临床路径在SKY骨扩张器椎体后凸成形术中的应用  

Application of Clinical Pathway in Percutaneous Kyphoplasty with Sky-bone Expander System

作　　者：戚美芬[1] 

机构地区：[1]南京医科大学附属常州市第二人民医院骨科,江苏常州213003

出　　处：《解放军护理杂志》2010年第7期515-516,529,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨临床路径应用于SKY骨扩张器椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折患者的效果,规范该类患者手术前后的护理管理。方法按入院单双日将患者随机分为观察组和对照组,每组25例,观察组应用临床路径管理,对照组按照常规工作模式管理,比较两组患者的平均住院天数、住院费用、术后并发症及不良反应发生率。结果观察组患者的平均住院天数、平均住院费用、术后并发症及不良反应的发生率均较对照组降低,差异有统计学意义(P<0.01)。结论在SKY骨扩张器椎体后凸成形术治疗骨质疏松性椎体压缩骨折患者中实施临床路径管理,可缩短平均住院日、降低医疗成本、减少不良反应及并发症的发生。Objective To evaluate the efficacy of percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture by applying clinical pathway,and to standardize the nursing service before and after surgery.Methods The patients were randomly divided into the observational and the control group with 25 patients in each group according to odd or even days of admission.Comparing the patients in the observational group managed by clinical pathway,patients in the control group were managed by routine approach.A comparison was conducted between the two groups in the average day and cost for hospitalization,the incidence of post-operative complications and adverse reactions.Results The average day and cost for hospitalization and the incidence of post-operative complications and adverse reactions of the observational group were significantly lower than those of the control group（P0.01）.Conclusion Clinical pathway management of percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture can shorten the average day for hospitalization,lower the cost for hospitalization,and reduce the incidence of post-operative complications and adverse reactions.

关 键 词：临床路径 经皮椎体后凸成形术 椎体压缩骨折 护理 

分 类 号：R197.323[医药卫生—卫生事业管理]