加速康复外科护理在老年骨质疏松性胸腰椎压缩性骨折椎体成形中的疗效分析  

Efficacy of enhanced recovery after surgery nursing in senile patients with osteoporotic thoracolumbral compression fracture treated by vertebroplasty

作　　者：李水霞[1] 李翠翠[2] 郑林宏[2] 慧惠 王红 汪静 胡靖[3] LI Shui-xia;LI Cui-cui;ZHENG Lin-hong;HUI Hui;WANG Hong;WANG Jing;HU Jing(The First Department of Surgery and Anesthesiology,Honghui Hospital Affiliated to Medicine College of Xi'an Jiaotong University,Xi'an 710054,China;Department of Spine Surgery,Honghui Hospital Affiliated to Medicine College of Xi'an Jiaotong University,Xi'an 710054,China;Nursing Department,Honghui Hospital Affiliated to Medicine College of Xi'an Jiaotong University,Xi'an 710054,China)

机构地区：[1]西安交通大学医学院附属红会医院手麻一科,西安710054 [2]西安交通大学医学院附属红会医院脊柱外科,西安710054 [3]西安交通大学医学院附属红会医院护理部,西安710054

出　　处：《骨科》2020年第6期550-553,共4页ORTHOPAEDICS

摘　　要：目的探讨加速康复外科(enhanced recovery after surgery,ERAS)护理在老年骨质疏松性胸腰椎压缩性骨折(osteoporotic vertebral compression fracture,OVCF)椎体成形病人中的疗效。方法回顾性分析2017年1月至2018年12月在我院行椎体成形术的435例OVCF病人的临床资料,其中男89例,女346例;年龄为(71.0±3.5)岁(60~89岁);T11骨折78例、T12骨折114例、L1骨折134例、L2骨折109例。将2017年接受常规护理的214例病人纳入对照组,2018年接受ERAS护理的221例病人纳入观察组。观察两组病人疼痛视觉模拟量表(visual analogue scale,VAS)评分、Barthel指数评定量表(Barthel index,BI)评分、下地时间、住院时间及病人护理满意度。结果术后第1天,观察组的VAS评分、Barthel评分分别为(1.73±0.75)分、(81.00±2.00)分,优于对照组的(2.21±0.70)分、(75.82±1.85)分,差异均具有统计学意义(P均<0.05)。观察组的下地时间和住院天数分别为(0.11±0.32)d、(3.31±0.50)d,均明显优于对照组的(1.11±0.33)d、(4.09±0.71)d,差异均有统计学意义(P均<0.05)。出院时,观察组病人的护理满意度为92.31%(204/221),明显高于对照组的85.51%(183/214),差异有统计学意义(P<0.001)。结论基于ERAS的护理可加速老年OVCF椎体成形病人的康复,提升病人的护理满意度。Objective To investigate the efficacy of enhanced recovery after surgery(ERAS)nursing in senile patients with osteoporotic thoracolumbral compression fracture treated by vertebroplasty.Methods The clinical data of 435 patients with osteoporotic thoracolumbar fractures who underwent vertebroplasty in our hospital from January 2017 to December 2018 were retrospectively analyzed,including 89 males and 346 females aged(71.0±3.5)years(60⁃89 years);78 cases of T11 fractures,114 cases of T12 fractures,134 cases of L1 fractures,109 cases of L2 fractures.The 214 patients who received routine nursing care in 2017 were included in the control group,and 221 patients who received ERAS care in 2018 were included in the observation group.Visual analogue scale(VAS)score,Barthel scale score,time to off⁃bed,length of hospital stay and nursing satisfaction were observed.Results On the first day after operation,the VAS score and Barthel score in the observation group were 1.73±0.75 and 81.00±2.00,and those in the control group were(2.21±0.70)and 75.82±1.85,respectively(both P<0.05).At the time of discharge,the time to off⁃bed and length of hospital stay in the observation group were(0.11±0.32)d,(3.31±0.50)d,and those in the control group were(1.11±0.33)d and(4.09±0.71)d,respectively(both P<0.05).At discharge,the nursing satisfaction in the observation group was 92.31%(204/221),which was significantly higher than 85.51%(183/214)in the control group(P<0.001).Conclusion Based on ERAS,nursing can accelerate the rehabilitation of senile patients with osteoporotic thoracolumbral compression fracture treated by vertebroplasty,reduce the medical cost and improve the nursing satisfaction of patients.

关 键 词：骨质疏松症 脊柱压缩性骨折 胸腰椎 ERAS护理 疗效 

分 类 号：R473.6[医药卫生—护理学]