中西医结合护理在脊柱骨折术后患者中的应用
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摘要
目的:探讨中西医结合护理干预对脊柱骨折术后患者生活质量及临床疗效的影响。方法:将82例患者随机分为2组,每组41例,对照组给予常规护理,观察组给予中西医结合护理干预,比较2组临床疗效、术后并发症发生情况及生活质量评分。结果:总有效率观察组为95.12%,对照组为75.61%,2组比较差异有统计学意义(P<0.05)。术后并发症发生率观察组为4.88%,对照组为17.07%,2组比较差异有统计学意义(P<0.05)。2组治疗前后生理功能、心理功能、社会功能、总体健康评分组内比较,差异有统计学意义(P<0.05);治疗后组间比较差异也有统计学意义(P<0.05)。结论:给予脊柱骨折术后患者中西医结合护理干预措施,有助于提高临床疗效,减少并发症发生率,改善生活质量。
Objective: To discuss the effects of nursing intervention of integrative medicine on clinical effects and quality of life of the patients after the surgery of spine fracture. Methods: All 82 patients were randomized into two groups, 41 cases each group, the control group used conventional care, and the observation group nursing intervention of integrative medicine, to compare clinical effects and the incidences of postoperative complications between both groups,and assess quality of life using SF-36. Results: Total effective rate of the observation group was 95.12%, higher than 75.61% of the control group, and the difference was statistically significant(P<0.05). The incidence of postoperative complications in the observation group was 4.88%,lower than 17.07% of the control group, and the difference had statistical meaning(P<0.05). The difference showed statistical meaning in the comparisons of physiological function, psychological function, social function and overall health scales within two groups before and after treating(P<0.05); there was a significant difference in the comparisons between both groups after treating(P<0.05). Conclusion: Nursing intervention of integrative medicine given to the patients after the surgery of spine fracture is helpful to raise clinical effects, reduce the incidence of the complications and improve quality of life.
Objective: To discuss the effects of nursing intervention of integrative medicine on clinical effects and quality of life of the patients after the surgery of spine fracture. Methods: All 82 patients were randomized into two groups, 41 cases each group, the control group used conventional care, and the observation group nursing intervention of integrative medicine, to compare clinical effects and the incidences of postoperative complications between both groups,and assess quality of life using SF-36. Results: Total effective rate of the observation group was 95.12%, higher than 75.61% of the control group, and the difference was statistically significant(P<0.05). The incidence of postoperative complications in the observation group was 4.88%,lower than 17.07% of the control group, and the difference had statistical meaning(P<0.05). The difference showed statistical meaning in the comparisons of physiological function, psychological function, social function and overall health scales within two groups before and after treating(P<0.05); there was a significant difference in the comparisons between both groups after treating(P<0.05). Conclusion: Nursing intervention of integrative medicine given to the patients after the surgery of spine fracture is helpful to raise clinical effects, reduce the incidence of the complications and improve quality of life.
引文
[1]Kitzen J,Schotanus MGM,Plasschaert HSW,et al.Treatment of thoracic or lumbar burst fractures with balloon assisted endplate reduction using tricalcium phosphate cement:histological and radiological evaluation[J].BMC Musculoskelet Disord,2017,18(1):411-419.
[2]斯帕尔斯基.骨质疏松性椎体压缩性骨折[M].北京:人民卫生出版社,2007:171.
[3]郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:214.
[4]李建红,刘文军.中西医结合治疗老年胸腰椎骨折临床观察[J].中国中医急症,2014,23(5):938-939.
[5]Pham MH,Tuchman A,Chen TC,et al.Transpedicular corpectomy and cage placement in the treatment of traumatic lumbar burst fractures[J].Clin Spine Surg,2017,30(8):360-366.
[6]魏金荣,张惠萍,曹松美.中医药护理干预对胸腰椎压缩性骨折患者便秘的效果评价[J].护理管理杂志,2013,13(11):817-818.
[7]郭华英,连文,陈春霞.肠道训练联合饮食指导对腰椎骨折并发脊髓损伤患者肠道康复的影响[J].检验医学与临床,2014,11(7):993-995.
[8]张清影,梁诚之.中医护理联合早期康复护理对老年股骨颈骨折患者的影响[J].中国中医急症,2014,23(5):996-997.
[9]钟文,黄慧芬,孙巧玉.穴位按摩护理改善胸腰椎骨折术后腹胀、便秘的疗效观察[J].中国医药导报,2017,14(17):174-177.
[10]王红亚.胸腰椎骨折及其术后并发症的中西医结合护理体会[J].中国中医急症,2014,23(3):510-512.
[11]李兰,曾帅.胸腰椎骨折后腹胀原因分析及护理[J].实用心脑肺血管病杂志,2012,20(1):97.
[12]古永恒,马笃军,彭力平,等.胸腰椎骨折复位床托用于胸腰椎压缩性骨折体外复位的系统护理[J].护理研究,2015,26(6):2129-2131.
[13]杨秀琼,谢小兰,卢丽琼.腹针配合情志调护对腰椎骨折术后患者肠蠕动恢复的影响[J].护理学报,2012,7(18):55-57.
[14]张丽平,范东英,郭秀珍.中医护理在球囊成形术治疗骨质疏松性椎体压缩骨折患者中的应用[J].西部中医药,2016,29(12):125-126.
[2]斯帕尔斯基.骨质疏松性椎体压缩性骨折[M].北京:人民卫生出版社,2007:171.
[3]郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:214.
[4]李建红,刘文军.中西医结合治疗老年胸腰椎骨折临床观察[J].中国中医急症,2014,23(5):938-939.
[5]Pham MH,Tuchman A,Chen TC,et al.Transpedicular corpectomy and cage placement in the treatment of traumatic lumbar burst fractures[J].Clin Spine Surg,2017,30(8):360-366.
[6]魏金荣,张惠萍,曹松美.中医药护理干预对胸腰椎压缩性骨折患者便秘的效果评价[J].护理管理杂志,2013,13(11):817-818.
[7]郭华英,连文,陈春霞.肠道训练联合饮食指导对腰椎骨折并发脊髓损伤患者肠道康复的影响[J].检验医学与临床,2014,11(7):993-995.
[8]张清影,梁诚之.中医护理联合早期康复护理对老年股骨颈骨折患者的影响[J].中国中医急症,2014,23(5):996-997.
[9]钟文,黄慧芬,孙巧玉.穴位按摩护理改善胸腰椎骨折术后腹胀、便秘的疗效观察[J].中国医药导报,2017,14(17):174-177.
[10]王红亚.胸腰椎骨折及其术后并发症的中西医结合护理体会[J].中国中医急症,2014,23(3):510-512.
[11]李兰,曾帅.胸腰椎骨折后腹胀原因分析及护理[J].实用心脑肺血管病杂志,2012,20(1):97.
[12]古永恒,马笃军,彭力平,等.胸腰椎骨折复位床托用于胸腰椎压缩性骨折体外复位的系统护理[J].护理研究,2015,26(6):2129-2131.
[13]杨秀琼,谢小兰,卢丽琼.腹针配合情志调护对腰椎骨折术后患者肠蠕动恢复的影响[J].护理学报,2012,7(18):55-57.
[14]张丽平,范东英,郭秀珍.中医护理在球囊成形术治疗骨质疏松性椎体压缩骨折患者中的应用[J].西部中医药,2016,29(12):125-126.