经皮椎体成形术治疗多节段脊柱转移性肿瘤的疗效及护理干预  

The efficacy of percutaneous vertebroplasty treatment for multi-segmental spinal metastatic tumor and nursing intervention

作　　者：崔雅清[1] 王江华[1] 

机构地区：[1]陕西省人民医院手术室,陕西西安710068

出　　处：《实用临床医药杂志》2017年第12期80-83,共4页Journal of Clinical Medicine in Practice

基　　金：陕西省自然科学基础研究计划项目(2014JM4181)

摘　　要：目的探讨护理干预应用于经皮椎体成形术治疗多节段脊柱转移性肿瘤的临床疗效。方法选取本院50例多节段脊柱转移性肿瘤患者,均给予经皮椎体成形术治疗,根据随机数字法,将其分为对照组(常规护理)和观察组(护理干预),比较2组患者护理前后疼痛程度,椎体高度及椎体后凸Cobb角变化以及生活质量。结果与对照组相比,观察组护理后疼痛评分明显降低,术后患者椎体前缘/中央/后缘高度均明显增高,椎体后凸Cobb角明显减少,差异均有统计学意义(P<0.05);与对照组相比,观察组护理后患者生理功能、生理职能、躯体疼痛、精力、社会功能、情感职能、精神健康、总体健康评分等生活质量维度均明显提高,差异均有统计学意义(P<0.05)。结论经皮椎体成形术治疗多节段脊柱转移性肿瘤期间,围术期护理干预能够有效缓解手术疼痛,提高手术治疗效果及术后生活质量。Objective To study the clinical efficacy of nursing intervention applied in percutaneous vertebroplasty treatment for multi-segmental spinal metastatic tumor.Methods A total of 50 patients with multi-segmental spinal metastatic tumor in our hospital treated by percutaneous vertebroplasty were randomized into control group （routine nursing） and observation group （nursing intervention） according to the random number method.The operative pain, bertebral body height and Cobb angle, and life quality on before and after nursing in two groups were compared.Results Compared with the control group, the pain score was significantly decreased after nursing in the observation group （P〈0.05）;Compared with the control group, the bertebral body fronterior, central, posterior height were obviously increased and the Cobb angle was significantly decreased after operation in the observation group （P〈0.05）;Compared with the control group, the each dimension of life quality scores such as physiological role, physiological function, body pain, energy, social ability, emotional function, mental health and overall health were obviously increased after care in the observation group （P〈0.05）.Conclusion During the period of percutaneous vertebroplasty treatment for multi-segmental spinal metastatic tumor, nursing intervention can effectively relieve the operative pain, increase the operative treatment efficacy and operative life quality.

关 键 词：经皮椎体成形术 多节段脊柱转移性肿瘤 护理干预 生活质量 

分 类 号：R473.6[医药卫生—护理学]