手术体位对经皮球囊撑开骨水泥填充椎体成形术治疗骨质疏松性椎体压缩骨折的效果影响  

Effect of operative position on osteoporotic vertebral compression fractures treated by percutaneous balloon distraction bone cement vertebroplasty

作　　者：吴祥凤[1] 

机构地区：[1]江苏省扬州市江都人民医院护理部,江苏扬州225200

出　　处：《中西医结合护理（中英文）》2015年第1期65-68,共4页Journal of Clinical Nursing in Practice

摘　　要：目的讨论手术体位对经皮球囊撑开骨水泥填充椎体成形术治疗骨质疏松椎体压缩骨折的疗效影响。方法将50例骨质疏松性椎体压缩骨折的老年患者随机分为研究组和对照组各25例,研究组手术体位采取过伸俯卧位,对照组采取常规俯卧位,观察2组患者手术前后疼痛视觉模拟评分(VAS)、骨折椎体高度及Cobb角、术后并发症发生情况等手术效果评价指标。结果研究组在摆放体位后可达到较大程度的椎体复位,术后疼痛明显缓解,椎体高度和Cobb角与对照组比较有显著改善,差异均有统计学意义(P<0.05),术后未发生骨水泥渗漏等并发症。结论在经皮球囊撑开骨水泥填充椎体成形手术中,过伸体位对缓解疼痛、恢复骨折椎体高度及后凸畸形、减少并发症起着重要作用,护士应加强术前心理护理、体位训练并掌握术中摆放体位的要点,以提高手术疗效。Objective To discuss the effect of operative position on osteoporotic vertebral compression fractures treated by percutaneous balloon distraction bone cement vertebroplasty. Meth- ods A total of 50 patients with osteoporotic vertebral compression fractures were randomly divided into study group and control group with 25 cases in each group. Operation posture in the study group applied hyperextension position, and the control group applied routine prone position. The vi- sual analog scale （VAS）, height of fracture vertebral body, Cobb angle and postoperative complica- tions were observed in the two groups. Results After posture, study group could achieve a greater degree of vertebral body and the pain was alleviated after operation. Compared with the control group, vertebral height and Cobb angle was significantly improved. The differences were statistical- ly significant （P 〈 0.05）. No postoperative complications such as bone cement leakage were found. Conclusion Hyperextension position in percutaneous balloon distraction bone cement vertebroplasty plays an important role in relieving pain, restoring the fracture vertebral height and kyphotic defor- mity, reducing complications. Nurses should strengthen the psychological nursing and posture train- ing, and master the key points to improve the operation effect.

关 键 词：球囊撑开骨水泥填充椎体成形术 骨质疏松 椎体压缩骨折 手术体位 护理 

分 类 号：R473.6[医药卫生—护理学]