老年骨质疏松椎体压缩性骨折行经皮穿刺球囊扩张椎体成形术50例围术期护理  

Perioperative nursing care in the treatment of 50 elderly patients with osteoporotic vertebral compression fracture by applying percutaneous balloon kyphoplasty

作　　者：林芳英[1] 

机构地区：[1]浙江省人民医院,浙江杭州322000

出　　处：《齐鲁护理杂志（下半月刊）（外科护理）》2008年第12期7-8,共2页Journal of Qilu Nursing

摘　　要：目的:探讨老年骨质疏松椎体压缩性骨折患者行经皮穿刺球囊扩张椎体成形术围术期的护理方法。方法:对50例老年骨质疏松椎体压缩性骨折患者于C型臂X线机透视引导下行经皮穿刺球囊扩张椎体成形术,术前给予心理疏导、肠道准备,术后做好体位护理、并发症护理、功能锻炼、康复训练及出院指导。结果:本组均顺利完成手术,术后疼痛均得到缓解,其中42例术后24h疼痛完全缓解,6例部分缓解,2例骨水泥外漏,出现腹痛、腹胀、咳嗽、发热、白细胞升高,经抗炎治疗3d后症状消失。结论:对老年骨质疏松椎体压缩性骨折患者行经皮穿刺球囊扩张椎体成形术,围术期给予精心护理,可使患者顺利接受手术,减轻手术疼痛,早日康复。Objective： To explore perioperative nursing methods in the treatment of elderly osteoporotic vertebral compression fracture by applying percutaneous balloon kyphoplasty. Methods ： Percutaneous balloon kyphoplasty was applied under the guide of C - arm x - ray to 50 elderly patients. Comprehensive perioperative nursing care was given to the patients, including preoperative psycho guidance, intestinal preparation, postoperative posture nursing care, nursing care for compli- cation, functional exercise, rehabilitated training and instruction for the discharged patients. Results ： The pain of 42 patients was relieved completely within 24 hours after operation, partial relieved in 6 patients. Abdominal pain and distention, cough, fever occurred in 2 patients because of leakage of bone cement and the symptoms of the patients disappeared through anti - inflammation treatment. Conclusion ： Careful nursing care can ensure the success of the operation and relieve the pain resulting from operation so as to promote patients＇ recovery when Percutaneous balloon kyphoplasty is applied to elderly pa- tients with osteoporotic vertebral compression fracture.

关 键 词：骨质疏松 椎体压缩性骨折 经皮穿刺球囊扩张椎体成形术 围术期护理 

分 类 号：R473.6[医药卫生—护理学]