中西医结合干预骨质疏松性胸腰椎压缩性骨折术后临床研究

Clinical Study of Integrated Chinese and Western Medicine Intervening Postoperative Osteoporotic Thoracolumbar Vertebral Compression Fracture

目的:观察中西医结合干预骨质疏松性胸腰椎压缩性骨折(OVCF)术后患者的临床效果。方法:将140例OVCF患者随机分为对照组和观察组各70例,均采用经皮椎体成形术或经皮椎体后凸成形术治疗。术后2组均予抗感染、对症止痛处理、常规护理,服用阿法骨化软胶囊、碳酸钙D3片,观察组加用情志护理、饮食护理、艾盐包热熨、吴茱萸粉贴敷和耳穴贴压等中医护理措施。连续干预3天。记录出血、腹胀、便秘、感染、压疮、尿潴留、下肢静脉血栓等并发症的发生情况,记录护理满意度评分和住院天数,干预3天后进行疼痛程度评分。结果:观察组腹胀、便秘和尿潴留的发生率均低于对照组(P <0.05)。观察组住院天数少于对照组,护理满意度评分高于对照组,差异均有统计学意义(P <0.05)。干预3天后,观察组的疼痛程度轻于对照组,差异有统计学意义(P <0.05)。结论:中西医结合干预OVCF术后患者可有效减轻疼痛,减少术后并发症的发生,缩短住院天数,患者对护理的满意度较高。

Objective: To observe the clinical effect of the intervention of integrated Chinese and western medicine for patients with postoperative osteoporotic thoracolumbar vertebral compression fracture(OVCF). Methods: Divided 140 cases of OVCF patients randomly into the control group and the observation group, 70 cases in each group. All patients were treated with percutaneous vertebroplasty plastic operation or percutaneous kyphoplasty. Both groups were given anti-infection,symptomatic pain management,routine nursing after surgery,taken alfacalcidol soft capsule and calcium carbonate and vitamin D3 tablets. The observation group was additionally given such Chinese medicine nursing measures as emotional care,diet nursing,hot medicated compress of moxa salt bag,Wuzhuyu powder application and auricular point sticking. The intervention lasted for 3 days. Recorded the incidence of such complications as bleeding, abdominal distension,constipation,infection, pressure sore, urinary retention, and deep vein thrombosis as well as nursing satisfaction scores and hospitalization days. Graded the pain degree scores 3 days after the intervention. Results: The incidence of abdominal distension, constipation and urinary retention in the observation group was lower than that in the control group(P < 0.05). The number of hospitalization days in the observation group was lower than that in the control group, and the nursing satisfaction score was higher than that in the control group, differences being significant(P < 0.05). After 3 days of intervention, the pain degree in the observation group was lighter than that in the control group, difference being significant(P < 0.05). Conclusion:The application of integrated Chinese and western medicine intervening postoperative OVCF in patients can effectively relieve pain,reduce the incidence of postoperative complications,and shorten the hospitalization days. Patients have a higher satisfaction degree toward the nursing.