胸腰椎骨折后路内固定术患者的手术护理价值及术后VAS评分评价  

Surgical Nursing Value and Evaluation of Postoperative VAS Scores for Patients with Thoracolumbar Fracture

作　　者：郭宝侠[1] GUO Bao-xia(Operating Room,Fengxian People's Hospital,Xuzhou,Jiangsu Province,221700 China)

机构地区：[1]丰县人民医院手术室,江苏徐州221700

出　　处：《中外医疗》2020年第10期147-149,共3页China & Foreign Medical Treatment

摘　　要：目的研究胸腰椎骨折后路内固定术患者实施手术配合护理干预的手术护理价值及术后VAS评分。方法方便选择92例该院所收治的胸腰椎骨折后路内固定术患者2016年8月-2019年8月作为该研究的时间范围,采用随机数字表法将其分为实验组与参照组,各为46例。其中参照组护理措施为常规胸腰椎骨折后路内固定术护理,实验组干预方法为手术配合护理干预,对比两组患者围术期各项指标及术后并发症。结果实验组手术时长(84.15±7.53)min、出血量(121.36±11.28)mL、引流量(60.39±5.64)mL、术后VAS分(1.37±0.32)分;参照组分别为(99.86±9.91)min、(152.55±14.63)mL、(94.37±9.06)m L、(2.08±0.68)分(t=8.561、11.451、21.595、6.407,P<0.05),实验组出血量、引流量、术后VAS分低于参照组,较之于参照组,实验组手术时长较短,组间差异有统计学意义(P<0.05)。实验组术后切口裂开1例,占比2.17%;术后切口感染1例,占比2.17%;术后切口渗血1例,占比2.17%。实验组术后总并发症3例,占比6.52%。参照组术后切口裂开4例,占比8.70%;术后切口感染3例,占比6.52%;术后肺部感染3例,占比6.52%;术后切口渗血3例,占比6.52%。实验组术后总并发症13例,占比28.26%。实验组切口裂开、切口感染、肺部感染、切口渗血等并发症发生率(6.52%)低于参照组(28.26%),组间差异有统计学意义(χ~2=7.566,P=0.006 <0.05)。结论胸腰椎骨折后路内固定术患者通过手术配合护理干预可有效降低其术后疼痛感与术中创伤,进而避免患者发生术后并发症。Objective To study the value of surgical care and postoperative VAS score in patients with thoracolumbar fractures undergoing posterior internal fixation combined with nursing intervention. Methods A total of 92 patients with posterior internal fixation of thoracolumbar fracture treated in the hospital were convenientlly selected from August 2016 to August 2019 as the time range of this study. They were divided into experimental group and reference group by random number table method, there were 46 cases each. Among them, the nursing measures in the reference group were conventional posterior internal fixation for thoracolumbar fractures. The intervention method in the experimental group was surgery combined with nursing intervention. The perioperative indicators and postoperative complications of the two groups were compared. Results The operation time of the experimental group was(84.15 ±7.53) min, the bleeding volume was(121.36±11.28)mL, the drainage volume was(60.39±5.64)mL, and the postoperative VAS score was(1.37±0.32)points;the reference group was(99.86±9.91)min.(152.55±14.63)mL,(94.37±9.06)mL,(2.08±0.68)points(t=8.561, 11.451, 21.595, 6.408,P <0.05). Compared with the reference group, the amount of bleeding, drainage, and postoperative VAS scores in the experimental group were shorter than those in the reference group, and the differences between the groups were statistically significant(P<0.05). One case had an incision crack in the experimental group, accounting for 2.17%. Incision infection occurred in 1 case, accounting for 2.17%. Incision bleeding occurred in 1 case, accounting for 2.17%. The total postoperative complications in the experimental group were 3 cases, accounting for 6.52%. In the reference group, 4 cases of postoperative incision dehiscence accounted for 8.70%;3 cases of postoperative wound infection accounted for 6.52%;3 cases of postoperative pulmonary infection accounted for 6.52%;3 cases of postoperative wound bleeding accounted for6.52%. The total postoperative complication

关 键 词：胸腰椎骨折 后路内固定术 手术护理 术后VAS 

分 类 号：R473[医药卫生—护理学]