摘要
目的 探讨经皮椎体后凸成形术（PKP）治疗骨质疏松椎体压缩性骨折的护理措施.方法 对浙江省台州市黄岩中医院自2010年1月～2012年12月收治的86例骨质疏松椎体压缩性骨折患者实行PKP治疗.比较护理前后患者的视觉模拟评分法（VAS）评分、Barthel指数、光距尺灯（ODI）、椎体变高程度、Cobb角度等各项指标.结果 手术护理前,VAS评分为（8.1±1.5）分,Barthel指数为（52.0±4.2）,ODI为（734±5.1）,椎体前部变高（22.1±3.5）mm,椎体中部变高（23.2±3.8）mm,Cobb角度为（19.3±2.4）°.手术护理后,VAS评分为（1.9±0.3）分,Barthel指数为（83.2±6.4）,ODI为（22.3±2.9）,椎体前部变高（23.8±2.7）mm,椎体中部变高（24.0±2.1）mm,Cobb角度为（12.7±3.3）..患者手术护理前后在VAS评分、Barthel指数、ODI、椎体变高程度、Cobb角度等各项指标的比较上,差异均有统计学意义（均P＜ 0.05）.结论 合理有效的护理是PKP治疗骨质疏松椎体压缩性骨折患者手术成功的重要基础,能够有效地促进患者术后的康复,提高患者的生活质量.
Objective To explore the nursing measures of percutaneous kyphoplasty （PKP） in treatment of osteoporosis vertebral compression fractures.Methods 86 patients with osteoporosis vertebral compression fractures in Huangyan Hospital of Taditional Chinese Medicine in Taizhou City of Zhejiang Province from January 2010 to December 2012 performed PKP treatment were selected.Visual analogue score （VAS） score,Barthel index,optical distance indicator （ODI）,the degree of height ot vertebral bodies and Cobb angle were compared before and after nursing.Results Before surgery nursing,VAS score was （8.1±1.5） score,Barthel index was （52.0±4.2）,ODI was （73.4±5.1）,fanterior department higher was （22.1±3.5） mm,central vertebral bodies higher was （23.2±3.8） mm,Cobb angle was （19.3±2.4）°.After surgery nursing,VAS score was （1.9±0.3） score,Barthel index was （83.2±6.4）,ODI was （22.3±2.9）,fanterior department higher was （23.8±2.7） mm,central vertebral bodies higher was （24.0±2.1） mm,Cobb angle was （12.7±3.3）°.There were all statistically significant differences in VAS score,Barthel index,ODI,higher degree of vertebral bodies and Cobb angle before and after surgery （all P 〈 0.05）.Conclusion Reasonable care is the important basis of PKP in the treatment of osteoporosis vertebral compression fractures,promotes patients＇ rehabilitation and improves quality of life.
出处
《中国医药导报》
CAS
2014年第6期124-126,130,共4页
China Medical Herald
基金
浙江省医药卫生科技计划项目(编号2011KYB092)
