoracolumbar fractures should be cared for with the concept of rapid recovery during the perioperative period,which can effectively reduce pain,promote early mobilization,shorten hospitalization time,and help patients recover faster.