椎体后凸成形术治疗胸腰椎压缩骨折及椎体肿瘤68例效果观察及护理  

Observation on the efficacy of percutaneous kyphoplasty for the treatment of 68 cases of thoracolumbar vertebral compression fracture and vertebral tumours and nursing care

作　　者：魏红[1] 王琴[2] 

机构地区：[1]山东省千佛山医院,山东济南250014 [2]济南市长清区中医院

出　　处：《齐鲁护理杂志（下半月刊）（外科护理）》2009年第6期19-20,共2页Journal of Qilu Nursing

摘　　要：目的：探讨经皮穿刺椎体后凸成形（PKP）术治疗胸腰椎压缩骨折及椎体肿瘤的效果及围术期护理方法。方法：对68例患者在C型臂X光机引导下行PKP术,术前进行心理疏导,术中严格无菌操作,术后观察生命体征、肢体活动情况,并给予康复训练。结果：患者均于术后4-48 h疼痛明显缓解并下床活动,疼痛指数和运动能力均提高（P〈0.01）。结论：PKP术是治疗胸腰椎压缩骨折及椎体肿瘤的有效方法,具有创伤小,手术时间短,出血量少等优点,值得临床推广应用。Objective ： To study the efficacy of percutaneous kyphoplasty （ PKP ） for the treatment of thoracolumbar vertebral compression fracture and vertebral tumours and perioperative nursing methods. Methods ： 68 patients who had PKP with the guidance of C - arm X - ray machine were given preoperative psychological care and strict aseptic technique was operated in operation. The observation was made on vital signs and physical activities after operation, and rehabilitation training was also applied to the patients. Results ： All the patients could get out of bed to move on the ground and pain was obviously alleviated in 4 to 48 hours after operation, pain index and exercise capacity were increased （ P 〈 0. 0 ）. Conclusion ： PKP is one of effective therapies in the treatment of thoraeolumbar vertebral compression fractures and vertebral tumor, with less trauma, shorter operative time and less bleeding, etc. , it can be widely used in clinical practice.

关 键 词：椎体后凸成形术 胸腰椎压缩骨折 椎体肿瘤 护理 

分 类 号：R473.6[医药卫生—护理学]