摘要
目的 探究穴位按压结合早期护理干预应用于胸腰椎骨折患者中的效果,为胸腰椎骨折的临床护理提供参考。方法 选取2018年2月—2019年10月天津市宁河区医院收治的胸腰椎骨折患者92例为研究对象,依据入院先后顺序分为对照组和研究组各46例。对照组采用常规护理,研究组采用穴位按压结合早期护理。比较两组患者干预前后生活质量评分,腰椎功能评分及术后临床症状恢复情况。结果 干预后,两组躯体功能、社会功能及心理功能评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。干预后,两组ODI和M-JOA评分均低于干预前,且研究组ODI和M-JOA评分为(18.92±2.36)和(8.57±2.06)分,均低于对照组的(22.36±2.78)和(11.03±2.38)分,差异均有统计学意义(P<0.05)。研究组首次排气、排便及腹胀好转时间均短于对照组,差异均有统计学意义(P<0.05)。结论 穴位按压结合早期护理应用于胸腰椎骨折患者术后护理中,能有效促进排气、排便、腰椎功能恢复,对生活质量改善有积极作用,具有较高的临床应用价值。
Objective To explore the effect of acupoint pressing combined with early nursing intervention in patients with thoracolumbar fracture, so as to provide reference for clinical nursing of thoracolumbar fracture. Methods From February 2018 to October 2019, 92 patients with thoracolumbar fractures treated in Tianjin Ninghe District Hospital were selected as the research objects and divided into control group and study group according to the order of admission, with 46 cases in each group. Routine nursing was used in the control group, and acupoint pressing combined with early nursing was used in the study group. The score of quality of life, lumbar function score before and after intervention and the recovery of postoperative clinical symptoms of the two groups were compared. Results After the intervention, the scores of physical function,social function and psychological function of the two groups were higher than those before the intervention,and the study group were higher than those of the control group, and the differences were statistically significant(P<0.05). After the intervention, the scores of ODI and M-JOA in the two groups were lower than those before the intervention, and the scores of ODI and M-JOA in the study group were(18.92±2.36) and(8.57±2.06)points, which were lower than those in the control group with(22.36±2.78)and(11.03± 2.38)points, and the differences were statistically significant(P<0.05). The time of first exhaust, defecation and abdominal distension improvement in the study group were significantly shorter than those in the control group, and the differences were statistically significant(P<0.05). Conclusion The application of acupoint pressing combined with early nursing in the postoperative nursing of patients with thoracolumbar fractures could effectively promote the recovery of exhaust, defecation and lumbar function, play a positive role in improving the quality of life, and had high clinical application value.
作者
陈巨琴
CHEN Ju-qin(Department of Surgery,Tianjin Ninghe District Hospital,Tianjin 301500,China)
出处
《中国城乡企业卫生》
2022年第4期8-11,共4页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
穴位按压
早期护理
胸腰椎骨折
康复效果
Acupoint pressing
Early nursing
Thoracolumbar fracture
Rehabilitation effect
