唑来膦酸注射液联合FTS理念的护理在胸腰椎骨质疏松性椎体压缩骨折围手术期中的应用  

Application of Zoledronic Acid Injection Combined with Nursing Intervention Based on FTS Concept in Perioperative Period of Osteoporotic Thoracolumbar Compression Fracture

作　　者：赵英玲 ZHAO Ying-ling(Anesthesia Surgery Department,Xinxiang Central Hospital,Xinxiang Henan 453000,China)

机构地区：[1]新乡市中心医院麻醉手术部,河南新乡453000

出　　处：《药品评价》2018年第21期42-44,48,共4页Drug Evaluation

摘　　要：目的:探讨唑来膦酸注射液联合快速康复外科(FTS)理念的护理在胸腰椎骨质疏松性椎体压缩骨折围手术期中的应用效果。方法:在新乡市中心医院接受治疗的胸腰椎骨质疏松性椎体压缩骨折患者84例。随机数表法分为两组,各42例。均采用经皮椎体成形术治疗,且在术后第72h静脉滴注唑来膦酸注射液,1次/年。对照组行常规护理干预,观察组行FTS理念的护理干预。统计对比两组住院时间、住院总费用及并发症发生情况,并比较入院时、术前、术后24h、72h、出院时视觉模拟疼痛评分法(VAS)评分变化。结果:观察组住院时间较对照组短,住院总费用较对照组少(P<0.05);术后24h、72h、出院时,观察组VAS评分较对照组低(P<0.05);观察组术后并发症发生率(4.76%)较对照组(23.81%)低(P<0.05)。结论:唑来膦酸注射液联合FTS理念的护理应用于胸腰椎骨质疏松性椎体压缩骨折围手术期,可降低患者并发症发生率及治疗费用,减轻术后疼痛,缩短住院时间。Objective To explore the effect of zoledronic acid injection combined with nursing intervention based on fast track surgery （FTS） concept in perioperative period of osteoporotic thoracolumbar compression fracture. Methods： 84 cases of osteoporotic thoracolumbar compression fracture treated in our hospital were randomly divided into two groups, with 42 cases in each group. All patients were treated with percutaneous vertebroplasty, and zoledronic acid injection was injected intravenously at 72h after operation, 1 time a year. The control group received routine nursing intervention, and the observation group received nursing intervention based on FTS concept. The hospitalization time, total hospitalization expenses and complications were compared between the two groups. The changes of visual analogue scale （VAS） score were compared between two groups at admission, before and 24h and 72h after operation, and at the time of discharge. Results： The length of stay in the observation group was shorter than that in the control group, and the total hospitalization cost was less than that in the control group（P〈0.05）. After 24h and 72h after operation and at the time of discharge, the VAS score of the observation group was lower than that of the control group（P〈0.05）. The incidence of postoperative complications in the observation group （4.76%） was lower than that in the control group （23.81%）（P〈0.05）. Conclusion： Zoledronic acid injection combined with nursing intervention based on FTS concept in perioperative period of osteoporotic thoracolumbar compression fracture can reduce the incidence of complications and treatment costs, reduce postoperative pain and shorten hospitalization time.

关 键 词：胸腰椎骨质疏松性椎体压缩骨折 唑来膦酸注射液 FTS理念 

分 类 号：R982[医药卫生—药品]