摘要
目的分析微创治疗术式于脊柱创伤后的疼痛及并发症的临床应用效果。方法按照随机选取的方式,选择该院2015年2月—2016年2月期间收治脊柱创伤患者80例,将其作为该次研究对象,根据不同的手术方式将患者分为两组,即对照组患者40例,进行传统手术治疗,而实验组患者共40例患者,对其进行微创手术式治疗,当两组患者进行分别治疗后,观察两组患者疼痛缓解和并发症情况,主要从患者住院时间、下地活动、手术时间和出血量、VAS评分、NRS评分、运动功能障碍、创伤性截瘫、术后感染方面进行。结果对患者住院时间、下地活动、手术时间和出血量进行分析发现,实验组各项指标为(8.21±2.03)d、(37.74±9.13)h、(121.4±7.74)min、(123.5±31.50)mL,均优于对照组患者的(15.30±4.47)d、(57.12±13.64)h、(175.6±12.32)min、(299.4±36.10)mL,组间差异有统计学意义(P<0.05);实验组VAS评分(1.75±0.42)分、NRSD评分(2.10±0.47)分,而对照组VAS评分(5.43±1.25)分、NRSD评分(5.43±1.27)分,对比差异有统计学意义(P<0.05);对照组患者术后出现并发症的几率为22.5%,实验组患者术后出现并发症的几率为5.0%,比较差异有统计学意义(P<0.05)。结论对脊柱创伤后患者进行临床治疗时,对其采取微创术式的治疗,其治疗效果相对比较理想,同时还可以降低患者术后疼痛、并发症,具有较高安全性。
Objective To analyze the clinical application effect of minimally invasive treatment method in the pains and complications after the spine wound.Methods 80 cases of patients with spine wound in our hospital from February 2015 to February 2016 were selected and divided into two groups with 40 cases in each according to different operation methods,the control group adopted the traditional surgery,while the experimental group adopted the minimally invasive treatment method,and the pains relief and complications of the two groups were observed,including the length of stay,time to get out of bed,operation time,bleeding amount,VAS score,NRS score,dyskinesia,traumatic paraplegia and postoperative infection.Results The length of stay,time to get out of bed,operation time and bleeding amount in the experimental group were better than those in the control group,[(8.21±2.03)d,(37.74±9.13)h,(121.4±7.74)min,(123.5±31.50)mL vs(15.30±4.47)d,(57.12±13.64)h,(175.6±12.32)min,(299.4±36.10)mL],and the differences were statistically significant(P<0.05),and the VAS score,NRSD score in the experimental group and in the control group were respectively(1.75±0.42)points,(2.10±0.47)points and(5.43±1.25)points,(5.43±1.27)points,and the differences were statistically significant(P<0.05),and the occurrence probability of complications after surgery in the control group and in the experimental group was respectively 22.5%and 5.0%,and the difference was statistically significant(P<0.05).Conclusion The effect of minimally invasive treatment method in the pains and complications after the spine wound is ideal,at the same time,it can also reduce the postoperative pains and complications with high safety.
作者
段国勐
DUAN Guo-meng(Second Department of Orthopedics,Baoshan People’s Hospital,Baoshan,Yunnan Province,678000 China)
出处
《中外医疗》
2018年第2期89-91,共3页
China & Foreign Medical Treatment
关键词
微创治疗术式
脊柱创伤后
疼痛
并发症
Minimally invasive treatment method
After the spine wound
Pains
Complications
