摘要
目的 观察评价峡部植骨修补联合椎弓根钉棒系统内固定治疗腰椎峡部裂并实施综合护理干预的临床效果。方法 选择2017年1月至2018年5月期间本院收治的腰椎峡部裂患者21例,均经峡部植骨修补联合椎弓根钉棒系统内固定治疗并实施围手术期护理,并观察治疗及护理后的临床效果。结果 手术时间76~131 min,平均(94.8±4.3)min;术中出血量68~195 ml,平均(122.85±11.74)ml;双侧峡部愈合时间6~12个月,平均(7.29±1.85)个月。患者腰痛VAS评分内固定后明显低于内固定前[(1.28±0.87)分比(5.57±1.39)分],差异有统计学意义(t=4.382 5,P=0.000 0);ODI指数评分内固定后峡部愈合为显著低于内固定前[(10.46±3.18)%比(64.98±16.06)%],差异有统计学意义(χ2=19.532 7,P=0.000 0);腰椎功能Mac Nab评价结果:优18例(85.71%),良3例(14.29%)。PDM患者的QOL各项评分均显著高于治疗前,差异均有统计学意义(均P<0.05)。患者对护理满意度其中非常满意18例(84.51%),基本满意3例(14.29%)。结论 峡部植骨修补联合椎弓根钉棒系统内固定治疗腰椎峡部裂并实施综合护理干预,能够显著治疗腰椎峡部裂,峡部骨性愈合良好,腰痛目测类比评分及Oswestry功能障碍指数评分较术前得到显著改善,有效地提高了护理满意度。
Objective To observe and evaluate the treatment of lumbar spondylolysis with the treatment of isthmus bone grafting combined with pedicle screw system and the clinical effect of comprehensive nursing intervention.Methods Twenty-one patients with lumbar spondylolysis who were admitted to our hospital from January 2017 to May 2018 were treated with isthmus bone grafting and pedicle screw system and perioperative nursing.The clinical effects after treatment and care were observed.Results The operation time was 76-131 min,with the average of(94.8±4.3)min.The intraoperative blood loss was 68-195 ml,with the average of(122.85±11.74)ml.The healing time of bilateral isthmus was 6-12 months,with the average of(7.29±1.85)months.The patients'low back pain VAS score after the internal fixation[(1.28±0.87)]was significantly lower than that before the internal fixation[(5.57±1.39)](t=4.382 5,P=0.000 0);the ODI index score after the internal fixation[(10.46±3.18)%]was significantly lower than that before the internal fixation[(64.98±16.06)%](χ2=19.532 7,P=0.000 0).Evaluation of lumbar spine function Mac Nab:there were 18 excellent cases,accounting for 85.71%(18/21),3 good cases,accounting for 14.29%(3/21).The QOL scores of patients with PDM were significantly higher than those before treatment,with statistically significant differences(P<0.05).18 patients were very satisfied with the nursing[84.51%(18/21)],and 3 patients were basically satisfied[14.29%(3/21)].Conclusions The isthmus bone grafting combined with pedicle screw system for the treatment of lumbar spondylolysis and comprehensive nursing intervention can significantly treat lumbar spondylolysis,with isthmus healing well,therefore,low back pain visual analog score and Oswestry dysfunction index score significantly improve,the satisfaction of nursing effectively improve.
作者
梁晓霞
罗杰多
罗雨桥
黎全猛
容达程
黎桥来
Liang Xiaoxia;Luo Jieduo;Luo Yuqiao;Li Quanmeng;Rong Dacheng;Li Qiaolai(Department of Orthopedics,Huaiji County People's Hospital,Zhaoqing 526400,China)
出处
《国际医药卫生导报》
2019年第2期207-210,共4页
International Medicine and Health Guidance News
基金
肇庆市科技创新指导类项目(201804030841).
关键词
腰椎峡部裂
峡部植骨修补
椎弓根钉棒系统内固定
护理干预
Lumbar spondylolysis
Isthmus bone grafting repair
Pedicle screw system internal fixation
Nursing intervention
