重症胸腰椎压缩性骨折在预见性急救模式下责任制护理的效果分析  

Analysis of the Effectiveness of Accountability Nursing in the Predictive Emergency Model for Severe Thoracolumbar Compression Fractures

作　　者：卿莹 董辉详 章亚青 QING Ying;DONG Huixiang;ZHANG Yaqing(The 73rd Army Group Hospital of the Army,Xiamen 361000,China)

机构地区：[1]陆军第七十三集团军医院,福建厦门361000

出　　处：《中华灾害救援医学》2025年第1期102-105,共4页Chinese Journal of Disaster Medicine

基　　金：2022年厦门市医疗卫生指导性项目(3502Z20224ZD1239)。

摘　　要：目的 探讨对于重症胸腰椎压缩性骨折患者采取预见性急救模式下责任制护理的临床效果。方法回顾性分析2022年6月至2024年6月我院收治的56例胸腰椎压缩性骨折患者的临床资料,根据急救护理模式的不同分为观察组(急救模式下责任制护理,28例)和对照组(常规急救护理,28例)。比较急救时间、住院时间、急救结局、干预前后椎体相关指标、生活质量评分和不良反应发生情况。结果 观察组患者急救所需时长和住院所需时长均显著短于对照组研究对象(P<0.001)。观察组抢救成功率显著高于对照组(P<0.05)。两组患者Cobb′s角、椎体高度、生活质量评分均较干预前显著增加,椎体压缩率显著减少(P值均<0.05),且观察组各项指标优于对照组(P<0.001)。观察组的不良反应发生率显著低于对照组(P<0.05)。结论 对于重症胸腰椎压缩性骨折患者,预见性急救模式下责任制护理可提高急救效率,改善急救效果和椎体相关指标,提高患者生活质量,降低并发症的发生风险。Objective Exploring the clinical effect of responsibility based nursing under the predictive emergency mode for patients with severe thoracolumbar compression fractures.Methods A retrospective analysis was conducted on the clinical data of 56 patients with thoracolumbar compression fractures admitted to our hospital from June 2022 to June 2024.According to the different emergency nursing modes,they were divided into an observation group(responsibility nursing under emergency mode,28 cases)and a control group(routine emergency nursing,28 cases).Compare the emergency time,hospitalization time,emergency outcomes,vertebral body related indicators before and after intervention,quality of life scores,and incidence of adverse reactions.Results The observation group had significantly shorter emergency response time and hospitalization time than the control group(P<0.001).The success rate of rescue in the observation group was significantly higher than that in the control group(P<0.05).The Cobb's angle,vertebral height,and quality of life scores of both groups of patients increased significantly compared to before intervention,while the vertebral compression rate decreased significantly(P values<0.05),and all indicators in the observation group were better than those in the control group(P<0.001).The incidence of adverse reactions in the observation group was significantly lower than that in the control group(P<0.05).Conclusion For patients with severe thoracolumbar compression fractures,responsible nursing under the predictive emergency mode can improve emergency efficiency,enhance emergency outcomes and vertebral related indicators,improve patients'quality of life,and reduce the risk of complications.

关 键 词：脊柱骨折 护理 急救 

分 类 号：R683.2[医药卫生—骨科学]