并发症关注环节前移在急诊胸腰椎骨折围术期中的应用  

Application of advanced attention to complications in the perioperative period of emergencythoracolumbar fractures

作　　者：汪维平[1] 胡善萍 程圆圆 汪丹丹 Wang Weiping;Hu Shanping;Cheng Yuanyuan;Wang Dandan(Department of Orthopedic Surgery,Anqing Hospital of the Chinese People's Liberation Army Navy,Anqing,Anhui 246003)

机构地区：[1]中国人民解放军海军安庆医院骨外科,安徽安庆246003

出　　处：《现代科学仪器》2024年第5期185-190,共6页Modern Scientific Instruments

摘　　要：目的:探究并发症关注环节前移在急诊胸腰椎骨折患者围术期管理中的应用。方法:本研究纳入2020年1月至2023年3月间79例急诊胸腰椎骨折患者,随机分为两组,分别实施常规护理(对照组40例)和并发症关注前移护理(试验组39例),比较两组多项指标。结果:两组手术时间、出血量和排气时间无显著差异(P>0.05)。相较于对照组,试验组住院时间更短,并发症发生率显著降低(P<0.05)。护理后,两组JOA评分及总分均提高,但试验组更高(P<0.05);同样,Barthel指数评分及总分均上升,试验组亦优于对照组(P<0.05)。结论:并发症关注前移管理对急诊胸腰椎骨折患者可减少并发症、缩短住院、改善功能及提升生活能力,值得推广。Objective:To explore the application of advancing the focus on complications in perioperative management of emergency thoracolumbar spine fracture patients.Method:This study included 79 emergency thoracolumbar fracture patients from January 2020 to March 2023,who were randomly divided into two groups and received routine care(control group of 40 cases)and advanced care for complications(experimental group of 39 cases),respectively.Multiple indicators were compared between the two groups.Results There was no significant difference in surgical time,bleeding volume,and exhaust time between the two groups(P>0.05).Compared to the control group,the experimental group had a shorter hospital stay and a significantly lower incidence of complications(P<0.05).After nursing,both groups showed an improvement in JOA scores and total scores,but the experimental group had a higher score(P<0.05);Similarly,the Barthel index score and total score both increased,and the experimental group was superior to the control group(P<0.05).Conclusion:Forward management of complications can reduce complications,shorten hospitalization,improve function,and enhance living abilities in emergency patients with thoracolumbar fractures.It is worth promoting.

关 键 词：胸腰椎骨折 急诊 并发症关注环节前移护理 围术期管理 

分 类 号：R816.8[医药卫生—放射医学]