胸腰椎骨折后路内固定术的配合护理观察  

Nursing Observation on the Cooperation of Posterior Internal Fixation for Thoracolumbar Fractures

作　　者：郑雪芳[1] 陈广秀[1] 邱娇清 储钟芳[1] ZHENG Xue-fang;CHEN Guang-xiu;QIU Jiao-qing(Department of Operating Room,Huizhou First People’s Hospital,Huizhou,Guangdong,516000,China)

机构地区：[1]惠州市第一人民医院手术室科,广东惠州516000

出　　处：《黑龙江医学》2022年第17期2145-2147,共3页Heilongjiang Medical Journal

摘　　要：目的:观察对胸腰椎骨折后路内固定术患者实施相应配合护理的效果。方法:选取2018年1月―2019年1月惠州市第一人民医院收治的150例胸腰椎骨折患者作为研究对象,随机分为观察组和对照组,每组各75例。对照组采用常规护理,观察组采用综合护理,比较两组患者手术时间、术中出血量、术后引流量等手术指标及术后并发症发生情况,比较两组患者护理前后疼痛视觉模拟评分表(VAS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及护理满意度。结果:观察组手术时间明显短于对照组,术中出血量、术后引流量明显少于对照组,差异有统计学意义(t=7.623、7.141、7.363,P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(χ^(2)=9.693,P<0.05)。护理后,观察组VAS评分明显低于对照组,差异有统计学意义(t=7.966,P<0.05)。护理后,观察组SAS评分、SDS评分均低于对照组,差异有统计学意义(t=7.948、9.585,P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(χ^(2)=10.589,P<0.05)。结论:对胸腰椎骨折后路内固定术患者实施相应配合护理,效果显著,不仅能够缩短患者手术时间,减少术中出血量,还能够缓解患者的负性情绪,减轻患者术后疼痛,提高其术后生活质量。Objective: To analyze the effect of corresponding nursing care for patients undergoing posterior internal fixation of thoracolumbar fractures. Methods: A total of 150 patients with thoracolumbar fractures admitted to the hospital from January 2018to January 2019 were selected as the research objects, and they were randomly divided into observation group and control group,with 75 cases in each group. The control group received routine nursing, and the observation group received comprehensive nursing. The operation time, intraoperative blood loss, postoperative drainage volume and other surgical indicators and postoperative complications were compared between the two groups. The pain Visual Analogue Scale(VAS) score, Self-rating Anxiety Scale(SAS) score, Self-rating Depression Scale(SDS) score and nursing satisfaction were compared between the two groups before and after nursing. Results: The operation time of the observation group was significantly shorter than that of the control group, and the intraoperative blood loss and postoperative drainage volume were significantly less than those of the control group, and the differences were statistically significant(t=7.623, 7.141, 7.363, P<0.05). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant(χ^(2)=9.693, P<0.05).After nursing, the VAS score of the observation group was significantly lower than that of the control group, and the difference was statistically significant(t=7.966, P<0.05). After nursing, the SAS and SDS scores of the observation group were lower than those of the control group, and the difference was statistically significant(t=7.948, 9.585, P<0.05). The nursing satisfaction in the observation group was higher than that in the control group, and the difference was statistically significant(χ^(2)=10.589, P<0.05).Conclusion: The corresponding nursing effect is significant for patients with thoracolumbar fractures undergoing posterior internal fixation. It c

关 键 词：胸腰椎骨折 综合护理 后路内固定手术 效果 

分 类 号：R47[医药卫生—护理学]