脊柱胸腰段骨折合并骨盆骨折的围手术期护理效果研究  

Study on Perioperative Nursing Effects of Spinal Thoracolumbar Fractures Combined with Pelvic Fractures

作　　者：吴淑媛 WU Shuyuan(Department of spinal surgery,Dalian central hospital in Liaoning province,Dalian,Liaoning 116021)

机构地区：[1]辽宁省大连市中心医院脊柱外科,辽宁大连116021

出　　处：《中国伤残医学》2024年第8期125-126,134,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析脊柱胸腰段骨折合并骨盆骨折的围手术期护理效果.方法:选取2017年1月—2018年10月我院收治的100例脊柱胸腰段骨折合并骨盆骨折患者为研究对象,按随机数字表法将其分为常规围手术期护理组和整体化围手术期护理组,每组50例.常规围手术期护理组施行胸腰椎合并骨盆骨折围手术期常规护理,整体化围手术期护理组应用胸腰椎合并骨盆骨折术后整体化围手术期护理.比较2组的满意度、手术时间、胸腰椎合并骨盆骨折平均愈合时间、住院时间、手术失血量、负面情绪、疼痛程度、生活质量、下肢静脉血流速度、肺部感染、脊髓损伤后遗症发生率.结果:整体化围手术期护理组满意度高于常规围手术期护理组,差异有统计学意义(P<0.05).护理后,整体化围手术期护理组负面情绪、疼痛程度评分均低于常规围手术期护理组,生活质量评分高于常规围手术期护理组,下肢静脉血流速度快于常规围手术期护理组,组间差异有统计学意义(P<0.05).整体化围手术期护理组手术时间、胸腰椎合并骨盆骨折平均愈合时间、住院时间均短于常规围手术期护理组,手术失血量少于常规围手术期护理组,组间差异有统计学意义(P<0.05).整体化围手术期护理组肺部感染、脊髓损伤后遗症发生率低于常规围手术期护理组,差异有统计学意义(P<0.05).结论:整体化围手术期护理在胸腰椎合并骨盆骨折治疗中具有良好作用,可降低肺部感染、脊髓损伤后遗症发生率,缩短手术时间,可减轻患者负面情绪,改善预后.Objective:To analysis of perioperative nursing outcomes for spinal thoracolumbar fracture combined with pelvic fracture.Methods:100 patients with spinal thoracolumbar fractures combined with pelvic fractures admitted to our hospital from January 2017 to October 2018 were selected as the research subjects,divided them into a routine perioperative nursing group and a holistic perioperative nursing group using a random number table method,with 50 cases in each group.The routine perioperative nursing group receives routine perioperative nursing for thoracolumbar and pelvic fractures,while the holistic perioperative nursing group receives postoperative holistic perioperative nursing for thoracolumbar and pelvic fractures.The satisfaction,surgical time,average healing time for thoracolumbar and pelvic fractures,length of hospital stay,surgical blood loss,negative emotions,pain level,quality of life,lower limb venous blood flow velocity,incidence of pulmonary infection,and sequelae of spinal cord injury between two groups were compared.Results:The satisfaction level of the holistic perioperative nursing group is higher than that of the routine perioperative nursing group,the differences was statistically significant(P<0.05).Ater nursing,the holistic perioperative nursing group had lower negative emotions and pain scores than the routine perioperative nursing group,higher quality of life scores than the routine perioperative nursing group,and faster lower limb venous blood flow velocity than the routine perioperative nursing group,the differences between groups were statistically significant(P<0.05).The holistic perioperative nursing group had shorter surgical time,average healing time for thoracolumbar and pelvic fractures,shorter hospital stay compared to the routine perioperative nursing group,and lower surgical blood loss compared to the routine perioperative nursing group,the differences between groups were statistically significant(P<0.05).The incidence of pulmonary infection and spinal cord injury sequelae in the

关 键 词：脊柱胸腰段骨折合并骨盆骨折 围手术期护理 效果 

分 类 号：R683.2[医药卫生—骨科学]