颅骨牵引治疗中采用新型体位控制器联合护理的临床效果分析  

Clinical effect of new position controller combined with nursing in skull traction treatment

作　　者：武宇航 梁秋萍[1] 杨晓玲 Wu Yuhang;Liang Qiuping;Yang Xiaoling(The People's Hospital of Zhongshan City,Zhongshan,Guangdong 528400;The Traditional Chinese Medicine Hospital of Zhongshan City,Zhongshan,Guangdong 528400)

机构地区：[1]中山市人民医院,广东中山528400 [2]中山市中医院,广东中山528400

出　　处：《基层医学论坛》2021年第18期2521-2523,共3页The Medical Forum

基　　金：中山市医学科研项目(2020J064)。

摘　　要：目的探讨颅骨牵引治疗中采用新型体位控制器联合护理的临床效果。方法将2020年4月—2021年1月来中山市人民医院和中山市中医院进行颅骨牵引治疗的72例颈椎脱位、骨折患者作为研究对象,随机分为对照组及观察组各36例,对照组实施传统颅骨牵引常规护理,观察组实施新型体位控制器特殊护理。分析并比较2组患者的JOA评分、NRS评分、无效牵引率、神经功能改善情况及并发症发生率。结果治疗前2组患者的JOA评分、NRS评分无显著差异(P>0.05),治疗后观察组患者的JOA评分高于对照组,NRS评分低于对照组(P<0.05)。观察组无效牵引率(10.22%)低于对照组(20.34%)(P<0.05)。观察组患者的神经功能改善率(80.56%)高于对照组(58.33%)(P<0.05)。观察组患者的并发症发生率(5.56%)低于对照组(22.22%)(P<0.05)。结论颅骨牵引治疗中采用新型体位控制器联合护理可明显提高患者颈椎功能,缓解疼痛,降低无效牵引率,改善患者的神经功能,减少并发症发生。Objective To explore the clinical effect of new position controller combined with nursing in skull traction treatment.Methods From April 2020 to January 2021,72 patients with cervical dislocation and fracture were treated by skull traction inZhongshan People's Hospital and Zhongshan Traditional Chinese Medicine Hospital.They were randomly divided into control group and observation group with 36 cases in each group.The control group received routine nursing of traditional skull traction,and the observation group received special nursing of new position controller.JOA score,NRS score,ineffective traction rate,improvement of neurological function and incidence of complications were analyzed and compared between the two groups.Results before treatment,there was no significant difference in negative emotion JOA score and NRS score between the two groups(P>0.05).After treatment,JOA score of the observation group was higher than that of the control group,NRS score was lower than that of the control group(P<0.05).The ineffective traction rate of the observation group(10.22%)was lower than that of the control group(20.34%)(P<0.05).The improvement rate of neurological function in the observation group(80.56%)was higher than that in the control group(58.33%)(P<0.05).The incidence of complications in the observation group(5.56%)was lower than that in the control group(22.22%)(P<0.05).Conclusion The new position controller combined with nursing can significantly improve the cervical function,relieve the pain index,reduce the ineffective traction rate,improve the neurological function and reduce the incidence of complications.

关 键 词：颅骨牵引 新型体位控制器 护理 临床效果 

分 类 号：R4[医药卫生—临床医学]